It is amazing how fast all of the weeks have passed! It is already the ⅚ week of the internship! I have 1 week left!! Time flies when you are having fun right!? :) One activity that I experienced was the Kentucky Legislative day! It was a great experience and our group had the chance to talk to Ruth Ann Palumbo! We spoke to her about House Bill 200, senate Bill 112, and the Drug screen for SNAP recipients bill. The House Bill 200 helps to provide fresh food to benefit the needy and kentucky farmers. Senate Bill 112 was important because it provides reimbursement for telehealth services, and it affects patients who have medicaid insurance. The opportunity to provide telehealth to patients who would otherwise not be able to make it to the hospital is HUGE, and health providers would get reimbursed for this. Lastly, we also spoke about the possibility of SNAP recipients being drug screened for qualification. We did not agree with this because a lot of SNAP recipients have children and we believe the children should not be affected by the possible actions of their caregivers. Ruth Palumbo agreed to vote with us on these issues and she also took a picture with us!! CRDN 1.3 Justify programs, products, services and care using appropriate evidence or data. CRDN 2.7 Apply leadership skills to achieve desired outcomes Another activity that I did this week was the presentation to breast cancer survivors! It was such a great experience. I planned for it for 2 weeks and it was very rewarding. I enjoyed being around so many inspiring and strong women. I would definitely do this again! I gave them a presentation on the ketogenic diet and breast cancer. The women were so appreciative of me giving them the information dn they were engaged throughout the entire conversation. The presentation was at the Gilda’s Club in Louisville. I would definitely go back!! CRDN 3.4 Design, implement and evaluate presentations to a target audience. CRDN 2.9 Participate in professional and community organizations. Over the last week I had the chance to have several counseling sessions with patients. It is very interesting to see how the couples interact with the strain of cancer on their relationship. After one counseling session the goal of the meeting was to change the patient's tube feed formula so that the patient will get more calories with less volume. The patients go through a lot throughout their diagnosis and treatment. After our counseling session my preceptor and I walked the couple to the elevator and the care and unconditional love shown between the couple was so amazing to see! It’s great to know that even after news that seems like it can be overwhelming people can still see the bright side of life. CRDN 2.4 Function as a member of interprofessional teams. CRDN 2.11 Show cultural competence/sensitivity in interactions with clients, colleagues and staff. CRDN 3.3 Demonstrate effective communications skills for clinical and customer services in a variety of formats and settings. CRDN 3.6 Use effective education and counseling skills to facilitate behavior change One competency that I achieved this week was CRDN 2.9 Participate in professional and community organizations. I did this by attending the competency meeting for the Registered Dietitians in the Kentucky area. This meeting was held in the University of Louisville Hospital Meeting room. One dietitian had to give a presentation and every came to support! Something new that I learned this was from a presentation that I went to for an inpatient Dietitian who works at the University of Louisville Hospital! Her name is Kathy Murakami, and she did a wonderful presentation on Chyle Leaks. A chyle leak is a milky odorless fluid from the lymph system. It is specifically lymph coming from the small intestine via the thoracic duct. My preceptor and I had a patient with a chyle leak and Kathy used the patient as a case study at the end of the presentation (Bibby, AC). CRDN 2.9 Participate in professional and community organizations. One activity that I did well was the presentation to breast cancer survivors! Competency: CRDN 3.4 Design, implement and evaluate presentations to a target audience. One activity that needs improvement is CRDN 4.9 Explain the process for coding and billing for nutrition and dietetics services to obtain reimbursement from public or private payers, fee-for-service and value-based payment systems. We talk about this sometimes when billing for tube feed formulas. I sent my first order the other day! We coordinate with LinCare/Option Care depending on patient insurance. References: Bibby AC, Maskell NA. Nutritional management in chyle leaks and chylous effusions. Br J Community Nurs. 2014 Oct; Suppl Nutrition: S6-8. doi: 10.12968/bjcn. 2014. 19, Sup11. S6. PubMed PMID:25381927.
1 Comment
Erin Casey
2/26/2018 04:57:59 am
Jada how articulate you are in your description of your activities! I also can't believe how much counseling you're getting to do in your community rotation! It should definitely provide you with a great way to transition into MNT!
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AuthorHello! My name is Jada Linton and I am Dietetic Intern at the University of Kentucky. Welcome to my blog, follow me on my journey through my internship, it is going to be exciting!! Archives
March 2018
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