Examine the basic principles of food safety, food sanitation, and providing safe food.
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.
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 hospital’s initial nutritional screening protocol identified that the patient may be at nutrition risk, due to a “high risk admitting diagnosis.” 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 patient’s cultural background is significant because the culture may not place much influence on Western style healthcare practices. The patient’s expression of his culture needs to be examined further. The nurse’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 patient’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 hospital’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 “appears to be morbidly obese.” His medications include: a blood pressure medication, a diuretic, and a cholesterol lowering drug.
1. Imagine that you have to complete this “demographic/cultural” background patient research for your supervisor within the next couple of hours. Record and describe this “fictional” patient’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 patient’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 patient’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 person’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 patient’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 patient’s readiness to comply with a highly restrictive diet with the supervising Dietitian? How can you use your knowledge of the patient’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?
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Food Safety Agencies in the US
The US government has tasked different public agencies to ensure the safety standards of the household food products. The agencies work together in the distinctive fields to make sure that all food products in the market meet the quality, quantity, and legal standards before its market entry. To achieve this, these agencies utilize standard policies that are universal in some levels and subjective at lower federal levels. The purpose of this article is to examine The Food and Drug Administration (FDA) and the United Sates Department of Agriculture (USDA) as the two major food regulatory agencies. In addition, the paper examines other concepts as employed in food security programs.
1. Food and Drug Administration (FDA)
FDA is a health department under the United States Department of Health and Human services (USDHHS), which oversees that general public health through advisory and practical roles. As such, FDA shares a common objective with USDHHS of promoting public health through different initiatives. However, FDA serves a more specific role in ensuring the integrity...
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