Team Decision - what are you going to do next? by Alexandra Kolm

1. I will directly visit Ms Heart and consult her about dietetic interventions to prevent cardiovascular diseases.

alexandra_haupt — 2018-04-27 15:59:46 UTC

3. I will consult the physician, to clarify the diagnosis.

alexandra_haupt — 2018-04-27 15:59:52 UTC

2. I will look for further information in the medical chart before I will visit Ms Heart for a dietetic intervention.

alexandra_haupt — 2018-04-27 16:00:05 UTC

4. I will formulate smart goals before I go to visit Ms Heart.

alexandra_haupt — 2018-04-27 16:00:46 UTC

5. I will formulate dietetic diagnoses to be prepared for the consultation.

alexandra_haupt — 2018-04-27 16:00:52 UTC

Our final decision

alexandra_haupt — 2018-04-27 16:02:45 UTC

Which two options do you as team consider as best?

supersaby01 — 2018-05-23 15:54:22 UTC

I think I would chose 2 & 5. What are your opinions?
For number 1 I feel to unprepared to do this.
Numer 4: I mean you can set smart goals beforehand but I think you should first talk to the patient and see what they want and after that you can make smart goals, maybe together with the patient.

I agree with the already stated opinion. I also would opt for nr.2 and nr.5.

2019-04-10 15:11:10 UTC

Think its the most important to be well prepared before meeting the client.

therefore nr.1 automatically falls away and also since the medical diagnosis is already set, nr.3 is also not an option. nr.4 would be possible as well but I prefer nr.5 since I think a dietic diagnosis is more relevant to the situation.

2019-04-10 15:13:53 UTC

2019-04-10 15:21:19 UTC

Think its the most important to be well prepared before meeting the client.

I would choose option 2 because I want to be well prepared before meeting Ms. Heart instead of directly visit her without checking anything first. I also agree that nr. 3 is not an option because the physician has already set the diagnosis and I guess that its already noted in the medical chart. Option 5 would be the next step after finishing nr. 2. Its a good way because then I can rank the various diagnoses so I know before the consultation which problems are the most important ones. Then I can set smart goals together with the client.

sandra_schafleitner94 — 2019-04-15 08:42:52 UTC

I would also choose option 2 and 5. Option 2 because is important to be well prepared before visiting her and with these Information i can formulate good dietetic diagnoses. With the dietetic diagnosis I can tell her the most important and relevant things.

2019-04-16 12:19:57 UTC

I also would choose Option nr. 2 and nr. 5

2019-04-17 06:48:18 UTC

It's really important to be well prepared!

I would choose number 2 and 5, because i think that these two are the best options to be well prepared before meeting Mrs. Heart. I hink it is necessary to talk with the person and then we are setting goals together.

2019-04-17 07:04:48 UTC

2019-04-17 09:38:29 UTC

I totally agree with most of you that option 2 is imporant to be prepared for the consulation. Because for a client there is nothing more worse than having a consultor that is not informed about the topic you want to get advise to. For me the next relevant step is to formulate the dietetic diagnoses as option 5 says - because it is easier to set goals on the base of formulated diagnoses and the goals also have to be set together with the patient.

2019-04-17 16:23:09 UTC

Looks like we all would chose Nr.5 - I totally agree with all your arguments and would also chose this one. I am also happy with Nr. 2., but actually I think everything we can get out there is already written down...
Just to ask - why would nobody consider consulting the physician to clarify the diagnosis? I would ask him/her for diabetes-testing as far as she got elevated blood glucose, elevated HbA1c and a familiar history of DM2.

2019-04-17 16:27:52 UTC

I agree with you as well and I would like to inform myself a little bit more about Queenie's medical chart before I contact her. (Nr. 2)
After informing myself I would go to Nr. 5 and start formulating dietetic diagnoses.
This procedure enables me to proceed in a structured way and not to forget anything.

I would choose nr. 3 and nr. 5

2019-04-17 16:36:40 UTC

I would consult the physician to clarify the diagnoses - is there a reason why she/he didn't diagnoses diabetes?
Afterwards I think the next step will be preparing the dietetic diagnose.

In my opinion the best way to start the conversation with the women is nr. 2. If you are well prepared and know about the diagnosis and her well-being is would be a better start. But also nr. 3 is a good way to get more knowledge about the disease and the diagnosis of her. If the dietician is informated about everything, the patient feels more comfortable.

2019-04-17 19:00:13 UTC

I would also collect further information for the first time in order to be well prepared. Therefore I would choose no. 2 and 3. Todo No. 1 I do not feel able because of the very little information.Furthermore it would not make sense to formulate a goal in the current phase as there has not yet been a personal conversation with the patient. I can already make some dietary diagnoses for the preparation on the basis the small information, should develop these however in the further process.

