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Final Case Study Presentation

Final Case Study Presentation . Carly Lauraine Keene State Dietetic Intern 2012-2013 Samaritan Medical Center . Samaritan Medical Center . 830 Washington Street, Watertown NY 13601 . Picture retreived from: http:// www.nyphysiciancareers.org/samaritan_medical_center.php.

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Final Case Study Presentation

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  1. Final Case Study Presentation Carly Lauraine Keene State Dietetic Intern 2012-2013 Samaritan Medical Center

  2. Samaritan Medical Center 830 Washington Street, Watertown NY 13601 Picture retreived from: http://www.nyphysiciancareers.org/samaritan_medical_center.php

  3. Samaritan Medical Center • Our Services include: • Assisted Living Services • Behavioral Health • Cancer Services • Digestive Care • Emergency Department • Family Health Centers • Hospitalist Programs • Imaging/Radiology • Infectious Disease • Infusion • Laboratory Services • Long Term Care • Lung Care • Maternity • Neck and Back Program • Pain Management Center • Pediatrics • Rehabilitation Services • Robotic Surgery • Skilled Nursing Facility • Sleep Disorders Center • Surgical Care • Urgent Care • Urology Center • Women’s Health Services

  4. Role of a Dietitian • Clinical Nutrition Staff Mission Statement: Detect and assess nutrition problems Maintain nutritional status Instruct patients/residents in their diet before discharge Promote good nutrition

  5. RD Policies • Diet Manual: • Review Diet Manual • Food and Drug Interactions: • Educate • Guidelines for Assessment: • Braden Scale • NPO/Clear Liquids • As consulted by MD

  6. Nutritional Priorities • Priority 1 • These patients are the highest risk for nutritional deficiencies, and will need to be reassessed within 5 days of initial assessment. • Priority 2 • These patients are at a moderate risk for nutritional deficiencies and will need a reassessment within 7 days of initial. • Priority 3 • These patients are at low nutritional risk and will need to be reassessed within 7 days.

  7. Renal Disease Pathophysiology • Normal Kidney Functions • Filtration • Absorption • Excretion • Secretion http://www.jeffersonhospital.org

  8. Chronic Kidney Disease and Renal Failure • “CKD is characterized by the inability of the kidney function to return to normal after acute kidney failure or progressive renal decline from disease.” • Nutrition and Diagnosis Related Care, Escott and Stump pg 864 • Excess urea and nitrogenous wastes buildup in the blood stream, which is called azotemia.

  9. 5 Stages of CKD

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