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Abstract: . . . for Nutrition Education,” can be found at http://www.medicalnutrition.ecu.edu . The seminar demonstrated a strategy to provide support for medical nutrition educators throughout the country whose travel is constrained by time or money, or both. In Spring 2001, GON held a pre-conference at STFM with about 60 registrants. Since May 2001, the GON has used a Blackboard course (Physician’s Curriculum in Clinical Nutrition at http://ecu.blackboard.edu) to share materials and discussions. Support for this effort was provided in part by the Council on Biotechnology Information and in 2002 from Ross Laboratories, Abbott Labs. Email kolasaka @mail.ecu.edu to register and receive a password. The NEHP-ADA and GON-STFM jointly select the Dale Rasmann Nutrition . . . . . . implementation of a nutrition curriculum difficult. One limitation frequently cited is lack of knowledgeable faculty. Several programs have had success with a physician faculty member knowledgeable in nutrition working in collaboration with a registered dietitian to share the teaching responsibilities. Another barrier is finding a way to fit nutrition into an already crowded curriculum. The training can be integrated into routine care of residents’ own patients, which is where they learn best. It is designed for the full range of family practice: all stages of the life cycle, all settings from inpatient to outpatient to community, all levels of care from prevention counseling of healthy patients to ongoing management of chronic conditions. Nutrition . . . . . . Integrate nutrition assessment in the physical exam. Examples of nutrition risks may be signs of vitamin and mineral deficiency or toxicity, eating disorders, obesity, compromised oral health, xanthomas, etc. 3. Determine body mass index (BMI) from weight and height measurements and advise on weight to decrease disease risk http://www.nhlbi.nih.gov. 4. Order, interpret the clinical significance of, and take appropriate action to correct laboratory measurements pertinent to assessment of nutritional status. Examples at http://www.med.upenn/nutrimed/surg_guidelines.pdf 5. Estimate calorie requirement according to age, gender, and activity, or metabolic condition or illness. 6. Integrate individualized diet and physical activity counseling into . . . . . . height yearly for losses secondary to osteoporosis of the spine of patients over 65 years of age. 5. Use available technology to monitor bone mineral density in high risk patients (DEXA, x-ray, etc.). Renal Disease Acute renal failure and end stage renal disease are usually cared for by specialists in medical management and nutrition therapy. Nephrolithiasis is more common in primary care. Provide diet counseling for patients diagnosed with kidney stones or those who have a history of forming stones, considering fluid intake, dietary calcium, protein, potassium, and sodium. Alcoholism and Liver Disease Prescribe nutrition therapy in collaboration with Registered Dietitian for alcohol related liver disease to provide adequate but not excessive protein . . . --3000,4,375,3321,56258
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