2019-04-18 10:05:32 UTC

2019-04-18 20:18:14 UTC

I would choose nr 2 and 5. Both are important because I want to be prepared. Only when I am good prepared I'm able to advise Ms Heart. When I have all informations and dietetic diagnosis I can do the necessary dietetic intervention.

2019-04-19 07:42:38 UTC

Looking for further Information in orderrepared is very important to get a good base for further working with the Patient. Therefore I also would, as the most of you, take option two as my next step. Afterwards I would formulate the dietetic diagnoses like described in Option 5. This diagnoses are needed in order to make a good consultation and set the right goals.

2019-04-19 11:43:33 UTC

I would choose number 3 and 5.
I also agree with Number 2 but i think all the important information is already written down. In my opinion, it's important to check with the physician if there is a OGTT planned as there is a family history of type 2 diabetes and she has elevated glucose levels .
After I checked that with the physician I would formulate the dietetic diagnosis to be well prepared for the consultation with the patient.

Number 2 and 5

2019-04-19 14:40:12 UTC

In my opinion, numbers 2 and 5 are the first steps that need to be taken before visiting the client.
Further and more accurate information helps me to make accurate dietary diagnoses.
For the design of counseling goals, I need accurate dietary diagnoses.

3 & 5

2019-04-20 13:57:30 UTC

As there is already a lot of information given in the client history, I would not know how / where to get more information. Also, I think the information given is enough for to consult the patient.
I would talk to the physician because for me it is unclear why the the HbA1c / glucose level is not taken into account at the medical diagnosis. The patient has already a family history of T2DM so I think it is important to check on that. Afterwards I would define my dietetic diagnosis.

Number 2 & 5 (again)

2019-04-21 12:53:16 UTC

From my point of view number 2 and 5 would be the best options. For a good consultation it is important to be prepared.

(2: I will look for further information in the medical chart before I will visit Ms Heart for a dietetic intervention.

5: I will formulate dietetic diagnoses to be prepared for the consultation.)

2019-04-21 18:16:43 UTC

I totally agree with your opinion. I'd rather get in contact with the physician first than look for further information. I'd like to know, why he did not take diabetes into account. Or ask if there are further tests planned, to assure his/herdiagnose.

3 and 5

2019-04-22 09:36:55 UTC

I absolutely agree with your statement, as I think the most relevant information you need can be found in the diet history and the medical and clinical status.
For me it is also a bit unclear why nobody has recognized the high blood glucose level yet despite the fact that she has a positive family history with DMT2. I would therefore check for that first and ask if there are any interventions planned so far.
After that I would also define the dietetic diagnosis in order to feel well prepared for the upcoming meeting with the client.

2 & 5

2019-04-22 17:45:19 UTC

I would look for further information to be sure that i am familiar with the clients history. Then i use it as a good base for my dietetic diagnosis. Which i would formul next.

3

2019-04-22 21:02:10 UTC

My first thought was to choose nr 2 and 5. But then I read your comment and that really makes sense! I think we already have a lot of information and it would be important to clarify the diagnosis! Especially because she has a positive family history with DMT2.

I agree with you. No. 2 and 5 would be the most appropriate options for me to go to a well prepared consultation.

2019-04-23 20:08:33 UTC

Number 2 and 5

2019-04-24 07:59:42 UTC

I think it is very important to look for further informations, to be sure that I know everything I need for my dietetic diagnoses, which I would do next.

2019-04-24 09:51:26 UTC

I would also consult the physician first to ask why the very high glucose level and HbA1c is not mentioned at the medical diagnoses. Because for me it would be clear that these parameters show a manifest T2DM.
Than I would also formulate dietetic diagnoses to be prepared for the consultation.

How to proceed:

2019-04-24 10:13:54 UTC

I am sure Nr. 2 would be a good decision, because a professional dietitian should be prepared before visiting the Client. Thats why Nr. 1 is no satisfying option for me. It would also be an option for me to consult the physician, because the diagnosis is unclear and the interdisciplinary work adds value for everyone (Mrs. Heart, physician, dietitian).

I

2019-04-24 10:47:11 UTC

I would do exactly the same - To check up with the physician if there is any intervention (fe. a OGTT) planed. And with this information I would formulate my dietetic diagnose.

2019-04-24 10:48:47 UTC

3 & 5

2019-04-24 13:54:41 UTC

That's also how I would react :) As high blood sugar levels are also very important for our consulting, this should be checked first. While talking to the physician, other notable factors can be discussed. After all questions had been clarified, the dietician has to be aware of what the dietary diagnosis are and what information should be part of the consultation

Number 2 & 5

2019-04-24 16:04:52 UTC

I would also take the options 2 & 5 because I think with this decisions I am well prepared for talking with Ms Heart.

2&5 (4)

2019-04-25 08:12:57 UTC

I would agree, by choosing Option 2 and 5 . In my opinion it is very important to get as much information, parameters , before the consultation. Maybe Option 4 could be considered but 5 is better.

2019-04-25 11:59:19 UTC

I would choose options 3 and 5. First a consultation with the responsible physician concerning the current blood sugar situation should be conducted because there are no further information about the diagnosis etc. Afterwards I would like to have a interview with the patient to get more details about lifestyle, eating habits and other personal background information. This is necessary to make a dietetic diagnoses. Then the procedure can be established.
I think option 2 is not necessary, many others medical information are already available.

nr. 3 & nr.5

2019-04-25 15:18:57 UTC

First I would consult a physician to talk about the high blood glucose/diabetes. After that I would formulate the PASR's to go on with the DCP.

2 and 5

2019-04-26 11:11:37 UTC

I think it's alway important to search for more information, before you visit the patient. The next step is the dietetic diagnosis. On the other hand it might be easier to get more Information, if you visit the patient, but it's too early to consult dietetic interventions

2/3 and 5

2019-04-26 12:35:59 UTC

I would both look for further Information in the medical chart and consult the physician first to clarify the medical condition of the Patient before moving forward to the step of formulated a dietetic diagnosis. This way I have an overview and greater understanding of the case and am well prepared when Meeting the patient for the first time.

Nr. 3 and 5

2019-04-26 20:31:31 UTC

I absolutely agree with your option. Fist I would consult the physician for further information concerning the Hba1c and the high glucose level, and in the next step I would formulate the dietetic diagnosis. Option 2, would also be possible and useful to be well prepared for the consultation with Mrs. Heart.

Number 2 and 3

2019-04-28 05:48:08 UTC

I think it is very important to get further information before visiting the patient.

felicitaswissel — 2019-05-02 14:35:03 UTC

I would decide to look for further information in the medical chart before I will visit Ms Heart although I would formulate dietetic diagnoses to be prepared for the consultation. I think this could be a solid preparation for my intervention.

2 and 5

2020-03-13 09:45:50 UTC

I would look for further information to be sure to know everything about my client.

3 & 5

2020-03-14 14:16:05 UTC

I'd also consult a physician because the diagnosis is not clear, and since the patient has a family history of T2DM it's important to take that into account.

For a dietitian it's very important to be prepared for the meeting with a client, so I'd also go for option 5.

I agree with the others. For me option 2 and 5 are the best in this case.

2020-03-15 10:05:30 UTC

I woudl choose number 2. If I can´t find the information that I need I woudl talk to her doctor. After that I would formulate dietetic diagnoses to be prepared for the consultation.

2020-03-15 21:10:24 UTC

Nr. 2 and 5

2020-03-17 15:44:47 UTC

i think it is really important to look for more information before you get in contact with the client. The next step is to formulate a dietetic diagnosis. Like this i will get an overview and it also prepars me for the consultation with Mrs. Heart.

2&5

2020-03-18 10:29:14 UTC

are for me the best option, but I would also consult a phyician ve

Nr. 2,3 + 5

2020-03-18 15:26:18 UTC

Firstly:The physican should be consulted, because of the high blood glucose levels and the high HbA1c level. It is necessary to follow this case up.
I think it is necessary to look for further information in the medical chart, to regard all the diseases Ms. Heart has.
Also it is important to formulate the dietetic diagnosis with the PASR-Statement.

I

2020-03-18 21:23:01 UTC

I

2020-03-18 21:23:02 UTC

2

2020-03-18 21:23:10 UTC

2,

2020-03-18 21:23:11 UTC

2,4

2020-03-18 21:23:12 UTC

2,4, 5

2020-03-18 21:23:13 UTC

I would check, if there is some information in the chart which is missing and may be helpful (2) Then i will formulate the PASR statements (5) and for the therapy i will think about short and long term smart goals (4)

Nr. 2 and 5

2020-03-19 14:01:11 UTC

At first I would choose number 2. I think it's very important, that the dietitian is well prepared and gives a positive feeling to the patient. It's not good if the dietitian is frantic because he or she doesn't know anything about the patient. And second I would choose 5, because I already know the main problems of the patient and can focus on them.

2,4 and 5

2020-03-20 13:11:52 UTC

In the first case i will make sure that I will collect all relevant and medical information about the patiënt before I visit her (2), next to the medical and relevant information, it is also important to formulate a dietetic diagnosis, that you can use as a general guidence during the consultation (5). Before i will go to the consult i will formulate smart goals, in order to discuss this with the patiënt and i can use this also do ask the patient herself for her goals of this intervention (4).

