Examine the basic principles of food safety, food sanitation, and providing safe food.
Instructions:
The Food and Drug Administration (FDA) and the United States Department of Agriculture (USDA) are government agencies responsible for ensuring the safety of our food supply. These agencies are responsible for setting food safety standards, ensuring that these standards are met, conducting inspections, and maintaining enforcement of standards. For this Assignment, answer the following questions.
What is the purpose and role of the FDA for ensuring the safety of our food supply?
What is the purpose and role of the USDA for ensuring the safety of our food supply?
What is the Food Safety Modernization Act (FSMA)? What agency has oversight of the FSMA?
What is the Food Code? How is it developed and how often is it revised? What agency has oversight of the Food Code?

Analyze the impact of human expressions on culture.

Instructions:
Imagine that you are a clinical nutrition assistant working at a local hospital under the supervision of a Registered Dietitian RD). Overnight, a 74 year old male patient was admitted to the hospital and needs to be fully assessed for any nutritional risks (in accordance with hospital/medical nutrition care laws). The hospitalâ€™s initial nutritional screening protocol identified that the patient may be at nutrition risk, due to a â€œhigh risk admitting diagnosis.â€ The admitting physician suspects that the patient has suffered a heart attack; however the full cardiac consult results are not yet showing in the computer. Furthermore, the patient has recently moved here to the U.S. from a foreign country within the past year so that his daughter can help care for him due to his declining health. The entire family speaks very little English. The patientâ€™s cultural background is significant because the culture may not place much influence on Western style healthcare practices. The patientâ€™s expression of his culture needs to be examined further. The nurseâ€™s notes reveal that the daughter does not know how much her father weighs, but she suspects that he has gained weight since her mother passed away a year ago.
Your assignment from the supervising RD is to examine the patientâ€™s complete cultural, social, medical and nutritional background so that the next steps of the Nutrition Care Process can be instituted. Upon your initial investigation within the hospitalâ€™s electronic medical records system, you notice that there is no height or weight listed for the patient. The diet order reads: NPO (nothing by mouth) and they are awaiting more lab results for various tests related to hydration, and kidney function. His cardiac enzyme lab
work indicates that he suffered a Myocardial Infarction (MI). The MD notes confirm a heart attack diagnosis and the MD also noted that the patient â€œappears to be morbidly obese.â€ His medications include: a blood pressure medication, a diuretic, and a cholesterol lowering drug.
1. Imagine that you have to complete this â€œdemographic/culturalâ€ background patient research for your supervisor within the next couple of hours. Record and describe this â€œfictionalâ€ patientâ€™s cultural background information by listing the answers to certain questions (translator may be requested in hospitals). Record observations, human expressions, and any other unique characteristics about the patientâ€™s culture or background that may impact his ability to adhere to any type of medical nutrition therapy, nutrition education, or dietary restrictions. (You may use information created in the Unit 6 discussion board here).
2. The patient and daughter are unaware of the patientâ€™s current height and weight. His hospital bed unfortunately does not have a built in weight scale. The patient is unable to stand up-right due to his medical condition. Therefore, list and describe one alternative way to estimate height (stature) and one alternative way to estimate a personâ€™s weight that is covered in Chapter 7 of our textbook. (Refer to page 254 for general ideas and Tables 7.1, 7.3 and 7.4).
3. Based on your knowledge of the patientâ€™s cultural background as well as your evaluation and observations of your current interactions with the patient and daughter, do you believe the patient will comply with the MD suggesting a strict very low calorie (1000-1200 calories), low fat, low cholesterol and low salt diet, due to the heart attack/cardiac consultation results and morbidly obese appearance?
4. Suggested change: How will you relay your assessment of the patientâ€™s readiness to comply with a highly restrictive diet with the supervising Dietitian? How can you use your knowledge of the patientâ€™s cultural background to instill motivation and the desire to improve his health by eating a healthy diet? Do you think the patient should be placed on the exact diet the Physician is recommending?

Examine the basic principles of food safety, food sanitation, and p...