Medical Case Identification Paper

Describe how and when to seek additional guidance about and individual’s choice of food and drink.

Effective goal setting involves collaboration between the patient and RD. I would involve to the patient and their family in establishing goals and work together to setting goals because patients are more committed to changes that they select. I would listen carefully to Martin and his family about fillings, attitudes, economic status, values and beliefs. I could bring up things that I think are important. I would discuss with the patient the things that need to be modified and which do not need to be changed according to the nutrition assessment. I would ask which goal he wants to address first and assesses the importance of each goals. I would work with the client on possible solutions to problems. For example foods and minerals that should be limited, or cooking techniques, that should be changed. I would ask question to the patient such as: What would be the easiest? The hardest? How does he feel about making change? What are the pros and cons of making change? Goals selected should be specific, measurable, attainable, realistic, and time specific, such as “I will use low sodium seasoning instead table salt in my meals starting today”. I would provide positive feedback no mater how small the change is.

The Nutritionist will be involved in lifestyle management protocols to educate the patient on food in take to help lower the LDL numbers and also weight management protocols to help in the lowering of the blood pressure.

The Board office received a letter from Mary Fahey, MPHP via fax on 05/04/2015, advising that Dr. John Medley, M.D. a current “ILOD” status had informed her that he had relapsed over the weekend of April 25-26, 2015.

On 5/30/18 I met Mr. Reid at the office of Dr. Rampersaud. I explained that the insurance carrier is not getting the form filled out correctly regarding his narcotic medications. I asked his permission to meet with Dr. Rampersaud when they go back to the examination room and leave once we discussed the form. Mr. Reid agreed. He reports that since having the spinal cord stimulator battery replaced his pain is 60% better. He reports his pain level is a 6. He continues to have his legs give out unexpectable. He reports needing help from his wife to roll him over when he is in bed. He continues to use a wheelchair. Mr. Reid said he wanted to speak with Dr. Rampersaud regarding decreasing his medications at least for the summer. He feels the warm weather makes his pain more tolerable.

Assess the client for cause of impaired mobility. Determine whether cause is physical, psychological, or motivational

4. Client agreed to consultation with dietician to ensure meals include sufficient fiber. Consulted with dietician.

Patient /caregiver knows the suitable and correct choice of the dietary intake when she is discharged to home.

6. Intervention: consult the dietician for a nutritional meal plan. Rationale: The dietician provides an in depth meal plan appropriate for a specific patient.

She suggest that funding needs to be increase to accommodate the elderly and disabled (Linda, 2014). The second Article called the “Transportation Barriers” Author Cronk informs about the struggles and frustration the elderly and people with disabilities face due to the lack of transportation services available to them. Furthermore, the author tells the story of an elderly man who was taken to the hospital by ambulance. But, on the day of his release from the hospital he had no family nearby and had no way to get home nor had money to pay for a taxi. The hospital was unable to assist him financially to pay for a cab, frustrated the elderly patient told his nurse he would walk eight miles to his home. Cronk informs that in populated communities although many people live near doctors and hospitals they continue to face the issue of poor transportation due to financial struggles. The author states that for those who are disabled riding public transportation becomes a great challenge. In addition to missing important preventive care appointments because they have no reliable access to transportation. Cronk states that the problems were worst among minorities, stating that a high percentage of disabled and elderly patients have missed appointments due to not having accessible transportation. Cronk continues to inform that many times they just wait for medical emergencies to visit a doctor. To

National Institutes of Health Turning Discovery into Health. (2013, March 07). Retrieved March 11, 2013, from National Institutes of Health: http://www.nih.gov

The first group of test participants followed the traditional model of nutrition therapy; meeting with a Registered Dietician who then reviewed each individual’s eating habits as well as their preferences. After the review, the Registered Dietician gave each individual advice on food plans that fit each person’s eating habits and their

i.) 1 week before the meeting, I shall know whom I can go to meet with and his or her information, including degree obtained, the field of expertise, and years of experience using the online resources. Search for at least 2 dietitians.

The call centre of the Eastern Medical Faculty Foundation, hereafter referred to as EMFF, provides a competitive advantage to the Internal Medicine Department of the Chicago School of Medicine through the delivery of efficient and high quality service to patients. Treating patients generates revenue the Internal Medicine Department and contributes to investments in research in the highly competitive healthcare sector. Unfortunately, declining customer satisfaction, as evidenced in a growing number of customer complaints, suggests the quality of service is deteriorating and threatens the very competitive advantage of the EMFF.

Nutrition and Health Care- The client has a great nutritional habits, for her health benefit. The client can cook and prepare a meal appropriate for her nutritional needs. Health care needs further assessment for actual information.