2 and 5

2020-03-20 15:44:17 UTC

in this case I would take option 2 and 5, because it's important for me to have as much informations as possible, to be well prepared for the visit with Ms Heart

Deciscion

2020-03-21 15:01:44 UTC

Nr. 2 would be the best option to do first. Because that way you get a total view over your patient and your prepared if he/she ask you a question about their health when you visit them.
Thereby the therapy for the patient can be adapted by the information you find about her. Not every therapy consist of 1 thing only, sometimes more problems have to be worked one. If you get a view of the total picture you know whereto work on first for example.

2 and 5

2020-03-22 16:04:57 UTC

First I would look for further information, because its important to know everything about the patient. After that I would formulate a dietetic diagnose to be prepared.

First i would look for further information in the medical chart before I will visit Ms Heart for a dietetic intervention because it is important to know all informations about the patient and then i would formulate smart goals to discuss this with the patient.

2020-03-24 16:43:40 UTC

2,5

2020-03-25 12:23:06 UTC

I would choose number 2 and 5. I would look for further information In the medical chart before I will visit Ms Heart for a dietetic intervention, because I want to be well prepared. Moreover I don`t want to miss some important information about the patient. I wonder about the high Hba1c. But maybe there is more information about it in the medical chart. Otherwise option 3 would be possible to get more information about that.

I would also choose number 5 because if there is no dietetic diagnose or problem our patient won`t need a dietetic consultation.

3,4

2020-03-26 10:27:28 UTC

I will consult the physician, to clarify the diagnosis - glucose and HbA1c are high, but no medical diagnosis or medication can be found. I think that the Patient might suffer from Diabetes mellits. If this disease remains undetected it's going to lead to severe consequences for the patients Health.

I will formulate smart goals before I go to visit Ms Heart. Because before I plan any Intervention I have to be Aware of my particular aims of the Intervention and have to know on what to focus.

2 & 5 (& 3)

2020-03-29 10:31:37 UTC

As most People here I would choose suggestions 2 and 5, but I think it would also be important to clarify, why the condition of her having Diabetes has not been diagnosed (yet) by a physisian.

3 + 5 Double checking with the physician

2020-03-29 20:42:33 UTC

I would contact the physician and double check what diagnosis will be made regarding her hight glucose and HbA1c levels. It's important since she has a familiy history of DM type II.
And I want to make sure I have every information I can get and go to the patient well prepared with a correct dietetic diagnosis.

3 and 5

2020-04-01 14:08:09 UTC

I think that it is most important to get in contact with the physician to talk about the high Hba1c and the glucose level too. Afterwards i would formulate a dietetic diagnosis.

Number 2 & 5

2020-04-01 17:19:31 UTC

it*s always necassary to have enough information to help someone with his knowledge. furthermore the dietetic diagnosis is important.

Number 2 and 5

2020-04-01 17:20:13 UTC

In my opinion is it very important, that the patient to look for further informations. Thant i can be sure, that I know everything I need for my dieteic diagnoses, which I would do next.

I would choose option 3 and 5.

2020-04-02 10:35:26 UTC

I would choose 2 and 5 to get as much informations as possible

2020-04-04 14:00:56 UTC

I would choose option 3 and 5.

2020-04-18 11:00:28 UTC

I think it is really important to be informed and prepared before visiting the client for dietetic intervention. There already is a lot of information documented in the medical chart. So I would consult the physician to clarify the diagnosis (because HbA1c and glucose are high and there is also a family disposition of T2DM).

Afterwards I would formulate dietetic diagnoses to be prepared for the consultation.

2 & 5

2020-04-21 07:13:57 UTC

I would collect more Informations so I can get the perfect Intervention.

2 and 5

2020-04-21 10:41:50 UTC

I would choose options 2 and 5 because I think it is very important to be well informed and prepared before i visit Ms. Heart for a dietetic intervention.

I agree to get more information on Mrs Heart first. But I think before we can make a dietary diagnosis we should talk to the doctor to get his interpretation of the results of the examination and we should also talk to the patient herself. Didn't we learn in the first module that a dietary diagnosis differs from the doctor's diagnosis in that soft factors are also included?

2020-04-21 19:04:58 UTC

Nr. 2

2020-04-22 15:55:40 UTC

I would choose number 2. It is always good, to be well prepared for a consultation. You have to answer the questions of the patient and to give qualified information. Therefor it is nessesary to know the medical chart. Number 4 and 5 are the following stepts in my opinion.

How to proceed:

2020-04-22 18:27:18 UTC

I would choose number 2 to be well prepared and to be sure that I do not miss some usefull/needed Information. Number 4 is no Option for me, because I would try to figure out the goals with her together, so that she feels comfortable and well understood.

