Follow Us @iheyitsmizdee

Monday, April 8, 2019

Expectation Versus Reality (Clinical / Hospital Dietitian Version)


As a Normal Human Being, we tend to expect things from the others because our instincts say so, or because of our easy judgment of the person or a thing which we barely know.

Just for a Fun Facts, I made this Expectation Versus Reality about Clinical or Hospital Dietitian here in the Philippines. It is based from the things I personally experience or from a word of a mouth. I will also share with you my thoughts about this and explain to you a bit further about WHO WE ARE AND WHAT WE REALLY DO?

But before we jump to our main topic, let me first define to you the Role of the Clinical or Hospital Dietitian. 

Dietitians who works at the hospital are called Hospital Dietitian that can specialize in Foodservice Dietitian, Therapeutic Dietitian or Clinical Dietitian. Its role also change with the numbers of patients being taken care of. We depend to the Bed Capacity of the Hospital we are working. We do multitasking all the time and have duo-role, which is sometime more prominent if you work with Primary to Secondary Hospital. What we do is really about Operating the Foodservice Business and at the same time do Patient Profiling through Nutrition Care Process.

As for this topic, I will discuss the Hospital Dietitian / Clinical Dietitian in a Tertiary Level Hospital with a bed capacity of 120 to 150.

EXPECTATION: CONTROLS COST AND FOOD WASTAGE

Photo Courtesy to http://www.ecosmartworld.com

Yes, It is true that we have to do food costing and monitor our food wastage but we don't really focus much in this field. Most of the time, we tend to forget this part especially if we have work loads and deadlines coming up. We somehow do short term solution but we really don't dig deeper to state long term solution for this because definitely we are focus with some other things.

And that other thing that we focus with is, (1) the dietary overall operation from procurement process, deliveries, food production and meal distribution. (2) We focus on planning our Cycle Menu, Standardized each Recipes and even get involve in Market Order to actual purchasing of items for an open market set up.

In short, Dietitian are expected to control the food costs and food wastage in the department but in reality, we mainly focus in fixing previous errors and re-organized the overall system in our department which honestly will take time again.

EXPECTATION: GIVE DIETARY INSTRUCTION WITH CLOSE MONITORING OF THE PATIENTS' DIETARY PROGRESS

photo courtesy to https://www.hnfe.vt.edu

Giving quality to our work is something we really try to do but there are too many hindrances. (1) Patients commitment is always a struggle and (2) We are not well-equipped with the monitoring procedures.

We can always gives our best to have quality instruction to patients and we know how important nutrition is to have optimal health. We know that sometimes, foods is the last thing we think but the best option we have. But the action that is required for us to do such thing, is like a matter of life and death. It means that we have to build and develop our stand as an Allied Health Professional first before we can actually build a strong rapport to our patient and see the worth of nutrition to their health.

EXPECTATION: CONSULTS DOCTORS ON NUTRITION MANAGEMENT OF PATIENTS AND UPDATE THEM WITH THE NEW NUTRITION CARE PLAN OR DIETARY MANAGEMENT FOR THE PATIENTS.

photo courtesy to https://www.cff.org

We have atleast 1% compliance for this part because honestly, even we initiate the act of being part of the health professional team, we have less consultation or coordination with the doctors. The Doctors decide for the patient diets - that's the true scenario, where in fact that was supposed to be our part.

We have different language with the doctors and that also affect the quality of nutritional care to patients. Though we say our part, the patient only believes about their doctor more than us, because we don't have gain that part yet.

EXPECTATION: CONDUCT RESEARCHES AND CASE STUDIES IN OUR OWN HOSPITAL.


This part are usually neglected in any hospital. We seldom conduct Researches and Case Study for us to improve the nutritional care of our patients and discover new approach in our program. What cause its negligence is because of work loads, support system and financial funding. Also, not everyone likes to do researches because it will only require us to give extra effort and additional time to focus with.

To sum up everything, their is a huge gap between Registered Nutritionist Dietitian as a part of the Health Professional Team, There is also some negligence of actual work, duties and responsibilities as a Dietitian. We still fighting for this battle since day one and up until now, the system doesn't work that way. We honestly need to give different approaches until we can now enjoy the trust of our patient to the importance of having a Dietitian to take good care of their health especially with regards to Nutrition Care.

 Got value on this post? Then feel free to share this post and spread the love. You can also leave some comments below and share your thoughts with me. I would really appreciate it. 

4 comments:

  1. Wooh .. karamihan talaga saten mahiLig mag expect . Dapat dun Tayo palagi sa reality 😊

    ReplyDelete
  2. Thank you for sharing Mizdee.. Importante po talaga na magconsult tayo sa Dietitian para matulungan tayo sa ating health.

    ReplyDelete