Friday, January 31, 2014

Rotations Updates: Home Care and Food Service Managment

It won't stop snowing!

So since our extended "1.5 week Christmas break", I have been able to complete almost 3 of my rotations with addition of A LOT of snow. The first week was with a Registered Dietitian with UPMC Visiting Nurses. We actually got to travel to each client's house and get down to the nitty gritty of nutritional interventions. Home Care will open up your eyes to what the client has available....just ask them to open their refrigerator or cupboards (we never did, but some clients showed us what food products they had in their house). So remember that day that felt like -34 in Pittsburgh....yeah, I was in the car traveling to different clients' houses. Never. been. colder, but I loved this rotation.

This particular dietitian I was shadowing also had her Certified Diabetes Educator (CDE) from the National Certification Board for Diabetes Educators. Basically she was amazing to watch her counsel for prediabetes, diabetes prevention, and management. She had the best anecdote to explain how CARBS are essential and not their ENEMY, but most be monitored in regards to diabetes. It went along the lines that if you had 6 loads of laundry to do and only had from 8am-10am to finish, you would never get them all done. Now, if you planned on doing 2 loads in the morning, 2 at lunch, and then 2 at dinner...most likely you could get them all done and even folded. She related this to carbohydrates and someone with diabetes ability to process the amount ingested at once. Spread the carbs out throughout the day and add a little protein, fat, and lots of veggies each time to complete the picture and steady the insulin spike.



Following this rotation, I was at the Deer Lakes School District for food service management. I won't get into details about it, but it is crazy how the School Lunch Program operates. I had another great preceptor! I worked on several projects with a complete write up listed here. Let's just say cost analysis for a 5-day lunch menu can be time consuming, but very informative when you also have to take into account specific nutritional regulations. I was also able to work on a bulletin board for the little kids. I now know how to use race medals to their fullest potential :).




How to use some of your race medals :)


With all this going on and classes, seminars, and case studies due....training has been off an on (sorry Coach Jim!) especially with the weather being so down right cold. I'm looking forward to tomorrow's missed long run though with it finally warming up this weekend. Let's get out of the sub zero runs and into double training days! I gotta say it helps running with a buddy :).

Fellow intern, Going Brienanas!

Have a happy Super Bowel weekend!

Edie

 

Here is the (multiple) dog pic of the week. I couldn't decide on just one ;)

Winter time track workout around the Schenley track.
Too much fun??