N° 2 and 5

2020-04-23 08:56:59 UTC

I would choose number 2 and 5. Its better, that I will look for further information in the medical chart before I will visit Ms Heart for a dietetic Intervention. After getting the informations, I will formulate dietetic diagnoses to be prepared for the consultation.

2, 3, 5

2020-04-24 12:26:02 UTC

Assuming I'm working in a hospital, I would always check the medical chart before visiting a patient. Because of the high blood glucose and HbA1c, I would also need to consult Ms. Heart's doctor, to clarify the diagnonsis of diabetes, since I cannot officially diagnose a disease. Based on those informations, I would then formulate dietary diagnoses before visiting the patient.

No. 2 and No.3

2020-04-24 13:49:01 UTC

I would choose No. 2 and 3 because I think it is important to inform correctly before you formulate goals.

2,3,5

2020-04-26 15:33:01 UTC

I would choose options 2, 3 and 5 for further information. I wouldn't feel save to go directly tho the patient, because of a lack of informations. I have to be sure about the diagnosis and also be prepared before I visit my patient.

Nr. 2 and Nr. 3

2020-04-28 10:05:53 UTC

I would choose nr. 2 and nr.5 before the consultation because the consultation is on the last day before Queenie Heart's leaves. Therefore I will not consult the doctor and I would formulate the goal with her. I would´t visit her immediately because I have to prepare myself to make a individual consultation.

2,3,5

2020-04-30 09:34:47 UTC

I would look for further informations. This could be combine with number 5 to be well prepared. To clarify is a kind of preparation too.

I agree with the others. Nr. 2 and 5 are the best options.

2020-04-30 10:37:46 UTC

2+5

2020-04-30 21:21:25 UTC

I would choose option 2 and 5. Before I visit the patient I gather some more information about the case so that I'm informed correctly before talking to her. Then I'll opt for option 5, as she will be leaving the next day so I make sure I'll provide her the right information for better dietetic and lifestyle changes for the future to prevent further CVD.

To be well prepared and to be sure, not missing anything important, id choose number 2 and 5.

2020-04-30 23:06:08 UTC

2 and 5

2020-05-01 07:17:31 UTC

I think that's a good basis, so I have more information and be prepared.

Nr. 3 + 5

2020-05-01 12:10:55 UTC

Provided that I have already got the information given about the diet history and the medical and clinical status, I would choose Nr. 3 and Nr. 5. There clearly is a problem with high blood glucose levels and regarding her family history of Type 2 DM it would be good to know why there is no medical diagnosis and treatment concerning this problem. Then I would formulate dietetic diagnoses considering the information I got from the assessment before I visit the client.

2 + 5

2020-10-01 13:13:56 UTC

I think it is important to get further information.

Nr 2 and 5

s1003149 — 2020-10-22 13:26:01 UTC

These seem like the best options on how to proceed with the case.
It's extremely important to have as much information as possible about your client. This way you can't make mistakes and it gets you prepared for the consultation.
I think that step nr 4 is something you do with your patient and not alone. Of course, you can set some goals, but what if your patient would like to start small instead of changing a lot of different things at the same time.

3 and 5

2020-11-02 09:35:10 UTC

I would choose number 3 and 5. Number 3 seems very important to me because there are no data to be found on and intervention towards her high blood glucose. This needs to be discussed with her physician to clarify what their plan is, so we can make a proper complementary dietetic intervention. Number 5 is very important to be well prepared for the consultation.

Option 2 and 5

yanweizhang96 — 2020-11-04 11:18:01 UTC

I will choose options 2 and 5. Before I visit Mrs. Heart for a diet intervention I will first look for more information in the medical chart. This way I am well prepared for the diet intervention. There is also no dietetic diagnosis and problem (diet consultation is not necessary)

I will look for further information in the medical chart before I will visit Ms Heart for a dietetic intervention. This way I won't miss any important information that could be usefull and necessary for further treatment.

2020-11-09 08:25:59 UTC

Option n°2 and 5

2020-12-21 15:56:14 UTC

I would go for option number 2 and 5 because by choosing these options, you make sure you are prepared for your first consultation. It's important to be prepared so it's easier for you to explain the circumstances in an easy way to the client. This way the client will understand the risks and she will understand why she follows a certain diet. This will improve the clients motivation.

3 & 5

2021-01-03 15:35:44 UTC

I think it's impotat to get more information

2 & 5

2021-01-04 16:15:50 UTC

I think those are the first steps that need to be done

2 and 5

2021-01-04 16:16:50 UTC

These steps are important to strat with before visiting the client

I would say, 2&5 are the options to start with.

2021-04-20 12:37:46 UTC

I will talk to her doctor, formulate smart goals and a dietetic diagnosis!

