...|Ethics Case Studies—Learning Application of the 2009 ADA/CDR Code of |[pic] | |Ethics for the Profession of Dietetics | | |Case Study #1: A registered dietitian (RD) is newly employed as part of a treatment team in an ambulatory care setting. After several | |counseling sessions, one of the clients he is counseling for obesity discloses that she is being physically abused by her spouse and is | |experiencing depression. The RD continues to have the client come in for nutrition counseling sessions in an attempt to better understand | |the relationships among her current domestic situation, psychological state and weight issues. During a treatment team meeting, the RD | |reports on the client and is questioned by one of the team members about why he did not refer the client to the mental health professional. | |What should be done in this situation? | |Questions for Discussion | |Is the situation described an ethical issue? Or, is it a business dispute? It is an ethical issue. | |What principle(s) of the Code of Ethics does it...
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...allotted within a health system are recognized as further barriers to accepting and incorporating EBP.9,10 A study specific to ERP implementation narrowed its identified barriers down to four main themes: patient factors (age, comorbidities, attitudes, knowledge, expectations); staff factors (attitudes, education, confusion about ERP, staffing turnover); practice-related factors (confusion when practice deviates from protocol, communication).8 Many of these factors are specific to the environment in which the ERP is implemented. So, it is important to perform qualitative studies to determine more explicit issues within setting so they may be addressed prior to the adoption of ERPs. Another barrier to success of ERPs is the failure to include dietitians’ expertise in creating them. Poor nutrition status prior to surgery has been identified as an independent predictor of surgical outcomes.1,5,6 Therefore, preoperative nutrition screening for and treatment of malnutrition is essential to ERPs.1,5,6 Patient education is pertinent to managing their expectations and anxiety throughout the ERP, which includes preoperative fasting. The traditional preoperative practice of nil per os (NPO) after midnight is controversial as it is not supported in the literature and predisposes patients to be malnourished by withholding food.1,2,7 NPO has been thought to reduce the risk of aspirating of gastric contents during surgery.1,7 In actuality it is related to undue stress on patients as well as post-operative...
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...the severity and duration of the insult. However, because nutritional deficiencies and infections frequently occur together, the problems resulting from any one insult may be exacerbated by the presence of another, and the effects can be cumulative. The study of nutrients in food, how the body uses nutrients, and the relationship between diet, health and disease. Major food manufacturers employ nutritionists and food scientists. Nutritionists may also work in journalism, education and research. Many nutritionists work in the field of food science and technology. There is a lot of overlap between what nutritionists and dietitians do and studied. Some nutritionists work in health care, some dietitians work in the food industry, but a higher percentage of nutritionists work in the food industry and food science and technology, and a higher percentage of dietitians work in health care. One could very loosely generalize and say that a nutritionist focuses firstly on a food, and then looks at its effects on people, while a dietician looks at the human, and then how that human's health is influenced by food. If I discovered a new fruit and wanted to find out what it consisted of I would go to a nutritionist. If I found out I had a long-term disease and wanted to know whether I needed to adjust my food intake because of the disease, I would go to a dietician. Please bear in mind that this very loose comparison is both subjective and possibly too geographically bound on my...
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...Michael Wegner Business Administration, Saint Louis University Personal Statement When asked why I think a Masters Degree in Business Administration from Saint Louis University is right for me I like to think of myself as a rope that has been pulled back and forth by two different ends. Although this seems to have a negative connotation at first it has actually been a necessary process that now has provided me with clear goals for my future. The individuals pulling the opposite ends of the rope were my parents. My father is the Vice President of Taxes for a fortune 500 company and my mother is a bariatric dietitian that also runs her own health and wellness business. It was almost a movie scene in which my dad rested on one shoulder and my mom on the other. My dad would always say “Mike there will always be jobs in business, especially accounting” while my mom always persuaded me to do what I was truly passionate about and reminded me that the money would fall into place. Although my passion for personal fitness was growing rapidly as I finished up my days in high school athletics I still decided to take the “safe” route of accounting. While I had success in my introductory business classes after the semester ended I decided to focus on what I’m truly passionate about and changed my degree to nutrition and fitness. One aspect of my life stayed consistent while I was trying to figure out my academic path, my involvement in Kappa Alpha Order. I joined this fraternity as a...
