- Reviews nutritional needs prior to enrollment into the program.
- Responsible for completing initial, semi-annual, and annual assessments. Participant comprehensive assessments may include evaluation of:
- Diet recall
- Current diet
- Meal patterns
- Assistance with meal preparation and grocery shopping
- Anthropometric analysis
- Weight monitoring
- Appetite changes
- Difficulty chewing and/or swallowing
- Food allergies and preferences
- Monitoring for food insecurity
- Cultural and religious preferences
- Past medical history
- Evaluation of laboratory indicators
- Need for nutritional supplements and/or frozen meals
- Education follow up
- Reviews and determines appropriate therapeutic diets.
- Works and collaborates with participants and caregivers, as well as members of the Interdisciplinary Team in developing the participant's plan of care.
- Evaluates participant's motivation for changes towards positive outcomes. Implements individualized interventions and adjusts goals of care as needed.
- Supervises the participants in the Day Health Center to ensure that meals served are in compliance with the RDNs diet recommendations. Communicates changes in dietary needs to Interdisciplinary Team.
- Collaborates with Day Health Center Staff and other members of the Interdisciplinary Team in identifying participants with difficulty chewing and/or swallowing and refers to the appropriate team member for evaluation as needed.
- Counsels and educates participants and their caregivers to enhance the health and overall well-being of the participant.
- Organizes and maintains updated frozen meal and nutritional supplement lists.
- Approves and revises all cycle menus.
- Coordinates care with outside healthcare professionals.
- Maintains frequent contact and follow up with participants identified at high nutritional risk.
- Identifies clinical characteristics of malnutrition.
- Calculates nutritional needs and coordinates care with Home Infusion Company for participants receiving enteral nutritional support.
- Understands, complies with and promotes the Participant Bill of Rights and work to achieve high levels of participant satisfaction.
- A professional level of knowledge such as that required though the completion of a Bachelor's Degree in Nutrition.
- Completion of dietetic internship or equivalent practicum, plus registration as a Dietitian by the Commission on Dietetic Registration or at least be registration eligible for consideration.
- Must have (1) year of experience with aging adults.
- Participates in annual, mandatory, in-service training and screening, including but limited to: infection control, TB testing, safety training, and BLS training.
- Requires a professional level of analytical skills in order to analyze and solve problems and develop viable plans of interventions.
- The ability to establish and maintain interpersonal and interdepartmental relationships.
- The ability to apply principles of adult learning in planning and implementing educational activities; one-to-one teaching participants and family members at the center or at home, staff education formally or informally in settings such as in-services and group activities with higher functioning participants.
- Participates in and/or facilitates quality improvement projects resulting from data analysis.
- Ensures compliance to departmental and external standards in the provision of quality focused care by attendance at professional meetings/committees and review or national standards of practice.
- Participation in various committees as assigned.
- Must meet a standardized set of competencies before working independently.
- Must be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact.
- Working conditions are variable with exposure to communicable disease, due to patient environment.
- Driving is required within PACE of Southeast catchment area, with possible exposure to extreme temperatures, including heat and cold.
- Frequent walking, bending, lifting of forty (40) pounds or more may be needed in the performance of duties.
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Description
The Registered Dietitian (RDN) is responsible for assessing the nutrition status and implementing appropriate interventions to ensure the needs of the participant are met.