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TABLE OF CONTENTS
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| 1 | Pressure Ulcers: Avoidable or Unavoidable
Lynn Carpenter Moore, RD, LD
Over the past few years, the prevention and treatment of pressure ulcers across all health
care settings has become a "hot topic" for quality-of-care campaigns and initiatives. Pressure
ulcer development is generally considered an indicator of quality of care. Development of a
pressure ulcer fosters the impression that the facility was negligent and failed to provide highquality
care to prevent or treat wounds based on best practice standards. The Institute for
Healthcare Improvement's "5 Million Lives Campaign," was created to improve medical care in
the United States by significantly reducing levels of morbidity (illness or medical harm such as
adverse drug events or surgical complications) and mortality. One of the goals of the campaign
is "to prevent pressure ulcers by reliably using science-based guidelines for prevention of this
serious and common complication" (1). In addition, the National Quality Forum is working
on the National Voluntary Consensus Standards for Developing a Framework for Measuring
Quality for Prevention and Management of Pressure Ulcers. The framework will address
the following topics: prevention and healing of pressure ulcers; measuring the incidence and
prevalence of pressure ulcers; determining accountability as the patient moves across settings
of care; and measuring and staging of pressure ulcers (2).
CPEU Quiz for this article |
| 2 | Chair's Corner
Olga Cox, MBA/HCM, RD, CDN
The Food and Nutrition
Conference & Expo (FNCE) at San
Diego, CA, was wonderful! I find that
attending FNCE re-energizes me and
opens my mind to new ideas that I
can use in my role as clinical dietitian,
with administrative duties, or in my
role as chair for this dietetic practice
group (DPG). |
| 2 | Editor's Corner
Joyce Buhler, RD, CDE, CD
Welcome to the Fall issue of
Medical Nutrition Matters. While
attending the annual Food & Nutrition
Conference & Exhibition (FNCE) in
San Diego in September, I talked with
several newsletter editors of other
practice groups at a training session.
It was beneficial to share ideas and
solutions |
| 7 | A Descriptive Study of Alternative Grain Consumption Among
Individuals With Celiac Disease
Katherine Mueller, MS, Marcia Nahikian-Nelms, PhD, RD, LD, CNSC, Mary Kay Sharrett, MS, RD,CNSD, Christopher Taylor, PhD, RD, LD
It is well established that the
gluten-free diet is the only treatment
for celiac disease. The gluten-free diet
is also becoming increasingly popular
in the general population. However,
little is known about the nutritional
quality of the diet, especially in
terms of grain consumption and
the nutrients provided by these
foods. For the general population,
grain consumption provides a large
amount of daily vitamins, minerals,
and fiber. Therefore, describing the
grain consumption of individuals
with celiac disease may shed a crucial
light on nutritional quality of the
gluten-free diet. Data were obtained
by means of a survey conducted at
a Midwest hospital's annual celiac
disease conference. The sample
of convenience consisted of 220
people, of whom 174 provided usable
data. The survey focused on daily
consumption of grain servings, types
of grains consumed (cooked grains
versus pre-prepared grain products),
variety of grains consumed, and
reasons for avoiding specific grains.
Data from 174 usable surveys were
used for statistical analysis. More
than 80% of the sampled population
consumes less than half the amount
of grain servings recommended
by the U.S. Department of Health
Dietary Guidelines. Only 1.1% of
people consume the recommended
daily amount. Three-fourths of
participants prefer pre-prepared
grain products to cooked grains.
No matter the product type, rice
(both brown and white) and corn
make up the majority of grains or
grain ingredients eaten regularly.
Respondents identified many reasons
for avoiding different grains, which
can support both clinicians and the
food industry, in efforts to improve
the grain consumption of people with
celiac disease.
CPEU Quiz for this article |
| 11 | DIGID Corner
Tricia Thompson, MS, RD
What an awesome Food &
Nutrition Conference & Expo (FNCE)
for celiac disease and the gluten-free
diet!! A pre-FNCE workshop, two
hot topic sessions, and Dietitians in
Gluten Intolerance Diseases (DIGID)
reception must have set a record
for the most coverage of one topic.
