Community Rotation Analysis

Carolyn Tobin Director of Food and Nutrition & Environmental Services at Pennsylvania Hospital has a wide variety of education. She has a degree in Food Service management, Speech Pathology and Audiology and Nutrition. And she doesn’t eat correct. She has been in hospital Nutrition for the past 20 years. Prior to that she worked in food service at universities like Lehigh University and Chestnut Hill collage. She has also spent some of her early career in hotels and casinos. Out of all her jobs working in hospitals she favors the most.

The first settlers came to Apex NC in the 1860s. Not too long after settlement, the town was incorporated in 1873. Most of the history of Apex is derived from the railroad system that went through the community. Even the town’s name can be traced by to the system. As the highest point along the railroad between Richmond, Virginia to Jacksonville, Florida, the town was named Apex.

The West Fresno Family Resource Center’s mission is to empower and support the West Fresno Community to Achieve Optimal Health and Well Being.1 This center provides nutrition education and promotion programs for children, teens, adult and senior populations. The West Fresno Family Resource Center (WFRC) fits perfectly the community nutrition definition. It provides nutrition education and promotion to its community members by planning and implementing programs at its center as a way of reducing and preventing nutrition related health problems within its community. Ms. Yolanda Randles is the Executive Director and Ms. Janice Mathurin is the Director of Operations of WFRC. In addition, Ms. Christina Rodriguez is the Diabetes Self-Management Program

I visited Meals on Wheels of Syracuse located just outside of downtown. This is facility is part of a nationwide organization which provides nutrition to homebound seniors. Some of the challenges faced by this population and therefore by this facility are participant health concerns and limitations. Many of the seniors who are enrolled in this program have health problems which include hypertension, diabetes, and high cholesterol. These medical concerns have associated dietary considerations that must be accommodated. Meals on Wheels (MOW) staff must be notified of these concerns, and make appropriate dietary adjustments to the foods that will be served to these individuals. Along with medical concerns, many seniors also face physical limitations which may include difficulty eating, swallowing, and properly digesting foods. These issues must also be considered by MOW staff.

The Miami VA Healthcare System has an advanced food production system. The Nutrition and Food Services (NFS) uses a cook-chill system using a blast chiller. Meals are prepared three days in advance. The menu used at the Miami VA is a three-week cycle menu that has been used for many years for the production of patient meals. Cycle menus that are long enough help to increase patient satisfaction by avoiding repetitive meals. Services offered at the Miami VA include a Community Living Center (CLC), where most patients’ length of stay is over a year (U.S. Department of Veterans Affairs, n.d.). Due to patients’ longer length of stay, NFS offers a buffet service every Monday for CLC patients. One of my tasks when working with the CLC dietitian

Patient’s diets have changed over the last 100 years and have created a large increase in chronic illnesses and higher needs for medical care. This demand has created the need for a much greater system of healthcare that includes hospitals, providers, and insurance companies.

Nutrition education plays a major role in patient care. When a patient is admitted into the Veterans Affairs Hospital (VA) for treatment they may be put on a specific therapeutic diet. For example, if the patient is diagnosed with diabetes they are put on a carbohydrate consistency diet of 1800 calories per day or, if the patient has hypertension they may prescribe a 2.5g sodium restriction diet. All patients at the VA are assessed by a Registered Dietitian who make the recommendations on which therapeutic diet the patient would benefit from. Following a diet while inpatient is relatively simple because all meals are prepared and served to the patient. The dietitian along with the kitchen staff take care of what types of foods should avoid

I have done many clinical rotations over the past three years of my high school career. From those experiences I have gained much needed knowledge that will help me to be a more contributing member to my community and those around me. I have learned how to communicate better with patients and how to listen and understand their needs. Although

KRFDC is a community action agency that serves over 28 counties with over 250 employees. It was established in 1962 and embraces a philosophy of needs-based strategies and family-based services leading to self-sufficiency and self-reliance. Their believe is that communities must work together to enable all persons to live with dignity, responsibility, and opportunity (Kentucky River Foothills Development Council, Inc., 2014, p. 3).

In Los Banos Community, I am pleasingly surprised that so many people are willing to help others. The Empty Bowls Organization celebrates 25 Years anniversary (Empty Bowls, n.d.). In the Empty Bowl fundraiser, participants receive the bowl that was created by community volunteers (children, school students, and adults) after they share a simple meal of soup together (Spevak, 2014). People appreciate the bowls and grace of the volunteers. “ In the same way, let your light shine before others, that they may see your good deeds and glorify your Father in heaven” (Matthew 5:16). The Empty of Bowl is a wonderful gathering event because they share the moment of good deeds, have cheerful time together, and are helping the others. Essentially, children

Field training for food service is similar to street vendors in cities and towns. The “gut man” as some would call him is the morning food delivery truck that comes to your place of work and serves you up with an “eat on the go” concept. This is similar to the Army’s Field Food service program. The “eat on the go” concept is a growing idea and the military is the best at making this idea a reality. In combat environments there is no time to wine and dine or even have the time to enjoy a nice meal. Therefore the focus on field training for food service is to create a program that feeds the soldier the best quality meal available any given time, any place. As a trainer of food service the words passion and love have to be involved in order to make the program a success.

LAH is the best community I have been a part of since coming to UT. I do not think my college experience so far would have been as smooth without it. Specifically, there are three programs that have made me feel like a welcome and active member of the LAH community: SEAL, LAH 102H, and LAH Student Ambassadors.

On 07/09/15 at approximately 2111 hours, I, Officer Artaz along with Officer Braslin responded to 609 Tonys Alley in refernece to a disturbance. This location is in the City of Delta, County of Delta and he State of Colorado.

Early Monday I met Nefeline Castillo. She works at the Casa Esperanza localize at the 245 Eustis Street Roxbury MA 02119. The agency work with Substance Abuse, Mental Health services, Residential Treatment, Supportive Housing, clinic, Therapy, and Medical care. She told me they work with anyone, and that they have open doors to any person who is currently in, or recovery from drugs or alcohol. I noticed she feels really happy to work in the Human Service field from the way she spoke, and that helping other is one of her passion.

The neighborhood we went to go visit to build police community partnerships was Overtown. The goal of this exercise was to familiarize ourselves with the neighborhood and build partnership with its community. Our first stop was address NW 268 – 11st, Yellow apartment buildings. We were informed that the owner of these buildings own several buildings like it in the community. All his buildings are the same Yellowish color. Sergeant Regueira informed us that the owner would be a good contact to have because of the several buildings he owns around town. If we were ever to need help accessing an apartment, building, or complex he would a great asset.