Ireton-Jones - Outpatient nutrition care and home nutrition support: practical guidelines for assessment and management

Outpatient Nutrition Care and Home Nutrition Support

Practical Guidelines for Assessment and Management

Outpatient Nutrition Care and Home Nutrition Support

Practical Guidelines for Assessment and Management

edited by

Carol Ireton-Jones, PhD, RDN

CRC Press

Taylor & Francis Group

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Boca Raton, FL 33487-2742

2017 by Taylor & Francis Group, LLC

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Printed on acid-free paper

Version Date: 20160603

International Standard Book Number-13: 978-1-4987-1102-9 (Paperback)

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Library of Congress Cataloging-in-Publication Data

Names: Ireton-Jones, Carol S., editor.

Title: Outpatient nutrition care and home nutrition support : practical guidelines for assessment and management / edited by Carol Ireton-Jones.

Description: Boca Raton : CRC Press, 2017. | Includes bibliographical references and index.

Identifiers: LCCN 2016004059 | ISBN 9781498711029 (alk. paper)

Subjects: | MESH: Nutrition Therapy--methods | Nutrition Assessment | Home Care Services | Ambulatory Care | Outpatients

Classification: LCC RM217 | NLM WB 400 | DDC 615.8/54--dc23

LC record available at http://lccn.loc.gov/2016004059

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First and foremost to Mom, your support, love, and inspiration are why I am successful today;

and to

Jim, your support and love make everything possible;

Lauren and Krissy, such amazing daughters, and son-in-law Cody, love you tons;

Finally, to the nutrition profession that continues to provide the greatest colleagues ever.

Contents

Trisha Fuhrman, MS, RDN, LD, FAND, FASPEN

Martha McHenry, RDN, LD, CDE

Carol Ireton-Jones, PhD, RDN, LD, CNSC, FAND, FASPEN

Maryann King, MPH, RDN, LD, CNSC, CSO

Carol Ireton-Jones, PhD, RDN, LD, CNSC, FAND, FASPEN and Eileen Heffernan-Swingle, MS, RDN

Pankaj Vashi, MD, CNSC, Rachel Winston, MS, RDN, CSO, Stephanie Paver, RDN, CSO, CNSC, Kristen Trukova, MS, RDN, CSO, CNSC, LDN, Julia Fechtner, RDN, CSO, CNSC, LDN, Kamorin Samson, RDN, CSO, LDN, Renee Pieroth, RDN, CSO, LDN, Crystal Langlois, RDN, CSO, LD, Nathan Schober, MS, RDN, CNSC, Maureen Geboy, RDN, LD, Andrea Swartz, RDN, LD, Roberta Scheuer, RDN, LD, Matt Rinehart, MS, RDN, CSO, LD, Jessica Smith, MS, RDN, CSO, LD, Gabrielle Taylor, MS, RDN, LD, Kalli Castille, MS, RDN, LD, FAND, Jessica Engelbrecht, MS, RDN, CSR, LD, CNSC, Brooke McIntyre, RDN, CSO, LD, CNSC, and Jasmyn Walker, MS, RDN, LD, CSO, CNSC

Nancy Robinson, RDN, LD

Michelle Romano, RDN, LD/N, CNSC, Elizabeth Bobo, MS, RDN, LDN, CNSC, and Angela Matthewson, MPH, RDN

Kristen Roberts, PhD, RDN, LD

Marianne Opilla, RN, BSN, CNSC

Kevn McNamara, PharmD, RPh, CNSC, PRS, CVAA(c) and Brenda Gray, PharmD, CNSC, BCNSP, CVAA(c), PRS

Marianne Duda, MS, RDN, LDN, CNSC, Deborah Pfister, MS, RDN, CNSC, and Jody Strain

David Orozco, MS, RDN, LD

Carol Ireton-Jones, PhD, RDN, LD, CNSC, FAND, FASPEN

Nutrition has always been important to meit became my career. It is a vital part of lifein fact, without nutrition, there is no life. Food can be satisfying and it can also be healing. There are a wide range of ways that nutrition can be healing from a simple broth that provides fluids and electrolytes to therapeutic nutrition for diabetes, irritable bowel syndrome, or osteoporosis. Registered Dietitian Nutritionists (RDNs) have expertise in disease management and translation of nutrition requirements to foods to consume. However, nutrition care often does not receive the attention in the outpatient setting that is needed to achieve nutrition goals.

For example, a patient may receive a diet instruction in the hospital, often right before discharge. This does not give the patient or family time to synthesize the information. An individual seen in the general practitioner or specialists office may be given information on diet but this is not fully explained or is provided as a handout to take home. Even with complex diagnoses and therapies such as oncology and inflammatory bowel disease or home parenteral or enteral nutrition, nutrition knowledge provided to the patient is often lacking.

The purpose of this book is to provide pertinent and concise nutrition care information for dietitians and other professionals working with individuals outside the hospital. The authors were chosen because of their expertise in the topics covered. It is assumed that the reader is at a level to understand the basics of nutrition and will be able to implement nutrition care at a higher level. Starting with nutrition care in the outpatient setting to home nutrition support, in each chapter, the reader will learn more about the disease process as well as the management of the disease or therapy.

The subject matter in this book covers complex health issues. The chapter on oncology encompasses many specific areas of the disease process. The chapters on osteoporosis and inflammatory bowel disease are comprehensive in scope. Home enteral nutrition considers adults and pediatric patients. Parenteral nutrition access is not only explained but depicted in a graphic for ease of understanding. Nutrition services in the outpatient setting discuss the RDN in private practice as well as how to find an RDN.

Nutrition care outside the hospital is important. Reimbursement for outpatient nutrition services may be a challenge and is being addressed at many levels; however, the valuable services provided are evidence and science based and make a difference. The experts agree: