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In this episode of Dietitians Only, we’re recapping some nutrition best practice recommendations that are frequently forgotten or overlooked. Tune in to hear seasoned dietitian, Amy Hurd, RD, LDN debunk some myths surrounding gastric residual volumes, albumin, glucose control, and micronutrient supplementation.
References:
“Vitamin A and Carotenoids - Health Professional Fact Sheet.” Office of Dietary Supplements (ODS), https://ods.od.nih.gov/factsheets/VitaminA-HealthProfessional/. Accessed 13 Mar. 2024.
“Vitamin C - Health Professional Fact Sheet.” Office of Dietary Supplements (ODS), https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/. Accessed 13 Mar. 2024.
Older Adults: Standards of Medical Care in Diabetes—2019 | Diabetes Care | American Diabetes Association (diabetesjournals.org)
(2019), Parenteral Provision of Micronutrients to Adult Patients: An Expert Consensus Paper. Journal of Parenteral and Enteral Nutrition, 43: S1-S3. https://doi.org/10.1002/jpen.1517
“Zinc - Health Professional Fact Sheet.” Office of Dietary Supplements (ODS), https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/. Accessed 13 Mar. 2024.
Maxfield, Luke. “Zinc Deficiency - StatPearls - NCBI Bookshelf.” National Center for Biotechnology Information, https://www.ncbi.nlm.nih.gov/books/NBK493231/. Accessed 13 Mar. 2024.
Murphree J, Mulherin DW, Morton C, Adams D. High-dose vitamin C therapy for symptomatic deficiency in a patient with myasthenia gravis and Crohn's disease. Nutr Clin Pract. 2022; 37: 1242-1245. https://doi.org/10.1002/ncp.10800
McClave, Stephen, MD, Beth Taylor, D, DCN, and Robert Martindale, MD, PhD. "Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.)." Journal of Parenteral and Enteral Nutrition 40.#2 (2016): 159-211.
Boullata, J.I., Carrera, A.L., Harvey, L., Escuro, A.A., Hudson, L., Mays, A., McGinnis, C., Wessel, J.J., Bajpai, S., Beebe, M.L., Kinn, T.J., Klang, M.G., Lord, L., Martin, K., Pompeii-Wolfe, C., Sullivan, J., Wood, A., Malone, A., Guenter, P. and (2017), ASPEN Safe Practices for Enteral Nutrition Therapy. Journal of Parenteral and Enteral Nutrition, 41: 15-103 0148607116673053. https://doi.org/10.1177/0148607116673053
Bechtold ML, Brown PM, Escuro A, et al. When is enteral nutrition indicated? J Parenter Enteral Nutr. 2022; 46: 1470-1496. doi:10.1002/jpen.2364
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In this episode, we hear from Ashley Kitchens, MPH, RDN, LDN, a well-known, plant-based dietitian with her own successful practice. Ashley talks about how she pivoted from 1:1 nutrition coaching to earning passive income with digital products. We also explore her journey with burnout, something that many dietitians can identify with. Tune in to hear Ashley’s inspiring story.
Show notes:
Ashley’s website: https://plantcenterednutrition.us
Free Digital Product Starter Guide: https://stan.store/ashleykitchensrd/p/digital-content-ideas
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Is cooking a lost art? Meet the dietitian entrepreneur who has set out to change that. McKenzie Rockwood, RDN is the co-founder of Citrus Pear, whose healthy freezer meals have taken over the Intermountain West. At her company, McKenzie heads up menu and recipe development. After spending time as an acute care dietitian, she saw the need to make healthy eating easier and is committed to bringing her customers and clients the tools to do so.
Show notes:
Citrus Pear website: https://www.citruspear.com/
Follow us on Instagram: @citrus_pear
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You’ve heard of the brand, SimplyThick. Now, meet the inventor, founder, and president of SimplyThick, John Holahan. John is a larger-than-life personality who has dedicated his career to thickeners. He’s here to discuss IDDSI implementation challenges and how dietitians can help to overcome them. John also talks about his new dysphagia cookbook, TikTok fame, and how dietitians can really help those with swallowing difficulties.
Show notes:
TikTok: @simplythickjohn
SimplyThick website: https://www.simplythick.com
Modern Dysphagia Cooking cookbook: https://www.amazon.com/Modern-Dysphagia-Cooking-Favorites-Dysphagia-Friendly/dp/B0BSY2LWVZ?maas=maas_adg_4B7B55F454678EEE434E4837FDFC34F1_afap_abs&ref_=aa_maas&tag=maas
SimplyThick cutting board: https://www.simplythick.com/SimplyThick-Cutting-Board
US IDDSI Festival: https://iddsi.org/Events/US-IDDSI-Festival-2024-(2)
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Tune in to hear from dietitian, chef, and entrepreneur, Vahista Ussery, MS, MBA, RDN. Her career journey has taken a nontraditional path, and we’re here for it! Chef Vahista discusses her inspiration to co-found the culinary nutrition consulting and education company, To Taste. She also talks about her food philosophies, how she has gotten involved with nutrition in K-12 schools, and the importance of embracing flavors from all cultures.
Show notes:
To Taste is dedicated to bridging the gap between medical and/or nutritional advice and food flavorful food, ensuring flavor meets health. Their Whole Life Plate™ visually illustrates balanced eating, offering healthy food group portions and lifestyle advice, making wellness a delicious, accessible choice at every meal. Visit totaste.com to download your copy of The Whole Life Plate™ or purchase a copy of their book To Your Taste.
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We’re in our ERAS era! Have you heard of Enhanced Recovery After Surgery? This approach to pre- and post-op care has been successful in reducing post-op complications, shortening recovery time, and improving patient satisfaction. Did you know there’s a nutrition component in the ERAS protocol? Tune in to find out the details and how you can support this modern perioperative protocol.
Show Notes:
American Society of Anesthesiologists. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures. Anesthesiology. 2017;126(3):376-393.
Fearon KCH, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin. Nutr. 2005;24(3):466-477.
Sammour T, Zargar-Shashtari K, Bhat A, Kahokehr A, Hill A. A programme of Enhanced Recovery After Surgery (ERAS) is a cost-effective intervention in elective colonic surgery. The New Zealand Medical Journal. 2010;123(1319):61-70.
Thiele RH, Rea KM, Turrentine FE, Friel CM, Hassinger TE,Goudreau BJ, et al. Standardization of Care: Impact of an Enhanced Recovery Protocol on Length of Stay, Complications, and Direct Costs after Colorectal Surgery. J Am Coll Surg. 2015;220:430-443.
Dietitians On Demand’s ERAS blog series: https://dietitiansondemand.com/part-2-nutritions-role-in-eras-enhanced-recovery-after-surgery-series/
ERAS infographic: https://shop.dietitiansondemand.com/products/2332021?_pos=1&_sid=4c672d8cf&_ss=r
ERAS website: http://www.erassociety.org/
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Eosinophilic esophagitis (EOE) is a tricky condition to treat. The symptoms mimic other more common GI conditions, so it may go underrecognized. Plus, the steps to achieving remission can be complicated and confusing for patients. That’s where a skilled and savvy dietitian can help! In this episode, Sara Glanz, MS, RD, LD, CNSC gives you a crash course on EOE so you can be ready the next time this condition walks through your door.
Show Notes:
Molina-Infante J, Arias A, Alcedo J, et al. Step-up empiric elimination diet for pediatric and adult eosinophilic esophagitis: The 2-4-6 study. J Allergy Clin Immunol. 2018;141(4):1365-72.
Molina-Infante J, Lucendo AJ. Dietary therapy for eosinophilic esophagitis. Journal of Allergy and Clinical Immunology (2018), doi: 10.1016/j.jaci.2018.02.028.
Dellon ES, Liacouras CA, Molina-Infante J, et al. Updated international consensus diagnostic criteria for eosinophilic esophagitis: Proceedings of the AGREE conference. Gastroenterology. 2018;155(4):1022-1033.
Surdea-Blaga T, Popovici E, Stanculete MF, et al. Eosinophilic esophagitis: diagnosis and current management. J Gastrointestin Liver Dis. 2020;26(1):85-97.
