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7 Closing Remarks and Recommendations
Pages 101-106

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From page 101...
... It agreed that such delivery could be improved by five general measures: · explicit recognition by all health team members of the essential role of nutrition in promoting health and growth; · a team effort to provide nutritional care that is individualized and patient centered; · the active involvement of families or other supportive persons in the formulation and implementation of a nutritional care plan; · the implementation of concrete steps to achieve continuity of nutritional care; and · nutrition education and training for health care providers.
From page 102...
... Structured procedures are needed to facilitate implementation of the referral, to track whether appropriate follow-up has occurred, and to indicate how care is to be altered, if at all, as a result. If transportation or other logistical difficulties make it impossible to arrange for a referral or to incorporate the required specialist into the health care team, the health care provider is urged to consult with a dietitian who specializes in either maternal or neonatal nutrition and with other specialists as needed.
From page 103...
... Depending on the nature of the problem, such a team would ordinarily include the physician, nurses, a dietitian, and an assortment of other providers such as a pharmacist, social worker, breastfeeding specialist, and physical therapist. For families that have difficulty dealing with the medical system because of language or cultural barners, learning disorders, or other reasons, a trained peer counselor may help serve as a bridge between them and the rest of the health care team (see Nutntion Dunng Pregnancy and Lactation: An Implementation Guided.
From page 104...
... Specialized training requires both didactic and clinical multidisciplinary learning experiences over weeks or months. Moreover, because of rapid developments in maternal and neonatal nutrition, members of the health care team need access to periodic updates through conferences or short courses.
From page 105...
... Ongoing communication and cooperation between the primary care provider and special care providers are essential to maintain quality care. · Attention should be directed toward aspects of care that have been seriously neglected: nutritional care prior to conception, care in support of breastteeding, and ensuring the continuity of nutritional care despite changes in prodders.
From page 106...
... 1991. The Computer-Based Patient Record: An Essential Technology for Health Care.


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