Academy of Nutrition and Dietetics: Revised 2018 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Post-Acute and Long-Term Care Nutrition

Abstract

In a climate of change, the elevation of post-acute and long-term care (PALTC) services offered through community-based settings has optimized health care delivery. With the population age increasing, there is a growing need for community-based and residential care services, including for older inmates in the prison system. The Dietetics in Health Care Communities Dietetic Practice Group, with guidance from the Academy of Nutrition and Dietetics Quality Management Committee, has updated the Standards of Practice (SOP) and Standards of Professional Performance (SOPP), which describe three levels of practice (competent, proficient, and expert) for registered dietitian nutritionists (RDNs) working in PALTC nutrition. The SOP uses the Nutrition Care Process and clinical workflow elements for care and management of clients/residents in PALTC settings (eg, long-term acute care hospitals, skilled nursing facilities, inpatient rehabilitation facilities, home health agencies, hospice, assisted living facilities, and corrections facilities). The SOPP describes six domains of professional performance: Quality in Practice, Competence and Accountability, Provision of Services, Application of Research, Communication and Application of Knowledge, and Utilization and Management of Resources. Within the SOP and SOPP standards, specific indicators provide measurable action statements that illustrate how the standards apply to practice. The SOP and SOPP are complementary resources for RDNs providing nutrition care and services for individuals receiving PALTC services, or in other PALTC nutrition-related areas, including research. The SOP and SOPP provide RDNs with a self-evaluation guide for assuring competence, identifying knowledge and skills to enhance expertise and advance level of practice in PALTC nutrition.

Necessary Knowledge and Skills for Dietitians in Saudi Arabia: A Qualitative Study

“…Courses on food and nutrition policy were deemed important to include in the course curriculum of dieticians at the universities. This is in line with the ‘standards of practice and professional performance for registered dietitians of the American Dietetic Association (ADA) (16). Their report outlines the responsibilities of dietitians to work with public policy in ensuring high-quality food and nutrition services in healthcare.…”

Advancing Nutrition and Dietetics Practice: Dealing With Ethical Issues of Nutrition and Hydration

“…32 Care Nutrition, which provides RDNs with a self-evaluation guide for ensuring competence, identifying knowledge and skills to enhance expertise and advance level of practice in posteacute care and long-term care nutrition. 33 Home health care agencies regulated by the CMS are not required to employ an RDN, but many agencies contract RDN services. Hospice delivers EOL care by professionals who provide medical and spiritual support.…”

“…32 The RDN can implement the Academy of Nutrition and Dietetics: Revised 2018 Standards of Practice and Standards of Professional Performance for RDN (Competent, Proficient and Expert) in Post-Acute and Long-Term Care Nutrition, which provides RDNs with a self-evaluation guide for ensuring competence, identifying knowledge and skills to enhance expertise and advance level of practice in post–acute care and long-term care nutrition. 33 …”

Examining the role of depression in the Filipino elderly’s food preferences in prison setting: data from conjoint analysis and SEM

“…In regard to institutional deficits, prisoners stay in the local jail for an average period of nine months before they are released from jail, their cases are dismissed or they are convicted and transferred to national prisons. Undoubtedly, inadequate resources for prisoners in detention facilities (Narag and Jones, 2017) lead to the prevalence of nutritional problems with greater number of disabling conditions and an increase in the need for intervention services in the prison population (Robinson, 2018), especially among the older population. Notably, long-term imprisonment predisposes an elderly person to malnutrition and mental illness (Wright et al, 2014) because of a number of physiological factors, which include deterioration in the acuity of taste, smell, texture perception, prevalence of chronic disease (Boesveldt et al, 2018), as well as psychosocial factors (Morley, 2012;Dorner and Friedrich, 2018), and a complex set of emotions, feelings, attitudes and values (Stasi et al, 2018) including depression.…”