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...In addition, at the bottom of the page, there is a disclaimer saying, “These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease” (HealthWise, n.d.). This means their claims regarding the health benefits of fish oil supplements have not evaluated by the Food and Drug Administration and therefore are not subjected to testing to prove they are effective and safe. However, the cited resources on the website supporting their claims come from the US National Library of Medicine National Institutes of Health which is a credible source. After reading the cited resources, I determined that the claims of the resources do not correspond with the claims made by HealthWise. In general, the cited resources concluded that although there...
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...obese has increased markedly over the past 20 years. An estimated 2.5 million Australian adults (about 1 in 5 men and 1 in 6 women) are obese and a further 4.9 million are overweight but not obese, based on 2004–2005 data. A greater proportion of premature death and illness in Australia is now caused by excess body fat than by tobacco smoking or high blood pressure.1 Unhealthy weight gain occurs when energy intake from food is greater than energy expended through physical activity. Environmental, cultural, genetic and lifestyle factors all contribute to overweight and obesity. Physical inactivity and overeating are the major modifiable contributors to the problem of obesity. GPs, practice nurses, exercise physiologists, dietitians and other health professionals can help people correct the imbalance between energy intake and expenditure by giving reliable, individually tailored advice about physical activity, sedentary behaviours and long-term patterns of healthy eating. O besity is itself a disease state, and is also a risk factor for many chronic disease conditions. Obesity:2,3 ♥ reduces life expectancy ♥ ♥ increases the risk of coronary heart disease, stroke and gout strongly predicts increased risk of type 2 diabetes, insulin resistance, hypertension, dyslipidaemia, gall bladder disease and non-alcoholic fatty liver disease (abdominal obesity carries particularly high risks) ♥ is associated with obstructive sleep apnoea...
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...Organizational Structure and Culture Paper NUR 492 October 21, 2013 Tisa Carlisle Organizational Structure and Culture Paper This paper will review the organizational structure and culture of Palmetto Health, an acute care hospital located in Columbia, South Carolina. The focus will be on the medical-surgical unit. The paper will review the type of organizational structure and how communication is affected by the social and cultural aspects of this hospital. Also discussed is how Palmetto Health provides client-centered care to accomplish their mission statement, “To be remembered by each patient as providing the care and compassion we want for our families and ourselves” (Palmetto Health, 2013). Type of Organizational Structure The type of organizational structure used at Palmetto Health is a hybrid structure. This organizational structure, as it grows, organizes both self-contained units and functional units into a hybrid organization (Sullivan & Decker, 2009). This hybrid structure improves alignment between corporate and service goals. The hybrid structure also encourages better adaptation to the environment while maintaining its efficiency. A weakness of the hybrid structure is conflict between top administration and managers. Managers often resent administrators’ intrusions into what they see as their area of responsibility. Over time, these organizations tend to accumulate large corporate staff to oversee divisions in an attempt to coordinate service...
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...lifestyle choice. Today it is becoming more common and accepted by mainstream society. While there are many reasons for choosing a vegetarian diet, I’ll tell you the most important ones. Throughout the course of this presentation, we will see the personal health advantages of becoming a vegetarian, our ability to prevent animal cruelty, and the benefits to the environment and the world. Impact of the Topic and Speech: I hope that my speech will give you some thoughts to think and questions to ask. So if you have any, you may ask them after my talk. Transition: First, let’s examine the health benefits of becoming a vegetarian [BODY] I. Becoming a vegetarian has substantial health benefits. HEART DISEASE RISK Vegetarians have a lower chance of developing heart disease than meat-eaters, according to a study published in the journal "Public Health Nutrition." This large-scale study was undertaken by researchers of the Imperial Cancer Research Fund in Oxford, England, and studied a total of 76,172 women and men living in the United Kingdom, United States and Germany. Overall, vegetarians were found to have a 24 percent lower risk of dying from ischemic heart disease than those who ate meat OBESITY According to Mayo Clinic dietitian Katherine Zeratsky, “On average, people who follow a vegetarian diet eat fewer calories and less fat than nonvegetarians. Vegetarians also tend to have lower body weight than non-vegetarians.” As you can see, vegetarians have much less chances...