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Move over, Martha Stewart! Andrea "Andy" Mathis, MA, RDN, LD is a body-positive dietitian whose brand, Beautiful Eats & Things, focuses on realistic food and health goals, stress-free lifestyle advice, and super fun swag. Besides that, she’s a boss when it comes to media and representing dietitians in an accurate, relatable, and effective way. Get to know Andy and open your mind as she discusses the body positivity movement and how dietitians can support diversifying our field.
Show notes:
Andy’s website: https://beautifuleatsandthings.com
Beautiful Eats & Things Shop: https://beautifuleatsandthings.com/shop/
Follow Andy on social media!
Instagram, Facebook, Youtube, and TikTok: @beautifuleatsandthings
Pinterest: @BEandThings
X/Twitter: BeautifulEandT
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The dietitian profession is exploring the idea of an interstate licensure compact. This would be system of reciprocity, allowing dietitians with one license to practice in multiple states. The compact could be a game-changer for telehealth, those living in military families, and the job market. Listen in as Wendy Phillips, MS, RD, LD, FAND, FASPEN explains the latest developments on this exciting new possibility.
Show notes:
National Center for Interstate Licensure Compacts, Dietitian Compact: https://compacts.csg.org/compact-updates/the-interstate-compact-for-dietitians/
Academy of Nutrition and Dietetics’ Update on Licensure Compact: https://www.eatrightpro.org/news-center/public-policy-news/licensure-compact-exploration-update
www.dietitianscompact.org
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In this episode of "Dietitians Only," we delve deep into the critical role of nutrition in managing and healing pressure injuries. Sara Glanz, MS, RD, LD, CNSC reviews who’s at high risk for developing pressure injuries, staging, and how nutrition can help in prevention and healing. In addition to discussing recommendations for calories and protein, we review the latest research and guidelines surrounding vitamin, arginine, and HMB supplementation. This episode is packed with valuable information and actionable tips that can help you prevent and treat pressure injuries through proper nutrition.
Show notes:
An Update on MNT for Pressure Injuries | 1 CPEU webinar Nutrition Recommendations for Pressure Injury Healing infographicNational Pressure Injury Advisory Panel website: https://npiap.com
Munoz N, Posthauer ME, Cereda E, et al. The role of nutrition for pressure injury prevention and healing: the 2019 international clinical practice guideline recommendations. Advances in Skin & Wound Care. 2020;33:123-36.
Holeček M. Beta‐hydroxy‐beta‐methylbutyrate supplementation and skeletal muscle in healthy and muscle‐wasting conditions. Journal of Cachexia, Sarcopenia and Muscle. 2017;8(4):529-541. doi:10.1002/jcsm.12208.
Ogura Y, Yuki N, Sukegane A, Nishi T, Miyake Y, Sato H, Miyamoto C, Mihara C.J Treatment of pressure ulcers in patients with declining renal function using arginine, glutamine, and β-hydroxy-β-methylbutyrate. Wound Care. 2015 Oct;24(10):478-82. doi: 10.12968/jowc.2015.24.10.478.
Schneider KL, Yahia N. Effectiveness of arginine supplementation on wound healing in older adults in acute and chronic settings: A systematic review. Advances in Skin & Wound Care. 2019;32(10):457-62.
Wong A, Chew A, Wang CM, Ong L, Zhang SH, Young S.J The use of a specialized amino acid mixture for pressure ulcers: a placebo-controlled trial. Wound Care. 2014 May;23(5):259-60, 262-4, 266-9.
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Are you feeling unsatisfied in your career as a dietitian? Have you wondered, “What else is out there for me?” If so, then today’s episode is for you. We interview Bonnie Taub-Dix, MA, RDN, CDN, a self-made media dietitian, writer, and entrepreneur. She shares insights and trends that she has learned about the dissatisfaction of many dietitians. Even better, she shares her story and how her career path kept her engaged and excited about dietetics. Who knows? Her story might be the boost you need to take the next leap in your career.
