WHAT CAN & CAN’T A DIETITIAN DO?!

WHAT CAN & CAN’T A DIETITIAN DO?!

November 8, 2019 11 By William Morgan


Hi everyone welcome back to my Channel!
Today we’re going to be speaking
some things a dietitian can and can’t do.
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So hi everyone my name is Kim I am a
registered dietitian. If you are new here
to this channel and you like what you
see so far please go ahead and subscribe
hit that subscribe button. If you guys
have been watching me for any amount of time
you guys have an idea of what a
dietitian does. There are some
limitations in the field of nutrition
and dietetics. So let’s first start off
with a positive note : What can a
dietitian do?
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The first thing a dietitian can do is give you personalized,
individual advice. Some people think that
the advice dietitians give is just a
cookie cutter advice, like a
one-size-fits-all and that is the
furthest away from the truth. Dietitians
work with you individually to come up
with realistic, achievable, timely,
measurable, goals that suit your personal
life. So what may work for Tom may not
necessarily work for Sally. So they
individualize their plan of care for you.
The second thing a dietitian does is
they know how to manage chronic diseases.
So say for instance, you’re someone with
diabetes or high blood pressure or high
cholesterol a dietitian is able to give
you nutritional advice that will help
manage those conditions because
definitely those conditions, as well as
other conditions which I did not mention
is affected by food. Third thing a
dietitian can help you with is weight
loss. Now, obviously we live in an
obesogenic society so dietitian can
formulate an eating plan for you, they can
definitely recommend an increased amount
of physical activity depending on your
condition that can help promote weight
loss. So those are all the things that a
dietitian can do, so let’s take a look at
a few things that
dietitian cannot do.
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The first thing a dietitian cannot do is to actually
diagnose a disease. Dietitians cannot
tell you “oh you have diabetes” or ” you
have cancer”. That is reserved to another
profession all together. So dietitians
first cannot diagnose the disease. The
second thing dietitians can’t do is
actually write for you to receive a
prescription. Dietitians cannot write for
you to receive a prescription. You cannot
take that to a pharmacy and say ‘well you
know my dietitian recommended that I get
this diabetes medication or this
cholesterol medication.’ Dietitians cannot
do that. Again that is reserved to a
medical professional such as a
physician or a physician’s assistant or
a nurse practitioner. Those professions
can do those things dietitians .Likewise
seeing that dietitians cannot write for
you to receive a prescription, they
cannot adjust medications here’s a story
there was an associate of mine and she
was a dietitian she actually decided to
leave the profession and she wanted to
become a physician’s assistant. There’s
nothing wrong with being a physician’s
assistant that’s actually another video
for another time; but, the reason why she
decided to leave the field of dietetics
and become a physician’s assistant is
simply because she said that there was a
lot of people coming to her that needed
their medication, specifically their
insulin to be adjusted and she couldn’t
touch it being a dietitian it wasn’t in
her license. Now as dietitians we do have
a license to protect. We can lose our
license just like any other profession.
So she decided you know what I’m going
to become a physician’s assistant
because I want to be able to impact my
client in case I see that there
something going wrong, in case there’s a
medication that needs to be adjusted. Now
what dietitians can do is to work with
the endocrinologist and work with the
medical professional, whether that’s a
nurse practitioner, PA-C or physician and
make recommendations and it is at the
medical professionals discretion whether
they adhere or they choose not to adhere
to your recommendation because after all
it’s only a recommendation. Some
dietitians what they have done to kind
of get a little more wiggle room, a
little more freedom in the field of
nutrition and dietetics is they’ve
sought order writing privileges. Now
order writing privileges do not mean you
know you can go around and you can write
medications for anything; NO!, it’s only a
specific set of things. For instance,
instead of asking a physician to change
the diet if dietitian has ordering
privileges at their facility, because of
course there’s state laws and there’s
bylaws and there’s a whole bunch of…
wouldn’t say red tape more like yellow
tape that you need to to properly cross
in order to have order writing
privileges but, a dietitian can go ahead
and change the diet. Another thing that a
dietitian can do with order writing
privileges is recommend treatments for
something a little more invasive and
these things are tube feedings as well
as TPN (Total Parenteral Nutrition) so let’s first talk about tube
feedings. Tube feedings is a means of
artificial nutrition where a tube is
either inserted through your nose,
through your mouth, somewhere in your
stomach or in your intestine and you’re
started on feedings. Dietitians can write
for tube feedings to be started. In my
hospital I do not have order writing
privileges I have dependent order
writing privileges which means I seek
permission from medical professional
before I start anything . So with the TPN as well dietitians can start TPN’s
depending of course as I said earlier on
the discretion of their facility and
their state and how comfortable they are
was starting TPNs. So TPNs on the
other hand it’s a little more invasive
but what if TPN is it’s also another
form of artificial nutrition. So
basically you’re infusing fluids which
are loaded with vitamins and amino acids
and sometimes lipids, if lipids are ordered
which are fats, and calories and dextrose
which is sugar to make sure that the
patient is adequately fed. Now TPNs, total
parenteral nutrition is used if the gut
doesn’t work. Tube feedings are always the
first line of preferable feedings if the
individual for some reason cannot eat by
mouth. So I just wanted to share with you
just a few things what a dietitian can
and cannot do so this is not an
exhaustive list there’s a lot more
things that dietitians do do and there’s
a lot more things that a dietitian
cannot do. Well thank you guys for
watching as always remember to like and
subscribe and leave a comment in the
comment section below and for the
dietitians out there watching this video
go ahead and add on to this list, let’s
start some discussions. Have a good day…
Bye.
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