Advanced Medical Nutrition Therapy Practice

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  • Edition: 1st
  • Format: Paperback
  • Copyright: 2008-01-26
  • Publisher: Jones & Bartlett Learning

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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 Exhibitsp. ix
Acknowledgmentsp. xiii
Prefacep. xvii
Advanced Medical Nutrition Therapy Practice: An Introduction and Rationalep. 1
Trends Affecting the Need for Advanced Practice Dietitiansp. 4
Continued Growth in Knowledgep. 4
Continued Growth in Jobsp. 5
Increasing Regulationp. 6
Scientific and Economic Accountabilityp. 6
Changes in Skills and Settingsp. 7
Changes in Rolesp. 7
Increasing Educational Requirementsp. 8
The Rationale for Advanced Medical Nutrition Therapy Practicep. 8
Value of Advanced Practice to Patientsp. 9
Value of Advanced Practice to Dietitiansp. 9
Value of Advanced Practice to Employersp. 10
Value of Advanced Practice to the Professionp. 10
Value of Advanced Practice to the Healthcare Systemp. 11
Summaryp. 11
Key Pointsp. 11
Referencesp. 12
A Historical and Contextual Perspective on Advanced Medical Nutrition Therapyp. 15
Advanced Practice Modelsp. 17
The Naturalistic or Unschooled Genius Modelp. 17
The Longevity Modelp. 18
The Expertise Continuum Modelp. 18
The Practitioner Characteristics Modelp. 19
The Task Hierarchy Modelp. 20
The Marketable Skills Modelp. 21
Institution-Specific Modelsp. 23
Advanced Practice Models: A Summaryp. 23
The Healthcare Contextp. 24
Routes to Expertisep. 24
Credentialsp. 27
Practice Autonomyp. 27
The Healthcare Context: A Summaryp. 29
A Brief History of Advanced Practice in Dieteticsp. 29
Levels of Dietetics Practice: A Three-Tier Systemp. 31
The Difference Between Specialty and Advanced Practicep. 35
Summaryp. 36
Key Pointsp. 37
Suggested Readingp. 37
Experiences to Tryp. 37
Referencesp. 38
A Model for Advanced Medical Nutrition Therapy Practicep. 43
An Advanced Practice Modelp. 44
Initiative and Autonomyp. 45
Advanced and Specialty Practicep. 50
Application to Practicep. 52
Summaryp. 57
Key Pointsp. 57
Suggested Readingp. 57
Experiences to Tryp. 57
Referencesp. 58
Aptitudep. 59
Brief Review of Entry-Level Preparationp. 60
Entry-Level Educationp. 60
Entry-Level Credentialsp. 62
Review of Advanced Practice Educationp. 62
Educational Systems in Other Health Professionsp. 63
Dietetics Education Compared to Education for Other Professionsp. 64
A Description of a Medical Nutrition Therapy Practice Degreep. 66
Existing Educational Programsp. 67
Education: A Summaryp. 68
Review of Advanced Practice Experiencep. 69
Learning by Experiencep. 69
Acquiring Expertisep. 70
Experience: A Summaryp. 71
Advanced Dietetics Practice Credentialsp. 71
Summaryp. 73
Key Pointsp. 73
Suggested Readingp. 74
Experiences to Tryp. 74
Referencesp. 77
Attitudep. 81
Scientific Inquiryp. 82
Techniques of Scientific Inquiryp. 83
Scientific Inquiry: A Summaryp. 87
Creativityp. 88
Creativity: A Summaryp. 89
Breadth and Balance of Perspectivep. 90
Breadth and Balance: A Summaryp. 92
Summaryp. 93
Key Pointsp. 93
Suggested Readingp. 93
Experiences to Tryp. 95
Referencesp. 97
Contextp. 99
Collaborationp. 101
Collaboration in Advanced Practice Dieteticsp. 102
Collaboration in Health Carep. 102
Collaboration: A Summaryp. 106
Networkingp. 106
Networking in Advanced Practice Dieteticsp. 106
Networking: A Summaryp. 107
Consultationp. 108
Consultation versus Referralp. 109
The Consultation-Referral Process: A Summaryp. 112
Leadershipp. 113
The Study of Leadershipp. 114
Leadership: A Summaryp. 116
Awarenessp. 116
Self-Awarenessp. 117
Organizational Awarenessp. 117
Situational Awarenessp. 118
Awareness: A Summaryp. 119
Summaryp. 120
Key Pointsp. 120
Suggested Readingp. 120
Experiences to Tryp. 122
Referencesp. 124
Advanced Practice Expertisep. 127
Nutrition Pharmacologyp. 130
Nutrition Pathophysiologyp. 133
Intakep. 135
Absorptionp. 135
Metabolismp. 136
Excretionp. 136
Nutrition Pathophysiology: A Summaryp. 137
Advanced Medical Nutrition Therapyp. 138
Nutrition Counselingp. 142
Cognitive-Behavioral Therapyp. 145
Health Belief Modelp. 145
Social Learning Theoryp. 146
Transtheoretical Modelp. 146
Nutrition Counseling: A Summaryp. 146
Nutrition Outcomes Researchp. 148
Summaryp. 152
Key Pointsp. 153
Suggested Readingp. 154
Experiences to Tryp. 155
Referencesp. 158
The Advanced Practice Approachp. 163
Comprehensive Approachp. 164
Discerning Approachp. 166
Integrated Approachp. 168
Simplified Approachp. 170
Summaryp. 170
Key Pointsp. 171
Suggested Readingp. 172
Experiences to Tryp. 172
Referencesp. 173
Influencing Patients, Practice, and the Environmentp. 175
Patientsp. 176
Autonomyp. 177
Expert Interventionp. 177
Treatment of Complex Nutritional Problemsp. 179
Additional Patient-Related Rolesp. 179
Practicep. 182
Environmentp. 184
Summaryp. 187
Key Pointsp. 187
Suggested Readingp. 188
Experiences to Tryp. 188
Referencesp. 189
Application of the Advanced Practice Modelp. 191
Putting the Advanced Practice Model to Workp. 191
Experiences to Tryp. 206
Referencep. 207
Glossaryp. 209
Indexp. 215
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