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...Running head: TOP 100 WORKPLACES Top 100 Workplaces Human Resource Management Top 100 Workplaces In June of 2012, the Star Tribune released the “Top 100 Workplaces” in Minnesota based on an employee-based survey project. With over 1,360 companies and organizations invited to participate and compete to be a top workplace, only 160 were honored with an award. To qualify for the Star Tribune top workplaces, a company must have more than 50 employees in Minnesota. The rankings were composite scores calculated purely on the basis of employee responses and was published in a special section of the Star Tribune’s print and web editions. My thesis statement is, the work environment offered at Olmsted Medical Center have motivated and collaborated group cohesions among employees to make these companies successful. The rankings of the top 100 workplaces are based on survey information WorkplaceDynamics, an independent company specializing in employee engagement and retention, collected. The list WorkplaceDynamics compiled is based on an employee feedback survey project, which contains twenty-two questions and five custom questions to assess employee opinions about company leadership, communication, career opportunities, workplace environment, managerial skills, pay and benefits satisfaction, job security, organizational justice, and the importance of various work elements. The surveys are designed to measure the three critical elements of the workplace: the company’s organizational...
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...My intimal data is going to come from direct raw figures and processing the numbers that come from them. Every child under the direction of the dietitian will start this intervention with a BMI calculation. This will measure their height and weight before the intervention. After the eight weeks I will have the participants come in again and have their BMI measured. I will then look at the participants and see how the BMI levels are. If the levels have decreased then my initial analysis will be that the program is working. If there is variance in that some BMI is up and other are down then I want to investigate what is occurring into the variances. This can be done by interviewing the members who...
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...Indian Health Services System Overview of Indian Health Service The Indian Health Service (IHS), a federal health system, cares for 2 million of the country's 5.2 million American Indian and Alaska Native people. This system has increasingly focused on innovative uses of health information technology and telemedicine, as well as comprehensive, locally tailored prevention and disease management programs, to promote health equity in a population facing multiple health disparities. Important recent achievements include a reduction in the life-expectancy gap between American Indian and Alaska Native people and whites (from eight years to five years) and improved measures of diabetes control (including 20 percent and 10 percent reductions in the levels of low-density lipoprotein cholesterol and hemoglobin A1C, respectively). However, disparities persist between American Indian and Alaska Native people and the overall US population. Continued innovation and increased funding are required to further improve health and achieve equity (Trujillo, 2002). In the 2010 census, 5.2 million people identified themselves as American Indian or Alaska Native, representing 1.7 percent of the US population. American Indian and Alaska Native people experience poor health outcomes and have an average life expectancy that is more than five years shorter than that of the overall US population. The causes of this disparity span the life spectrum, beginning with high infant mortality rates, and include...
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...to give significant complement sales effect on other regular food items and groceries. Lucas: If AW is conflicting with our corporate goals and objectives, we may as well renounce the acquisition of such. This is a painful decision, as AW not only establishes its presence in the lucrative Hong Kong market, but also in the fastest growing China market. Since Papy doesn’t have any overseas establishment, and that the growth potential in Europe is limited at present, the acquisition of AW will give Papy an opportunity to expand overseas in order to diversify risk and to sustain growth. I am quite eager to see what the market may perceive Papy once we are committed to acquire AW Superstores. Abdul: The attached financial statements are the drafted financial statement of AW for the year ended 31 December, 2010 which I received from the Operation Director of AW. I hope Karen can help to provide some indications as to what valuation is appropriate for board consideration. I expect a five years planning horizon will be good enough for any investment evaluation. Karen: The future cash flows of AW Superstores is quite difficult to predict, and that we have to be cautious with our assumptions. On the safe side, however, we can use Papy as a proxy for AW’s financial...