2021-04-20 18:45:48 UTC

Number 2 & 5

2021-04-20 19:29:05 UTC

I want to know more about her in advance and be prepared for the consultation that I don't forget important facts.

2 and 5

justinap — 2021-04-20 19:29:13 UTC

I would choose these ones, because I want to be prepared for the first visit.

2 & 5

Sandi_19 — 2021-04-21 15:53:58 UTC

As her family member has typ 2 diabetes it is important to handle as she already has an high HbA1c in order to prevent manifesting diabetes
Also, looking for further information is always important and useful before starting an intervention

2 & 3

2021-04-22 09:50:25 UTC

before I meet with the patient I wanna get all the information possible. And only after that I will formulate goals and write the dietetic diagnosis. if I dont have all the information, I can't really start off with the other parts..

3. & 5.

2021-04-23 15:00:56 UTC

I want to clarify why there is no medical diagnosis for diabetes mellitus even when the HbA1c and blood glucose levels are this high. Additionally, I want to prepare myself by making a dietetic diagnosis to know on which issues the patient has to work on.

Number 3 & 5

2021-04-23 15:00:56 UTC

I will talk to her doctor about the diagnosis as the parameters are high but there is no medical diagnosis for diabetes documented.
In order make sure to focus on all relevant goals with Ms Heart I will formulate dietetic diagnoses.

I would choose number 2 and 5.

2021-04-24 07:21:19 UTC

I think it is really important to have a dietetic diagnosis and also look further into medical information.

2 & 3

lilogreiner — 2021-04-24 16:13:21 UTC

I need further information from her medical chart but also from her doctor regarding the increased HbA1c-Status

2 & 5 (&3)

2021-04-25 06:52:53 UTC

Before I visit Ms Heart, I would definitely look for further information in the medical chart because I want to have a good picture of everything. Furthermore I will formulate dietetic diagnoses which I think is very important to be prepared for the consultation. If there were still any open questions, I would consult the physician. 2 & 5 seem to be the most important aspects for me.

2&5

2021-06-03 07:29:44 UTC

It is important to look for further information in the medical chart before I will visit Ms Heart for a dietetic intervention and formulate dietetic diagnoses to be prepared for the consultation.

I would defenitely choose number 2 & 5, because those are by far the best options. First of, I like to be prepared, and secondly I think it's very important to make desicions together, not individually.

2021-10-11 13:11:29 UTC

Number 2 & 5

2022-03-01 14:12:27 UTC

To me number 2 and 5 are the best options. Number 2: It is important to be well prepared before starting a dietetic intervention with the patient. Number 5: Again preparation is very important for the consultation.

2 & 5

2022-03-01 14:12:29 UTC

2: I want to be prepared before I go to the patient. With the information I can focus on the problem and can already consider facts of the patient for the therapy.
5: With this preparation I want to ensure a quality of the therapy.

I will...

2022-03-09 07:34:59 UTC

... look for further information in the medical chart before I visit Ms Heart for a dietetic intervention (2): Being prepared for all scenarios in the consultation requires being informed about Ms Heart's total condition. The medical chart will once again give me more details about her state and will therefore provide me with an exact background to adapt the intervention to her individually.
... formulate dietetic diagnoses to be prepared for the consultation (5): To save time and really deal with Ms Heart's main problems in her diet on my own will facilitate the consultation since I already know exactly what I will have to prioritize and which aspects can be left behind at the moment, since sth else is definitely more important at this time.

2, 3 and 5

2022-03-12 08:52:39 UTC

I think it’s important to see if there is more information available about the client. Therefore I would take a look at the medical chart of the patient and also consult the physician for further information concerning the blood glucose level and the HbA1c. After that I would start to formulate a dietetic diagnosis.

2 & 3

2022-03-12 10:10:28 UTC

I think it is important to get more information on lab results and also looking more into blood glucose values since the patient's profile shows a high likelihood of Type 2 DM (family history, lab results, co morbidities).

2+3

2022-03-12 10:10:50 UTC

I think that it is necessary to gather more information before visiting the patient, to make sure to be up to date. Moreover gathering inforamtion needs to be done to clearify the indication for the consultation and to prepare the most helpful consultation for the patient possible. It is also important to stay in touch with the doctors and to work togheter.

3 and 5

2022-03-12 14:41:20 UTC

I think it's important to consult the physician because the glucose, hba1c and urea acid are elevated and there is no medical diagnosis.
i also think it's important to be prepared for the consultation.

2&3

2022-03-12 19:06:38 UTC

I want to make sure that I didn't miss anything in here medical chart. Then I'll talk to the physician if the patients needs further treatment for the high Glucose and HbA1c.

