Essay Instructions: Clinical nutrition fieldwork: In-patient and out-patient experiences (fieldwork report outline)
Prepare a typed report to reflect upon your field experiences derived from class fieldtrips with clinical nutritionists at both in-patient (i.e.,long-term care and acute care) and out-patient or ambulatory care (e.g., renal dialysis) settings. Use the following outline to structure your field report; use headings and sub-headings to identify the sections of your report.
Section I. Introduction
Introductory paragraph noting, for instance, the in-patient and out-patient field settings (and respective clinical nutritionists) for your field experiences. Appropriate introductory material may be gleaned form the health cae facilities's websites.
Section II. In-patient field experience (acute care)
A. Based on your field experience, describe the nutrition care process providing examples of each step in the process, i.e., screening/assessment, diagnosis, impleemntation including planning and intervention, and monitoring evaluation including documentation, as delivered in this setting. Consider referring to standard forms used in this setting and attaching a copy of them as appendices to your report.
B. Based on your field experience, describe what you perceive as a primary responsibility of the clinical nutritionist in this setting and indicate other health professionals (e.g., physician, nurse, social worker, physical/occupational therapist) with whom the clinical nutritionist regularly interacts.
C. What is the average length of stay days in this setting? Recognizing that length of stay is generally limitedm what provisions, if any, are made for nutrition services after discharge from this in-patient setting?
Section III. in-patient field experience (long-term care)
A. Based on your field experience, describe the nutrition care process providing examples of each step in the process, i.e., screening/assessment, diagnosis, impleemntation including planning and intervention, and monitoring evaluation including documentation, as delivered in this setting. Consider referring to standard forms used in this setting and attaching a copy of them as appendices to your report.
B. Based on your field experience, describe what you perceive as a primary responsibility of the clinical nutritionist in this setting and indicate other health professionals (e.g., physician, nurse, social worker, physical/occupational therapist) with whom the clinical nutritionist regularly interacts.
C. What is the average length of stay years in this setting? What levels of care are availabe in this facility?
Section IV. Out-patient field experience (renal dialysis)
A. Based on your field experience, describe the nutrition care process providing examples of each step in the process, i.e., screening/assessment, diagnosis, impleemntation including planning and intervention, and monitoring evaluation including documentation, as delivered in this setting. Consider referring to standard forms used in this setting and attaching a copy of them as appendices to your report.
B. Based on your field experience, describe what you perceive as a primary responsibility of the clinical nutritionist in this setting and indicate other health professionals (e.g., physician, nurse, social worker, physical/occupational therapist) with whom the clinical nutritionist regularly interacts.
C. What is the typical amount of time allotted for an initial and for a follow-up nutrition appointment? What nutrition services, if any, are billed to third party payer?
Section v. Compare and contrast the settings
Compare and contrast the in-patient and out-patient settings of your fieldwork. In particular, note one way in which nutrition services were similar in all three field settings. Also, note one way in which nutition services were significantly different in in-patient (acute care) and out-patient (renal dialysis) settings.
Section VI. Conclusion
Briefly summarize your paper and note, for instance, a concept that you learned or what was reinforced as a result of this field experience.
Section VII. Appendices
Include relevant appendices to paper as needed. Refer to appendices in the text of report, e.g, See Appendix A.
P.S. Long-term care------ Cobble Hill Medical Center (380 Henry Street, Brooklyn)
Acute care------ Veterans Affairs Medical Center (800 Poly Place, Brooklyn)
Out-patient care---- Long Island College Hospital Atlantic Hemodialysis Center (339 Hicks Street, Brooklyn)
