Nutrition is one of the youngest medical areas, and has the distinction of being a science auxiliary of any other medical specialty. The nutritionist / dietitian has a responsibility to assess the nutritional status of the patient and should be the employee's family doctor, internist, cardiologist, endocrinologist, gynecologist, etc.. to help improve the diseases that are bound with power.
The nutritionist is not a specialist diets that only makes people obese or who have soprapeso, is a specialist who has the responsibility to prevent disease to guide and educate people on proper and correct way to eat and to guide and help improve the health condition of those who are sick.
In Italy, there is still a culture of wellness and healthy eating. Nutrition does not possess them from the true value they have, they do among the general population between the medical team. Difficult to see general practitioners or specialists recommend consulting with the nutritionist to his patients because everything based on the drug therapy without considering that in 70% of diseases, nutrition intervention is key to the improvement of the patient because the treatment only for if he does everything. For example, a person suffering from dyslipidemia (elevated cholesterol and triglycerides in the blood), even if you take daily medications recommended by your doctor, if the person eats what he wants, and does not sport, will not see significant improvement.
As another example we can mention the case of a person who the doctor is hypertensive, makes the diagnosis of hypertension. Your doctor or internist cardiologist will prescribe anti - hypertensive but certainly not send him to a nutritionist for advice, as a result the person does not know what to eat, and is consuming salt (sodium) than they should after a month the doctor sees that there are significant improvements in blood pressure levels and then you think that the person does not take medication as prescribes, but the reality is that if the person does not control the sodium in nutrition and physical activity begins, it will be difficult to bring blood pressure to normal levels. More serious if the person in addition to hypertension, diabetes, obesity or overweight because it increases the risk factors.
in nursing homes in Italy, rarely see the nutritionist who visit each patient to adjust meals according to the disease and needs of each one. It shows the same for all meals, little nutritional control. This shows how little importance to them by medical science as Nutrition.
Worldwide has established the importance of having a more diverse medical team, Gone are the days where the figure of the family doctor did all day every day specialist deepened more and so we see for example medical ophthalmologist with sub Horny specialty, a gastroenterologist or liver specialist in sub, because the human body is so complex that science mind every day we discover more and more sub-specialists.
wait and evaluate a patient with a multidisciplinary medical team is in a better outcome for the improvement of the patient and showed fewer errors in both the diagnosis as in therapy.
Italy has yet to make a step forward on this way of working. The nutritionist should be included in the medical team, in medical journals, in the discussion of a case, especially when making important decisions on drug therapy - the patient's nutrients, or in the treatment of enteral nutrition and parenteral nutrition therapy or home.
most common diseases that must be followed for a Nutritionist - Dietitian.
Diabetes Mellitus.
gestational diabetes.
Hypertension.
heart disease
Dyslipidemia Obesity Overweight
Metabolic Syndrome
AIDS
Cancer Anorexia Bulimia
Malnutrition. Gastritis
Chron's disease intestinal polyps
intolerance
Constipation Diarrhea Irritable Bowel Syndrome
gastric diseases from liver cirrhosis.
osteoporosis, arthritis
Urticaria
Gotta
problems of metabolism.
renal insufficiency.
As the Nutritionist works with other specialists?.
with the interior: the internist's responsibility to make a full assessment and patient's general, to determine certain diseases that can treat and initiation of therapy, the patient can send to meeting other levies for screening, and can refer patients to other specialists according to the disease if the case is severe or requires a specialist. When we are patients with high blood pressure, the internist must mediate and send advice to the nutritionist to assess nutritional status, knowing the patient's eating habits that could possibly be causing or worsening the problem of high blood pressure and create a diet plan menu to suit the patient's condition. The same will happen when the medical patients with dyslipidemia (elevated cholesterol and triglycerides in the blood), obese patients or overweight patients with heart disease, diabetes, etc.
The Nutritionist must work as part of the medical team to improve the patient's condition and improve the quality of life through food.
With the gastroenterologist: the diseases related to the supply are those of the gastrointestinal tract, there is no stomach or intestinal disease that has no need to be evaluated for the nutritionist. The most common diseases that must be addressed to the doctor and the nutritionist Gastroenterol are: gastritis, gastric ulcers, gastroesophageal reflux, inflammatory bowel disease, hepatitis, irritable bowel syndrome, hemorrhoids, liver cirrhosis, pancreatitis, the Celiac disease,
with your doctor: malnourished patients with cancer die because the cancer increases in this instance, the requirement of protein and vitamins that the person does not arrive for ingesta to cover, considering also the fact that those who are under therapy and radiotherapy or chemotherapy has reduced the appetite , and worse nutritional status worse life expectancy of the patient.
With the pediatrician: the second period where the supply is more important for growth and development from birth to adolescence, nutrition and children are bound by its importance. The power and the basis of adequate growth and development-time and within the parameters that are considered normal.
The gynecologist: Pregnant women should be followed by a nutritionist from the beginning to the end of gestation to ensure adequate weight gain of mother and child. Special case women with gestational diabetes, pre-eclampsia, eclampsia, and other risk factors.
With the dermatologist: the cases of urticaria and food allergies must be treated not only with medications but also with the elimination and rotation diet. Other diseases of the skin should be treated nutritionally are: psoriasis, and melanoma.
With the rheumatologist: it must work with the nutritionist in patients with arthritis, with fibromyalgia, osteoporosis, gout, osteomyelitis, muscular dystrophy, and cancer bone.
with the neurologist: the neurologist have to work integrally with the nutritionist in the case of memory impairment, epilepsy, meningitis, Parkinson's, multiple sclerosis, Guillain - Barre Syndrome, the disease Creutzfedt - Jacob, the myasthenia gravis, and brain tumors.
With Neumonologo: lung neoplasms, tuberculosis, neumonia, cystic fibrosis, the airway obstruction.
With the cardiologist: the nutritionist has many constraints, have to deal with the problems of diseases of atherosclerosis, hyperlipidemia, congestive heart failure, hypertension, venous disorders, edema, and cardiomyopathy.
Quinda eats itself può ancora che il Pensare nutrizionista è solo una dietitian persona che fa la gente se ha dimagrire una funziona cosi della important in medicine and it guarigione dei pazienti?.
Dobbiamo riflettere su issues, both medicinal generali eat Specialist, e la popolazione in generale che prendersi should be stesso di cure.
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