Show notes:
You’ll find Bonnie on:
Instagram @bonnietaubdix and @btdmedia
Facebook @Bonnietaubdix.rdn
X (Twitter) @eatsmartbd
LinkedIn @bonnietaubdix
Website: betterthandieting.com
Her digital course, How to Work with the Media and Make the Media Work for You, shows you the easiest and proven way to get your name in the news: btdmedia.teachable.com/p/media-masterclass
Her BTD Media Makers news digest will bring you proven media tips right to your inbox: https://bit.ly/BTDMediaMakers
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Ostomies can be confusing for dietitians to manage. There can be a lot of troubleshooting involved, as things doing always go according to plan. How much output is too much? How do you manage a patient who is always dehydrated? What medications do patients with ostomies often receive? And what nutrition modifications should you suggest to patients with different types of ostomies? Brush up on all this and more with GI expert, Emily Manez, MS, RD, LD, CNSC.
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In the third episode of our three-part series on the new graduate degree requirement for dietitians, we discuss the impact this change will have on the job market. Clinical Nutrition Manager, Angie Hasemann Bayliss, MS, RDN, joins us to discuss her experience as a hiring manager and the trends she has observed in healthcare facilities across the country. Many healthcare facilities are already experiencing shortages of dietitians. Will the graduate degree requirement help these shortages or worsen them?
Show notes:
Commission on Dietetic Registration (CDR). Newly Credentialed RDs by Year (2012-2022). Boushey H, Glynn SJ. There are significant business costs to replacing employees. Center for American Progress. 2012. Accessible at: https://www.americanprogress.org/article/there-are-significant-business-costs-to-replacing-employees/. Hewko, S., Oyesegun, A., Clow, S.et al. High turnover in clinical dietetics: a qualitative analysis. BMC Health Serv Res. 21, 25 (2021). Blair M, Mitchell L, Palermo C, Gibson S. Trends, challenges, opportunities, and future needs of the dietetic workforce: a systematic scoping review. Nutr Rev. 2022 Apr 8;80(5):1027-1040. Vo R, Smith M, Patton N. Power, autonomy and interprofessional practice in dietitian clinical decision making: An interpretive study in acute hospitals. J Hum Nutr Diet. 2022 Feb;35(1):124-133. -
In the second episode of our three-part series on the new graduate degree requirement for dietitians, we interview internship director, Stephanie Stockslager, MS, RD. She discusses how the graduate degree requirement is impacting dietetic internships and interns. Stephanie also talks about the Future Education Model and how that bring about change to students who wish to pursue a career in dietetics. And finally, we get a glimpse into the future of the dietitian job market with Stephanie’s projections for staffing and hiring trends.
Show notes:
Why the Change?- Commission on Dietetics Registration https://www.cdrnet.org/gradegreewhy
Council on Future Practice Visioning Report- 2012 https://www.cdrnet.org/pub/file.cfm?item_type=xm_file&id=10369
Final Report, CDR, AND, CFP, NDEP- 2013 https://www.cdrnet.org/vault/2459/web/Final%20Report%20of%20JOINT%20Meeting%202013.pdf
2024 Graduate Degree Requirements- Registration Eligibility https://www.cdrnet.org/graduatedegree
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In this episode, we take a deep dive into the new graduate degree requirement for dietitian exam eligibility. Sara interviews CDR Chair for the 2023-2024 program year, Rosa K. Hand, PhD, RDN, LD, FAND, and CDR Chair-Elect, Valaree Williams, MS, RD, CSO, CNSC, LDN, FAND. Rosa and Valaree discuss the reasoning behind this important change and offer a preview into how CDR expects it to affect dietitian compensation, career advancement, supervised practice programs, diversity in the field, and the job market.
