TRANSITION STAGE WITH CDM, CFPP RESOURCES Transition New Pregnancy Practice Area WIC Community Acute Care Breastfeeding Start WIC Community Acute Care Milk to Solid WIC Clinical Before Surgery In-Patient Stay LTC New Admit In-Patient to Home Clinical Top 3 Concerns/ Focus Areas 1. High risk pregnancy 2. Food insecurity 3. Nutrient deficiencies 1. Education & support insecurity 2. Malnourished mom 3. Food insecurity 1. Food insecurity 2. Choking 3. Food aversions 1. Protein malnutrition 2. Hydration 3. Blood sugar control Clinical 1. Protein malnutrition 2. Nutrient deficiencies 3. Poor appetite Clinical 1. Texture modifications 2. Poor intake/appetite 3. Client preferences Community 1. Food insecurity 2. Food safety 3. Adequate intake New IDDSI or Change Clinical 1. Diet acceptance 2. Swallowing safety 3. Adequate intake Independent Eating to Eating Assist End of Life Clinical 1. Dignity 2. Adequate intake 3. Hydration between meals Clinical 1. Client choice 2. Comfort 3. Honor client and family wishes CDM, CFPP Math 350-500 additional calories daily Increased iron, calcium, folic acid 500 additional calories daily Monitor hydration & iron status after delivery MyPlate for portion size and food groups 1.0-1.2 grams protein/kg 28-30cc/kg water Varies per disease state Resources WIC EBT/Food Assistance RDN WIC Lactation Consultants EBT/Food Assistance Ellyn Satter Institute Choose MyPlate RDN RDN Varies per disease state IDT .8-1 gram/kg protein 28cc/kg water Calories appropriate for healing & healthy weight .8-1 gram/kg protein 28cc/kg water Calories appropriate for healing & healthy weight .8-1 gram/kg protein 28cc/kg water Calories appropriate for healing & healthy weight Comfort care under the direction of medical and hospice Meals on Wheels Community Nutrition Occupational Inhome Assessments IDDSI Speech Therapist Occupational Therapist Adaptive Eating Utensils Hospice NUTRITION & F OOD SER VICE EDGE | SEPTEMBER-OCTOBER 2024 9