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...Nutrition and Exercise and Their Effects on Obesity Management Roland Colburn AHS 401 Literature review Dr. Elder Abstract This study was important because it addressed the issues of obesity and what can be carried out to prevent it. Obesity has become cone of the nations most widespread epidemics and it continues to grow. In this study 20 peer-reviewed articles were chosen on obesity and nutrition, and then the articles were analyzed and broken down into a basic concept of obesity prevention. Most articles contained proper nutrition, exercise, and dietary guidance. After thorough research, it became evident that proper nutrition and exercise were basic necessities in combating the obesity epidemic. Introduction Obesity is one of the leading public concerns within the United States, and for a great reason, almost two-thirds of the population is either overweight or obese, and the numbers are continuously rising.(Carels et al. 2008). Obesity has been linked to many different health issues, including the number one killer in America, heart disease. Obesity has been a growing problem over the past few years, which has led many to try and reduce or reverse the incline in obesity. The programs implemented, as of late, to reduce the number considered obese have failed.(Crombie 1999). American society continues to grow in the obesity rates, which has in turn generated an increase...
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...(PART I) TRENDS ON NUTRITION : A Paradigm Shift INTRODUCTION The Hospitality Industry plays a vital role in the Nurtition of our society specifically the Food and Beverage Industry. It caters to all kinds of people, rich or poor, single or married, male or female, individual consumer or family, it has no limit. With the new life style of today’s world, where both parents are working, high demand of work hours and hectic schedules, people tend to divert in fastfood products than cooking at home. This resulted somehow to create health problems of the cumsumers since not everyone in the Food and Beverage Industry is concern about the food they are serving. However, most of them value profit first and unconcious over the health benefits of the food products. Nutrition is a language of healthy life, proper diet and wellness of everyone. The advocacy of “Health is Wealth” is in every corner of the world but sad to note that the number of malnutrition in the Philippines alone, is increasing. According to statistics, under Poverty, Children and Health (Inquirer.net)malnutrition increased from 2005 to 2008, the prevalence of underweight children aged 0-5 years increased from 24.6 percent to 26.2 percent, about 3.35 million children. Another problem that concerns nutrition, is the rampant obesity. Obesity is more of a life and death issue than simply looking “bad.” Obese people are much more higher to develop diabetes type 2 and if not given extra attention will also cause...
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...In This GUIDE Welcome to Houston Methodist St. John Hospital ___________________________ 2 About Us_______________________________________ 3 Travel Directions____________________________ 4 Telephone Directory ______________________ 5 During Your Stay ________________________ 6-8 Visiting Hours__________________________________ 6 Parking_________________________________________ 6 Cell Phones_____________________________________ 6 Calling Your Nurse______________________________ 6 Telephone ______________________________________ 6 Fire Safety______________________________________ 6 Smoking________________________________________ 6 Electrical Appliances___________________________ 6 Mail and Flowers_______________________________ 6 Gift Shop________________________________________ 6 Spiritual Care___________________________________ 7 ATM_____________________________________________ 7 Patient Meals___________________________________ 7 Snacks__________________________________________ 7 Guest Trays_____________________________________ 7 Vending Machines_____________________________ 7 Cafeteria________________________________________ 7 Financial Expectations for Admissions________ 7 Wireless Internet Access_______________________ 7 Valuables_______________________________________ 8 TV_______________________________________________ 8 Television Channel Listings____________________ 8 Your Privacy & Information___________15 Do You Have Pain? ________________________16 ...
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