A Dietitian's Experience in the Nursing Home

Table of Content

• Registered Dietitian $2,500 Sign on Bonus (Nursing Home) job in York at
• International Dysphagia Diet Standardization Initiative (IDDSI): A Beginner’s Guide
• Nursing Home Dietitian Job Duties
• Get Our Dietitian and Dietary Manager Newsletter
• The Role of Dietitians in Person-Centered Care Models
• The survey report (
• The consultant dietitian in nursing homes. I. Methodology and general information

Bavaria is home to several football clubs including FC Bayern Munich, 1. FC Nürnberg, FC Augsburg, TSV 1860 Munich, FC Ingolstadt 04 and SpVgg Greuther Fürth. Bayern Munich is the most successful football team in Germany having won a record 30 German titles and 6 UEFA Champions League titles. SpVgg Greuther Fürth have won 3 championships while TSV 1860 Munich have been champions once. Bavaria is also home to the Franconia wine region, which is situated along the river Main in Franconia.

Dietitians reported greater concern than did administrators in all of the rated problem areas except cost. Problem ratings of the two groups reflected differences in interest and expertise. My Mom is in one but there seems to be no better alternative. She is relatively healthy for 96 years, and taking minimal medications.

Registered Dietitian $2,500 Sign on Bonus (Nursing Home) job in York at

Many Americans are searching for residential care offering these healing modalities, and the numbers demanding such options are increasing. Servings of protein foods are precisely defined and measured at three to four ounces per serving to control the institution’s costs. Increasing a resident’s protein amount is allowed if increased protein needs are calculated for wound healing in decubitus or skin breakdown. Low-cholesterol diets are frequently ordered by the physician and included in the facility’s diet manuals, despite the fact that there is no research demonstrating the diet’s effectiveness.

They must work cooperatively with alternative practitioners to discontinue pharmaceuticals as the patient’s condition improves. Studies show statin drugs deplete co-enzyme Q10resulting in muscle pain.9, 10My own clients find pain relief with the addition of CoQ10. Additionally I am aware of several physicians who take CoQ10while they are taking a statin drug. I was taught we should eat less fat and more grain products. I was led to believe that pharmaceutical therapy was necessary and that nutrition made little or no impact in treating an already established condition.

International Dysphagia Diet Standardization Initiative (IDDSI): A Beginner’s Guide

I did not learn the benefits of herbs, or of the importance of whole foods, probiotics, enzymes, or organically grown foods to good health. I did not learn to use vitamin and mineral supplementation to overcome illness or disease. I did not understand that poor nutrition is probably the cause of most disease and poor health conditions in the first place.

Bavarians consider themselves to be egalitarian and informal. Their sociability can be experienced at the annual Oktoberfest, the world's largest beer festival, which welcomes around six million visitors every year, or in the famous beer gardens. In traditional Bavarian beer gardens, patrons may bring their own food but buy beer only from the brewery that runs the beer garden. Bavaria has a population of approximately 13.1 million inhabitants .

Nursing Home Dietitian Job Duties

These deficiencies are reported using form 2567 — the statement of deficiencies and plan of correction. The size of the survey team varies, depending primarily on the size of the facility being surveyed. In fact, nursing homes are among the most heavily regulated industries.

The well-hydrated alpine meadows are used to produce large quantities of quality milk, which is used to make a variety of cheese (including blue-veined cheese), yogurt and butter . Unlike most German states (Länder), which simply designate themselves as "State of" (Land [...]), Bavaria uses the style of "Free State of Bavaria" . The difference from other states is purely terminological, as German constitutional law does not draw a distinction between "States" and "Free States".

Get Our Dietitian and Dietary Manager Newsletter

If pharmaceutical interventions become necessary, this indicates the abject failure of the physician or facility to keep the resident healthy and well. If they understand integrative healing therapies or suggest them, the healthcare facility would not allow it. The facility or resident would incur the cost, something most are unwilling to do. We show you how to include all these nourishing traditional foods in your diet through wise choices and proper preparation techniques. The result is vibrant health for every age of life, including the next generation.

It is quite impossible to implement a wholefood tube feeding, unless the family or resident demands it. I once worked at a facility that employed a new physician who had studied medicine outside of the pharmaceutical model. He did not believe in the use of statin drugs, and they were discontinued on eighty-two residents. We observed residents “waking up,” recognizing family members, no longer requiring assistance with meals, and walking for the first time in many years. I regret that we did not perform an evidence-based study to document this revolutionary event. Great changes in healthcare legislation must take place in order for the system to sustain itself.

Insurance reimbursement is higher for a healthcare facility if the patient presents with more diagnoses. Pharmaceutical medications are offered at no cost to the facility or physician and, in many cases, a physician collects “perks” if even more pharmaceuticals are prescribed. I am expected to use synthetic protein and Ensure-type supplements for residents suffering weight loss, and synthetically based denatured protein solutions for skin breakdown or low visceral protein status. The use of whole food tube feedings or drinks is not welcomed in my facilities as they are labor intensive and increase cost. Under the current structure, Medicare pays for pharmaceutically based supplements such as Ensure and liquid protein, but not for genuine food.

Nursing home dietitians help ensure that nursing residents receive food that’s appropriate for them, whatever special needs they may have. This is in addition to the full range of chronic conditions such as cardiovascular disease, kidney disease, and diabetes. The fee for the nursing home care is expected to be around $2500 per month, not reimbursed by Medicare or Medicaid. (Typical nursing homes charge Medicare $6500 per month.) Additional costs may include nutritional supplements or other healing modalities. I always foster a relationship with the consulting pharmacist when working in a nursing home, frequently asking for reviews of medication causing nutritional imbalances. A consulting pharmacist is expected to review medications and make recommendations to the medical director.