Primary Care Nutrition 1st edition
The time is now for this Primary Care Nutrition 1st Edition : Writing the Nutrition Prescription. Had it been written at any time during the last 30 years, it would have been thought to be totally irrelevant and an unnecessary diversion from the serious work of primary care practitioners.
How could nutrition be important to a medical profession schooled in drugs and surgery for the prevention and treatment of disease?
Nutrition was an afterthought for most physicians that had nothing to do with medicine but was a supportive function delegated to dietitians. Dietitians functioned in limited ways in hospitals to help patients choose which menu items they would like to eat from the limited, cost-driven choices provided by most hospital kitchens. Some administrative dietitians came to control hospital kitchen budgets and were named directors of nutrition departments in majormedical centers.
Out in the world, dietitians struggled to develop private practices and were always driven by food industry–directed information that they were urged to deliver to patients.
Subspecialty divisions, including pulmonary and intensive care, nephrology, and endocrinology and metabolism, were established from what was formerly simply a division of metabolism. As this process proceeded to become more highly specialized, the utilization of expensive and targeted treatments recommended by specialists was the main focus of patient care.
The primary care physician conducted annual physical exams and analyzed routine laboratory values in an attempt to detect diseases at an early stage. Primary care doctors were called general practitioners to indicate that they really had the limited expertise of a generalist.
What is Primary Care Nutrition 1st edition for Kidney disease ?
Renal dialysis was begun to deal with the tragedy of young people dying of kidney failure due to autoimmune diseases and other rare conditions. With the advent of Medicare, dialysis expanded to include patients with type 2 diabetes, who now make up a significant portion of the hundreds of thousands of patients receiving this care in preparation for renal transplant or simply as a last resort. Cardiology has undergone a major expansion with the addition of interventional cardiologists who revascularize coronary arteries that would previously have required open-heart surgery, accompanied by cracking open the chest to reach the heart.
The advent of statins and drugs for hypertension gave patients the impression that they were protected from advanced disease solely through medication. Diet and exercise were largely not part of the medical model. Nonetheless, adherence to medications was poor. Often, this resulted from unacceptable side effects, such as muscle pain in patients taking statin drugs.
Primary Care Nutrition 1st edition book provides practical applications of proper nutrition practices in disease management, prevention, and treatment. Chapters cover the role of dietary supplements; approach the overweight/obese patient; food addiction, food allergy, and food intolerance; type two diabetes mellitus; managing diabetes without weight gain; nutrition and coronary artery disease; lipid disorders; fatty liver; heart failure; immune function; hypertension; cancer; neurodegenerative disorders and cognitive impairment; and personalized nutrition