Abstract

THE NUTRITIONAL NEEDS of the chronically ill too often are considered only whe,n a therapeutic diet is required. Nutrition service is commonly believed adequate if diet instructions have been given in the hospital or if the physician has provided the patient with a diet list. Thoughtful observers will quickly recognize that this approach ignore,s the dynamic role of nutrition in the patient's improvement, rehabilitation, or recovery. Even the most clearly written diet instruction sheet is not effective in motivating patients to change or improve the eating habits of a lifetime. The nutritionist in organized home care plans gives other team members stimulation and guidance in developing the knowledge, skills, and techniques to recognize nutritional needs and to assist patients and their families in achieving and maintaining an appropriate diet. Nutritionists, as an integral part of organized home care programs, have a valuable contribution to make in the treatment of patients with long-term illness.

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