Show notes:
Commission on Dietetic Registration
CDR: https://www.cdrnet.org/
Graduate Degree Information – CDR Website: https://www.cdrnet.org/GraduateDegree
Why was the Change Made? https://www.cdrnet.org/gradegreewhy
RD Exam Eligibility Requirements: https://www.cdrnet.org/RDNeligibility
CDR Scholarships and Awards: https://www.cdrnet.org/Scholarships-Awards
Accreditation Council for Education in Nutrition and Dietetics
ACEND: https://www.eatrightpro.org/acend
Data: https://www.eatrightpro.org/acend/about-acend/acend-data
Diversity, Equity, and Inclusion: https://www.eatrightpro.org/acend/about-acend/diversity-equity-and-inclusion
ACEND’s Diversity Enrollment Trends: https://www.eatrightpro.org/-/media/files/eatrightpro/acend/about-acend/acend-data/diversity-enrollment-trends.pdf?rev=9bb4989bc056497ea30abe07947c1255
Nutrition and Dietetic Educators and Preceptors (NDEP): https://www.eatrightpro.org/ndep
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You probably know her as Jessica, the Sports RD. Jessica Isaacs, RD, CSSD is joining us today to discuss how she built her online brand identity. Jessica has had a stellar career as a sports dietitian, working for organizations like UCLA and the LA Clippers. She is one of the most well-known and recognizable dietitians, thanks to her creative and consistent brand. In this episode, Jessica shares some tips for dietitians who are working on building their own brand and online presence. You’ll learn how to establish yourself as a credible source of nutrition advice while still letting your personality shine through.
Show notes:
Jessica’s website: https://www.jessicathesportsrd.com/
Follow her on TikTok and Instagram: @jessicathesportsrd
Career Coaching: https://www.jessicathesportsrd.com/career-coaching
“Dietitians Only” podcast survey: https://www.surveymonkey.com/r/DODpod
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Sometimes “inclusion” can feel like nothing more than a buzzword. But there’s one clinician out there that is taking active steps to help children with special medical needs feel seen and included. Mary Jenner, RN, BSN, OCN is the owner of The Butterfly Pig, a company that creates toy medical devices that are sized for dolls and stuffed animals. To date, she has created miniature feeding tubes and pumps, insulin pumps and pens, respiratory devices, leg braces, hearing aids, and so much more. Listen as Mary shares her story and discusses what dietitians can do to help their patients feel more included.
Show notes:
Website: www.TheButterflyPig.com
Follow The Butterfly Pig on Instagram, Facebook, and Tik Tok as @TheButterflyPig
Exclusive discount for listeners to The Butterfly Pig store: code DOD15
“Dietitians Only” podcast survey: https://www.surveymonkey.com/r/DODpod
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In this episode of Dietitians Only, Sara interviews Melissa Joy Dobbins, MS, RDN, CDCES, the media mogul and dietitian behind the “Sound Bites®” podcast. She discusses her professional journey and what led her to a career in multimedia. Melissa also gives YOU tips to get started with your first media appearance and shares how to get your foot in the door of this industry.
Show notes:
Melissa’s website: https://soundbitesrd.com
Melissa’s podcast: https://soundbitesrd.com/podcast-love/
Diekman C, Ryan CD, Oliver TL. Misinformation and disinformation in food science and nutrition: impact on practice. The Journal of Nutrition. 2023;152(1):3-9.
Bonnie Taub Dix’s Media Course: https://btdmedia.teachable.com/p/media-masterclass
“Dietitians Only” podcast survey: https://www.surveymonkey.com/r/DODpod
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Many dietitians work with patients who receive tube feeding. For those working in clinical settings, it can be challenging to envision the daily obstacles these “tubies” face, especially when tube feeding becomes a part of their everyday lives. In this episode, we interview Misti Staley, the CEO of FreeArm®. She shares her inspiring journey with her son and how he motivated her to lend a hand (or a free arm) to the tube feeding community.
Show notes:
FreeArm® website: https://freearmcare.com
Follow the FreeArm on social media: @FreeArm on Facebook and LinkedIn @freearm.tube.feeding.assistant on Instagram
ASPEN abstract link: https://qrco.de/bdZ24n
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In this episode of Dietitians Only, we interview travel dietitian, Anafer Barrera, MPH, RD. She shares her journey as a Dietitians On Demand travel dietitian and how it was the hard reset her career needed. If you’re curious about what it’s like to work as a traveling consultant, tune in to hear a first-hand account.
Show Notes:
Become a travel dietitian blog: https://dietitiansondemand.com/travel-with-us/
Apply to be a travel dietitian with Dietitians On Demand: https://dietitiansondemand.com/jobs/travel-dietitian-nationwide-short-term-3479/
“Dietitians Only” podcast survey: https://www.surveymonkey.com/r/DODpod
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