2022-03-12 19:08:50 UTC

In my opinion point 2 + 3 are definitely right, because you have to look in her medical chart, before you can treat her, because you have to look out for possible contraindications and problems you might haven't tought about if you're just looking at the assignment. Point 5 might be right, but I'm not sure if you should make all the diagnoses before you met the patient.

2 & 5

2022-03-12 20:33:26 UTC

I think it is good to be prepared for consultations and before that you need diagnoses to start an intervention

2022-03-14 10:58:49 UTC

I would choose no. 2, 5 & 3 because I think it is really important to be well prepared before talking to Ms Heart.

2 & 5

2022-03-14 10:59:46 UTC

I would also take Option 2 and 5. Evidence based knowledge is very important and making further decisions interdisziplinary desicions aswell.

2022-03-14 16:30:00 UTC

I will consult the physician, to clarify the diagnosis - glucose and HbA1c are high, but no medical diagnosis or medication can be found.
I will formulate smart goals before I go to visit Ms Heart.

Nr. 3 and 5

alinajansen1 — 2022-05-13 15:44:58 UTC

Without an medical diagnosis I am not allowed to consider the diabetes in the nutrition. That’s why I would ask the doctor about the diagnosis. Furthermore I would formulate the dietetic diagnosis before the consolation.

How to proceed:

2023-02-28 09:35:23 UTC

Iwould read all the medical information before i go to the client.
I did not choose number 4 as the goals should be set with the client.

I will look for further information in the medical chart before I will visit Ms Heart for a dietetic intervention

2023-02-28 09:36:01 UTC

We decided for option 2, prepare first and then visit Ms. Heart

We decide for 2

2023-02-28 09:36:50 UTC

In our opinion it makes sense to look for further medical information before visiting the patient.

Final Decission

2023-03-04 14:37:32 UTC

We chose 2 & 3
Number 2 - It is useful to first make an accurate picture of the patient's medical file in order to have a complete overview of her illness history.

Number 3 - it is important to first consult with the doctor so that you can work in an interdisciplinary team and have the information from all areas

Our final decision:

2023-03-04 14:38:08 UTC

I will look for further information in the medical chart before I will visit Ms Heart for a dietetic intervention:

Number 2 - It is useful to first make an accurate picture of the patient's medical file in order to have a complete overview of her illness history.

I will consult the physician, to clarify the diagnosis - glucose and HbA1c are high, but no medical diagnosis or medication can be found:
It is important to first consult with the doctor so that you can work in an interdisciplinary team and have the information from all areas

i would choose 2,3 and 4 for a good preparation

2023-03-10 12:30:55 UTC

i would take 2 and 5

2023-03-10 12:31:00 UTC

Interdisciplinary work is very important and i dont want to overestimate my competence

2 & 5

2023-03-10 12:31:06 UTC

I will look for further information in the medical chart before I will visit Ms Heart for a dietetic intervention & formulate dietetic diagnoses to be prepared for the consultation.

procedure:

2023-03-10 12:34:13 UTC

We would continue with 2. & 3., since we are still in the process of assesing all the information, formulating a dietetic diagnose is not yet necessary.

2,3,5

2023-03-10 12:37:10 UTC

It's important to be well informed about other diagnosis and the whole medical information in order to set prorities in my work and to inform the patient appropriate.

Nr. 2 & 3

2023-03-14 08:03:51 UTC

2. I will look for further information in the medical chart before I will visit Ms Heart for a dietetic intervention
-> it is always important to know as much as possible about the patient in order to use the time wisley and not to ask questions where the information is already written in the medical chart.

3.I will consult the physician, to clarify the diagnosis - glucose and HbA1c are high, but no medical diagnosis or medication can be found.
-> since I am not a doctor and certain parameters are high I need a diagnosis from a doctor so that I can work on the Urea acid, glucose, etc.

2., 3.

2023-03-14 08:03:57 UTC

Ad 2: First, I will have a look on her medical chart for proceeding.
Ad 3: Second, As I already have had a look on her status and the medical chart, physicians can be consulted in order to treat her HbA1c and blood sugar which are high at the moment.

2 & 5

2023-03-15 15:26:38 UTC

it is always important to be well prepared

3 & 4

schaubmayrkatharina — 2023-03-15 20:56:49 UTC

It's important to clarify if the patient has diabetes & also to formulate smart goals that Mrs. Heart can implement.

Final decision

2023-03-15 20:56:54 UTC

I will consult the physician, to clarify the diagnosis - glucose and HbA1c are high, but no medical diagnosis or medication can be found.

I will formulate smart goals before I go to visit Ms Heart.

