Advanced Medical Nutrition Therapy Practice

by Skipper, Annalynn

• ISBN13: 9780763742898
• ISBN10: 0763742899
• Edition: 1st
• Format: Paperback
• Copyright: 2008-01-31
• Publisher: Jones & Bartlett Learning

Summary

In most health professions, there is a clear progression from beginning practitioner to seasoned expert. While such a progression may exist, no clear model of advanced practice dietetics in medical nutrition therapy has been identified. This thought-provoking text explores how members of this profession can create a clear pathway from entry level to advanced practice through a defined educational plan with appropriate coursework and practice experiences, a credentialing mechanism that certifies expertise, and a well-defined set of skills that have value in the marketplace.

Table of Contents

List of Figures, Tables, and Exhibits	p. ix
Acknowledgments	p. xiii
Preface	p. xvii
Advanced Medical Nutrition Therapy Practice: An Introduction and Rationale	p. 1
Trends Affecting the Need for Advanced Practice Dietitians	p. 4
Continued Growth in Knowledge	p. 4
Continued Growth in Jobs	p. 5
Increasing Regulation	p. 6
Scientific and Economic Accountability	p. 6
Changes in Skills and Settings	p. 7
Changes in Roles	p. 7
Increasing Educational Requirements	p. 8
The Rationale for Advanced Medical Nutrition Therapy Practice	p. 8
Value of Advanced Practice to Patients	p. 9
Value of Advanced Practice to Dietitians	p. 9
Value of Advanced Practice to Employers	p. 10
Value of Advanced Practice to the Profession	p. 10
Value of Advanced Practice to the Healthcare System	p. 11
Summary	p. 11
Key Points	p. 11
References	p. 12
A Historical and Contextual Perspective on Advanced Medical Nutrition Therapy	p. 15
Advanced Practice Models	p. 17
The Naturalistic or Unschooled Genius Model	p. 17
The Longevity Model	p. 18
The Expertise Continuum Model	p. 18
The Practitioner Characteristics Model	p. 19
The Task Hierarchy Model	p. 20
The Marketable Skills Model	p. 21
Institution-Specific Models	p. 23
Advanced Practice Models: A Summary	p. 23
The Healthcare Context	p. 24
Routes to Expertise	p. 24
Credentials	p. 27
Practice Autonomy	p. 27
The Healthcare Context: A Summary	p. 29
A Brief History of Advanced Practice in Dietetics	p. 29
Levels of Dietetics Practice: A Three-Tier System	p. 31
The Difference Between Specialty and Advanced Practice	p. 35
Summary	p. 36
Key Points	p. 37
Suggested Reading	p. 37
Experiences to Try	p. 37
References	p. 38
A Model for Advanced Medical Nutrition Therapy Practice	p. 43
An Advanced Practice Model	p. 44
Initiative and Autonomy	p. 45
Advanced and Specialty Practice	p. 50
Application to Practice	p. 52
Summary	p. 57
Key Points	p. 57
Suggested Reading	p. 57
Experiences to Try	p. 57
References	p. 58
Aptitude	p. 59
Brief Review of Entry-Level Preparation	p. 60
Entry-Level Education	p. 60
Entry-Level Credentials	p. 62
Review of Advanced Practice Education	p. 62
Educational Systems in Other Health Professions	p. 63
Dietetics Education Compared to Education for Other Professions	p. 64
A Description of a Medical Nutrition Therapy Practice Degree	p. 66
Existing Educational Programs	p. 67
Education: A Summary	p. 68
Review of Advanced Practice Experience	p. 69
Learning by Experience	p. 69
Acquiring Expertise	p. 70
Experience: A Summary	p. 71
Advanced Dietetics Practice Credentials	p. 71
Summary	p. 73
Key Points	p. 73
Suggested Reading	p. 74
Experiences to Try	p. 74
References	p. 77
Attitude	p. 81
Scientific Inquiry	p. 82
Techniques of Scientific Inquiry	p. 83
Scientific Inquiry: A Summary	p. 87
Creativity	p. 88
Creativity: A Summary	p. 89
Breadth and Balance of Perspective	p. 90
Breadth and Balance: A Summary	p. 92
Summary	p. 93
Key Points	p. 93
Suggested Reading	p. 93
Experiences to Try	p. 95
References	p. 97
Context	p. 99
Collaboration	p. 101
Collaboration in Advanced Practice Dietetics	p. 102
Collaboration in Health Care	p. 102
Collaboration: A Summary	p. 106
Networking	p. 106
Networking in Advanced Practice Dietetics	p. 106
Networking: A Summary	p. 107
Consultation	p. 108
Consultation versus Referral	p. 109
The Consultation-Referral Process: A Summary	p. 112
Leadership	p. 113
The Study of Leadership	p. 114
Leadership: A Summary	p. 116
Awareness	p. 116
Self-Awareness	p. 117
Organizational Awareness	p. 117
Situational Awareness	p. 118
Awareness: A Summary	p. 119
Summary	p. 120
Key Points	p. 120
Suggested Reading	p. 120
Experiences to Try	p. 122
References	p. 124
Advanced Practice Expertise	p. 127
Nutrition Pharmacology	p. 130
Nutrition Pathophysiology	p. 133
Intake	p. 135
Absorption	p. 135
Metabolism	p. 136
Excretion	p. 136
Nutrition Pathophysiology: A Summary	p. 137
Advanced Medical Nutrition Therapy	p. 138
Nutrition Counseling	p. 142
Cognitive-Behavioral Therapy	p. 145
Health Belief Model	p. 145
Social Learning Theory	p. 146
Transtheoretical Model	p. 146
Nutrition Counseling: A Summary	p. 146
Nutrition Outcomes Research	p. 148
Summary	p. 152
Key Points	p. 153
Suggested Reading	p. 154
Experiences to Try	p. 155
References	p. 158
The Advanced Practice Approach	p. 163
Comprehensive Approach	p. 164
Discerning Approach	p. 166
Integrated Approach	p. 168
Simplified Approach	p. 170
Summary	p. 170
Key Points	p. 171
Suggested Reading	p. 172
Experiences to Try	p. 172
References	p. 173
Influencing Patients, Practice, and the Environment	p. 175
Patients	p. 176
Autonomy	p. 177
Expert Intervention	p. 177
Treatment of Complex Nutritional Problems	p. 179
Additional Patient-Related Roles	p. 179
Practice	p. 182
Environment	p. 184
Summary	p. 187
Key Points	p. 187
Suggested Reading	p. 188
Experiences to Try	p. 188
References	p. 189
Application of the Advanced Practice Model	p. 191
Putting the Advanced Practice Model to Work	p. 191
Experiences to Try	p. 206
Reference	p. 207
Glossary	p. 209
Index	p. 215
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