Thank you to the American Dietetic
Association (ADA) for recognizing
the importance of this disease and
diet. Thanks also to everyone who
attended these programs. If you
missed either of the hot topic
sessions, both were recorded. If the
slides are no longer available online
at the FNCE website when this
newsletter arrives in your mailbox,
please contact the presenters for
copies (Rhonda Kane, Alessio Fasano,
Colleen Zammer, Tricia Thompson). |
| 13 | DPM&R Corner
Laura Isaacson, MS, RD, CNSC
Dysphagia, or impaired
swallowing, defines any type of
swallowing problem that originates
in the mouth, pharynx or esophagus.
Safety and efficiency of oral intake
often are compromised in the patient
with dysphagia. This in turn, can lead
to serious complications including
pneumonia, malnutrition, dehydration,
asphyxiation, and ultimately, even
death. |
| 16 | MNPG Annual Report
Mary K. Sharrett, MS, RD, LD, CNSD
The Medical Nutrition Practice Group (MNPG) is a Dietetic Practice Group of the American Dietetic
Association (ADA) serving over 1,800 members of ADA who are committed to providing exemplary nutrition
care. For over 25 years, MNPG has supported registered dietitians who practice in various settings including
hospitals, long-term care, rehabilitation centers, home health, outpatient clinics, dialysis clinics, diabetes
centers, industry, and corporate wellness programs. |
| 18 | Dine with DIGID
Pam Cureton, RD, LDN
The Medical Nutrition Practice
Group (MNPG) along with General
Mills (GM) sponsored the Dietitians in
Gluten Intolerance Disease (DIGID)
"Dine with DIGID" reception. The
event was designed for dietitians
attending the Food & Nutrition
Conference & Expo (FNCE) to meet
and mingle with a group of dietitians
who specialize, and are experts in,
celiac disease and gluten intolerance. |
Copyright 2011, Medical Nutrition Practice Group, The American Dietetic Association.
MEDICAL NUTRITION MATTERS is published quarterly by the Medical Nutrition Practice Group (MNPG), a dietetic practice
group of the American Dietetic Association (ADA), 120
South Riverside Plaza, Suite 2000, Chicago, IL 60606-6995.
The MEDICAL NUTRITION MATTERS publication features information that contains peer-reviewed articles on current topics in Medical Nutrition Therapy or current research interests. Continuing education credits are available free of charge to MNPG members for all or some of the published articles. Other features of the newsletter include recurring corner articles written by the practice group's Chair, Newsletter Editor, Public Policy Chair, and Dietitians in Gluten Intolerance Diseases (DIGID) chair.
Viewpoints and statements expressed in the articles
do not necessarily reflect the
policies and procedures of
Medical Nutrition Practice
Group or of The American
Dietetic Association. Publication of an advertisement in MEDICAL NUTRITION MATTERS should not be construed as endorsement of the
advertisement, of the advertiser or the product by the
American Dietetic Association and/or the Medical Nutrition Practice Group. All material appearing in MEDICAL NUTRITION MATTERS is covered by copyright and may be photocopied for noncommercial scientific or educational purposes only, provided the source is acknowledged. Written consent from the editor is required for any other purpose.
For address changes: Please submit name and address
changes directly to the American Dietetic Association using
the address change card in the Journal of the American
Dietetic Association. Or, update your information online at
www.eatright.org.
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FOR THIS ISSUE: EDITORJoyce Buhler, RD, CDE, CD
joyce.buhler@lpnt.net
Vernal, UT ASSISTANT EDITORMary Ann Graham, MS, RD, CDE, LDN-MA
Maryann16@gmail.com
Uxbridge, MA CORNERS EDITOREdith C. Graybill, RD
graybillj@bellsouth.net
Winchester, KY CONTRIBUTING AUTHORSLaura E. Isaacson, RD
lisaacson@whealth.org
Mary Kay Sharrett, MS, RD, LD,
CNSD
Mary.Sharrett@nationwidechildrens.org
Tricia Thompson, MS, RD
tricia_s_thompson@hotmail.com CPEU COORDINATORKristen Bischoff, MS, RD, CDE
kbischoff@adamshospital.com REVIEWERSKristen Bischoff, MS, RD, CDE
Mary Ann Cockram, MS, RD, LD
Cheryl Harris, MPH, RD, LD
Shannon Longhurst, RD CD
Evangeline Samples, MS, RD, LD
Mary K. Sharrett, MS, RD, LD, CNSD
Roberta J. Tripp, MS, RD, LDN
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