2, 3

2023-03-16 15:02:16 UTC

i agree with options 2 & 3 - these should be my first steps to be sure about ms heart's diagnosis and to be well prepared before meeting with her

Nr. 2+3 & 5

2023-05-29 12:24:55 UTC

I would choose option 2, 3 and 5 because you have to be prepared before you visit the patient. These informations (from 2 and 3) are important to make a dietetic diagnosis and to know what dietetic measures you have to do. The dietetic dagnosis (Nr. 5) is important because you need a dietetic diagnosis to formulate SMART-goals together with Ms Heart.

2,3,5

2023-05-29 12:25:05 UTC

The best options to start with are 2,3,5 because we need more informations about the patient. They are nessessary to start an intervention. Also a clinical diagnosis is important for the workprocess. To formulate dietetic diagnosis can be helpful to begin the intervention.

2,3 Raab

2024-02-03 10:13:02 UTC

Ich würde zuerst mit dem Arzt reden bevor ich eine vielleicht falsche Diagnose stelle. Außerdem wäre es sinnvoll mir zuerst ausreichend Informationen zu suchen, um gut gerüstet für eine Beratung zu sein und nichts wichtiges zu übersehen. ich kann keine Diagnose stellen, bevor ich sie nicht kenne, da ich auch auf die Patientin eingehen muss.

ad Statement 5

2024-02-03 10:13:37 UTC

We would talk to the patient and doctor to get some information before we formulate the diagnose of the patient

2024-02-26 13:28:24 UTC

2 + 3

It is necessary to get a lots of information about the client before starting with the therapy.

Nr. 2 & Nr. 3

2024-03-04 19:52:55 UTC

I would choose Nr. 2 and Nr. 3 because I think it is very important to be informed before you visit your patient.

I chose 1 + 2

2024-03-06 17:20:15 UTC

> I will directly visit Ms Heart and consult her about dietetic interventions to prevent cardiovascular diseases.

+ I will look for further information in the medical chart before I will visit Ms Heart for a dietetic intervention

2 and 3

2024-03-07 08:51:59 UTC

Because before I visit the patient we would like to get all the relevant information from the doctor and also the Lab-results. There is no diagnosis for Diabetes despite Glucose being high.

3 & 4

2024-03-07 16:47:10 UTC

I think it is important to contact the physician first to clarify the diagnosis and find out if she has diabetes type 2, because of the hight Hba1c and glucose level

And next i will formulate smart goals before I go to visit Ms Heart.

What to do next:

2024-03-07 20:34:49 UTC

I would choose Nr. 2. & 3. in order to have all the necessary data assessed and then be able to prepare a dietetic diagnosis and a possible intervention. Nr. 2 is a clear yes for me, as I beliebe it's of a high importance to have all the possible useful information before going to a patient. Nr. 3 is also important, as if the patient would get diagnosed with Diabetes, the intervention would have to look slightly differently or better said, one would have to discuss the carbohydrates and GI in more depth aside from fats and sugar overall.

2 & 5

2024-03-10 09:10:21 UTC

More information is important, also to have a dietetic diagnosis before consulting the patient. So, you won't overlook something and you can focus on the main problems. Option 3 would also be important to find out what is about the high HbA1c, high blood glucose and diabetes

Best two Options:

2024-03-10 17:12:39 UTC

1) I will formulate dietetic diagnoses to be prepared for the consultation.

2) I will formulate smart goals before I go to visit Ms Heart.

2&3

2024-03-10 20:04:43 UTC

Before making any decisions I need all the necessary informations about the patient. So I would choose the options 2 and 3 as the first actions to do. Because if I want to formulate and prioritize dietetic problems I at first need to know what the health problems are. Therefore I need all the medical information. Afterwards I can talk to the patient and ask productive questions about her lifestyle.

best 2 options

2024-03-12 09:30:16 UTC

3 and 5

It is important to consult the physician to clarify the diagnosis, so that there is no misunderstanding and everything is clear.

It is also important to formulate the dietetic diagnosis and be well prepared for the consultation..

2

2024-03-12 13:33:46 UTC

For me its important to have enough informations to make sure I can answer all questions that could pop up during the visit.

2+5

2024-03-14 13:09:33 UTC

I would choose option 2 + 5 in combination, I think this would be the best decision. There would be the best outcome for Ms Heart.

Statement 2, 3 and 5

2024-03-14 14:20:01 UTC

I would choose this 3 options because you have to be prepared before you visit the patient. All informations are important to make a good diagnosis in the dietitian and it is important to know which dietetic measures you have to do. To formulate a SMART - goal it is important to become a dietic diagnosis in comparison with Ms. Heart.

2024-03-15 11:22:32 UTC

I will look for further information in the medical chart and ask her doctor for further informations before I will visit Ms Heart for a dietetic intervention

Team Decision

2025-05-28 14:42:17 UTC

We choose Option 2 und 5 based on the NCP.