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Friday, December 30, 2011

Quiz: How much time does your physician
spend discussing nutrition and/or your diet with you?



The following questions were created to determine your interaction and confidence in your physician on the subject of nutrition and/or dieting. In addition, based on your responses, I urge you to read the CMS decision to cover "Obesity Therapy" and sign a petition to include the Registered Dietitian (RD), as a covered practitioner. Petition http://wh.gov/DWX 






Background/Definitions
Recently, the Centers for Medicare and Medicaid Services (CMS) approved coverage for "Obesity Therapy." Decision: CAG-00423N. As a registered dietitian and licensed nutritionist, I was pleased to hear people who suffer from obesity would be able to get assistance. However, I was surprised to learn the decision did not include the RD and would only cover the primary care physician with a specialty in family medicine, internal medicine, geriatric medicine, or pediatric medicine; or a nurse practitioner, clinical nurse specialist, or physician assistant.

None of the above mentioned practitioners (except the RD) have required courses in Obesity Therapy and many have limited nutrition education. The RD has the education and experience to implement an Obesity Therapy component, in addition to practitioners in the field of psychology.

Who is a Registered Dietitian?
A Registered Dietitian (RD) is a food and nutrition expert who has met academic and professional requirements including:
1. Earned a bachelor’s degree with course work approved by ADA’s Commission on Accreditation for Dietetics Education. Coursework typically includes food and nutrition sciences, medical nutrition therapy, physiology, microbiology, chemistry, biochemistry, psychology, sociology, foodservice systems management, business, computer science and economics. 
2. Completed an accredited, supervised practice program at a health-care facility, community agency or foodservice corporation; 
3. Passed a national examination administered by the Commission on Dietetic Registration; and
4. Completes continuing professional educational requirements to maintain registration.

Approximately 50% of RDs hold advanced degrees. Some RDs also hold additional certifications in specialized areas of practice, such as Adult Weight Management; Childhood and Adolescent Weight Management; Level 2 Adult Weight Management; pediatric or renal nutrition, nutrition support and diabetes education.
To learn more about the role of the RD visit http://www.eatright.org/

Quiz
1. Has your physician ever discussed nutrition and/or your diet with you?
   a. No        b. Not Sure            c. Yes

2. Has your physician ever said to you, “You need to go on a diet?”
    a. No       b. Not Sure            c. Yes


If you answered yes, please continue.
If you answered “not sure”, consider signing the petition.
 If no, you are probably in good health or you need a new doctor.


3. How much time did your physician (or nurse) spend on the following Nutrition and Dietary Assessments and Plan of Care Tools or Programs?

(1) Conduct a Dietary History 
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes

(2) Evaluate a Food Journal or Food Recall
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes

(3) Provide Diet Instructions
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes

(4) Teach Behavior Modification Techniques
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes

(5) Assist with Meal Planning 
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes

(6) Help with recipe modifications
   a. 0 to 1 minute    b. 1 minute to 3 minutes    c. Greater than 3 minutes


Score. Count the number of times you chose “a”, “b” and “c”. 
  a: _______            b. _______            c: ________


If you chose “a” and “b” more times than you chose “c”;
Please sign the Petition
Help Stop the Obesity Epidemic
Petition
http://wh.gov/DWX 

Conclusion
Obesity is a risk factor associated with numerous chronic diseases (heart disease, diabetes, cancer, etc). Over the last 20 years, the incidence of obesity in the U.S. has dramatically increased.

From: CDC, U.S. Obesity Trends National Obesity Trends 
“About one-third of U.S. adults (33.8%) are obese. Approximately 17% (or 12.5 million) of children and adolescents aged 2—19 years are obese. During the past 20 years, there has been a dramatic increase in obesity in the United States and rates remain high. In 2010, no state had a prevalence of obesity less than 20%. Thirty-six states had a prevalence of 25% or more; 12 of these states (Alabama, Arkansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Oklahoma, South Carolina, Tennessee, Texas, and West Virginia) had a prevalence of 30% or more.”

In over 30 years as a practicing RD, I have never seen a primary care physician sit with a patient to go over a diet history, food recall, diet instruction, behavior modification, meal planning, and/or recipe modifications. My current doctor still provides diet handouts from pharmaceutical companies.

Based on the current CMS decision, the cost of Obesity will go higher, as people get larger because of inadequate "Obesity Therapy".


Please sign the Petition
Help Stop the Obesity Epidemic

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Monday, December 12, 2011

Florida State Representative Perman Welcomes
Registered Dietitians in Support of Licensure

Registered dietitians, Barbara Truitt and Christina Wyatt visited with State Representative Steve Perman to discuss the importance of supporting the Dietitians / Nutritionists Licensure.
 
Perman, already a supporter offered suggestions when visiting elected officials. 

1. Public Health and Public Safety are important issues to everyone; show how supporting licensure will benefit our communities. 

2. Prior to a meeting, review elected officials’ interests and committees. Your presentation should emphasize how the RD is essential in achieving a positive outcome. 

3. Recommended meeting with the Florida’s Commissioner of Agriculture, Adam Putnam. Agriculture and Nutrition have a strong relationship. Working together will benefit the people of Florida.


How RDs Benefit
Public Health and Public Safety 

A registered dietitian (RD) is governed by strict guidelines of the Commission on Dietetic Registration of the American Dietetic Association and the Florida Dietetic Association in the areas of education; internships; experiences; and continuing education requirements, in order to maintain certification. 


The education of a RD focuses on timely, scientifically based food and nutrition information. The RD is an advocate in educating the consumer, media and other health care professionals on making informed food choices and developing sound eating and physical activity habits. The RD is a crucial member of the health care team; in assessing nutritional status, recommending appropriate plan of care, and maintaining follow-up. 


 Without licensure anyone can call themselves a nutritionist, regardless of education or training. Public health and public safety would be at risk.



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Sunday, December 11, 2011

December 11, 2011 UNICEF Assists
Children Globally for 65 Years


UNICEF  was created on December 11, 1946 by the United Nations to provide children with food, clothing and health care. UNICEF believes nurturing and caring for children are the cornerstones of human progress. UNICEF is active in more than 190 countries and territories through country programs and National Committees.


History of UNICEF
Sir Roger Moore narrates a brief history of UNICEF, telling the story of a small UN agency founded to bring relief to the children in countries torn apart by WWII to the global force for health, education, and child protection it is today.
 


UNICEF Facts

Poverty contributes to malnutrition, which in turn is a contributing factor in over half of the under-five deaths in developing countries. Some 300 million children go to bed hungry every day. Of these only eight per cent are victims of famine or other emergency situations. More than 90 per cent are suffering long-term malnourishment and micronutrient deficiency. (State of the World’s Children, UNICEF, 2005)

In all developing regions, children in rural areas and children from poor households are more likely to be underweight due to lack of nutrition. (Progress for Children, UNICEF, 2010)

884 million people lack access to improved drinking water sources, and 84 per cent of them live in rural areas. (Progress for Children, UNICEF, 2010)


In wake of the floods, malnutrition threatens
thousands of children in Pakistan

Shop the UNICEF store and help children in need.
Every UNICEF card and gift you buy supports the efforts
to save children’s lives around the world.
Kids Around the World


UNICEF: "Let's Heal the World"
Young people from different nationalities across the globe
are sending a message of peace and hope through music, 
as part of a UNICEF partnership with Limkokwing University 
of Creative Technology to help create a world fit for children. 
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