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Over the years I have witnessed how a persons overall health can be drastically affected
by their nutrition and lifestyle choices. As I mentioned, my mother was diagnosed with HIV in
the early 1990s, when the disease was not well understood and medications were less effective.
She chose to improve her diet by incorporating immune-boosting foods, homeopathic treatments
in combination with her prescriptions, as well as exercises such as Tai Chi. In doing this she was
able to preserve her health, which extended her life expectancy. Also, Ive seen the devastating
effects of diabetes and obesity first hand. My grandmother died due to complications from
diabetes and obesity at 63 years old and over 350 pounds. As hard as she tried, she could not get
her weight and blood sugars under control. If she had the help of a RDN, she may have been able
to improve her outcomes. Now, my father lives with diabetes mellitus 2, and happily uses
insulin to keep his blood glucose controlled. In the pre-contemplation stage of change, he is not
interested in improving his diet or exercising. I believe with some motivational interviewing and
the Opportunity to see the benefits, he may be more likely to change. Now, the question is how
to get him there. This thought brings me to my philosophy, Recognition of the benefits from
medical nutrition therapy is an important component to preventing diet related disease and is
instrumental for achieving improved overall health in our society.
Dont fix it until its broken seems to be the current perspective of health care, which is
reflected in government policies and insurance coverage as well. The ability to charge for
Nutrition Services does not come until after the diagnosis of obesity or diabetes. The fact there
is coverage at all is a step in the right direction but preventative coverage would be more
beneficial and bring billions of dollars in savings to insurance companies and government
spending on medical expenses through Medicare and Medicaid. Surely, it wouldnt happen
overnight, and many millions would be spent on preventative services, but the positive outcomes
would be exponential!
My role as a practicing RDN is to be an instrument of change to society. I would love to
say that I know exactly what I want to do and where I want to work, but that is just not the case.
First, I would like to begin working with my sons elementary school through Kids Eat Right to
bring awareness to children who are at a formative age. I would push to get their nutrition
services kitchen team together with the P.E. coach to implement some strategies for success to
prevent childhood obesity. A more long term goal of mine is to work in research and
development within the foodservice industry. As a dietetics professional, I would like to work
alongside food scientists to create products that provide balanced nutrition but still taste good.
The old adage is that if its healthy, it must not taste good. That thought has got to be combated
with the help of an RDN working in food research and development to make nutritious food taste
better. Likewise, the natural approach of removing addictive added sugars and artificial
ingredients with unknown side effects in large scale corporate food market products can begin to
improve our societies overall health. My philosophy of preventative nutrition therapy is
common among dietetic professionals. Working alongside my national, state and local Academy
of Nutrition and Dietetics will make my voice louder, so I plan to bring my thoughts to the table
by being involved.