80th Anniversary celebration: a dietitian in the early days of the American Dietetic Association.
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The Standards of Professional Practice reflect changing market trends, transitions in the work environment, and expectations of the public. The 6 professional standards encompass the key characteristics of the dietetics profession. ADA's mission to serve the public is supported when each dietetics professional applies the 6 Standards of Professional Practice and evaluates the quality of services he or she provides. The standards belong to each and every dietetics professional. They are scheduled for periodic review and revision as the needs of the dietetics profession change. Throughout their careers, dietetics professionals will be called on to contribute to the continuous improvement of these standards and the dietetics profession. It is the responsibility of each individual practitioner to evaluate practice and maintain competence as well as to evaluate the professional standards and contribute to the advancement of the dietetics profession. The Standards of Professional Practice should be adopted by all dietetics professionals to ensure that they will continue to be recognized by the public as the most valued and credible sources of food and nutrition information.
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Malnutrition, weight loss, and resident satisfaction are serious issues that need to be addressed by dietetics professionals working in long-term-care facilities. Medical nutrition therapy for older adults in long-term care is multifaceted and critical to reducing the risks of malnutrition and weight loss. To meet the needs of every resident, dietetics professionals must consider each person holistically, including personal goals, overall prognoses, benefits and risks of treatment, and perhaps most important, quality of life. For some long-term-care residents the use of liberalized diets, when appropriate, can enhance both quality of life and nutritional status, thus increasing the resident's satisfaction with the meals provided and reducing the risks of malnutrition and weight loss.
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Within the past 10 years women's health has evolved to a much broader paradigm, beyond reproductive issues. From a physiological perspective, women's health now refers to the prevention, diagnosis, and management of conditions or diseases that may be unique to women, be more prevalent in women, or manifest differently in women than men. Women's health encompasses emotional, social, cultural, spiritual, and physical well-being. It is determined by the social, political, and economic context of women's lives. Nutrition is involved in the etiology or treatment of half of the 10 leading causes of death in women. The incidence of osteoporosis and extremes in body weight are approaching epidemic proportions in women. This position reviews the following health problems: cardiovascular disease, cancer, osteoporosis, weight, and diabetes mellitus. Dietetics professionals are in the perfect position to understand the issues surrounding women's health in order to deliver a message to women that will allow them to make wise decisions regarding their health. Nutrition is a critical component of risk reduction and treatment, and must be included in clinical and preventive services for women. Dietetics professionals must work to increase their knowledge about women's health issues, to promote health and education programs, to influence policy makers, to deliver the highest-quality medical nutrition therapy, and to be proactive in documenting the effectiveness of outcomes-based research.
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ADA supports achievement of comprehensive nutrition standards in child-care programs. The standards presented in this position paper focus on meeting the child's nutrition needs and providing a safe and pleasant environment that promotes acquisition of eating habits that prevent disease and enable healthy growth and development. Dietetics professionals can play a powerful role in advocating and assisting the acceptance of child-care nutrition standards by parents, caregivers, foodservice personnel, and directors and policy makers for child-care programs.
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