Re: Performing nutrition training as part of home program

February 3, 2012

Performing nutrition education / counseling is outside of the scope of physical

therapy practice. As PTs we receive NO training in nutrition in our professional

education program. Hence, if the patient is injured by a PT's nutrition

training there is nothing to justify the intervention. Dietetics is its own

profession because it has a unique body of knowledge; a body of knowledge that

is not part of our PT profession.

I hear PTs justify performing nutrition training because good nutrition is

essential for optimal patient performance. This argument does not hold as it

also applies to pharmaceutical prescription and surgical intervention,

interventions clearly outside of the PT scope of practice. We cannot prescribe

Sinemet or remove intra-articular loose bodies, nor can we perform nutrition

education.

PTs justify providing nutrition training based upon the false assertion that

dietary advice is just " common sense " . Did the PT base the common sense advice

on appropriate laboratory tests? Were drug-diet interactions considered? Did the

therapist consider the patient's dietary goals, morphology, developmental

concerns, allergies, religious constraints, etc. in making those common sense

recommendations?

In my practice if I feel a patient has dietary / nutrition issues I make a

referral to a registered dietitian. I respect the dietitian's profession, their

unique body of knowledge, and their role in patient care.

Hansen, PT, PhD

Physical Therapist

Rehabilitation Institute of Kansas City

Kansas City, Missouri

>

> I am wondering if anyone does nutrition training as part of the home program

training. If so, do they use the assistance of a nutritionist or dietician??

If feel this is an important component of physical therapy and would like to do

more of it during the preparation of a complete home program

>

> Thanks

>

> Steve Marcum PT

> Outpatient Physical Therapy

> Lexington, KY

>

February 3, 2012

Performing nutrition education / counseling is outside of the scope of physical

therapy practice. As PTs we receive NO training in nutrition in our professional

education program. Hence, if the patient is injured by a PT's nutrition

training there is nothing to justify the intervention. Dietetics is its own

profession because it has a unique body of knowledge; a body of knowledge that

is not part of our PT profession.

I hear PTs justify performing nutrition training because good nutrition is

essential for optimal patient performance. This argument does not hold as it

also applies to pharmaceutical prescription and surgical intervention,

interventions clearly outside of the PT scope of practice. We cannot prescribe

Sinemet or remove intra-articular loose bodies, nor can we perform nutrition

education.

PTs justify providing nutrition training based upon the false assertion that

dietary advice is just " common sense " . Did the PT base the common sense advice

on appropriate laboratory tests? Were drug-diet interactions considered? Did the

therapist consider the patient's dietary goals, morphology, developmental

concerns, allergies, religious constraints, etc. in making those common sense

recommendations?

In my practice if I feel a patient has dietary / nutrition issues I make a

referral to a registered dietitian. I respect the dietitian's profession, their

unique body of knowledge, and their role in patient care.

Hansen, PT, PhD

Physical Therapist

Rehabilitation Institute of Kansas City

Kansas City, Missouri

>

> I am wondering if anyone does nutrition training as part of the home program

training. If so, do they use the assistance of a nutritionist or dietician??

If feel this is an important component of physical therapy and would like to do

more of it during the preparation of a complete home program

>

> Thanks

>

> Steve Marcum PT

> Outpatient Physical Therapy

> Lexington, KY

>

February 3, 2012

Performing nutrition education / counseling is outside of the scope of physical

therapy practice. As PTs we receive NO training in nutrition in our professional

education program. Hence, if the patient is injured by a PT's nutrition

training there is nothing to justify the intervention. Dietetics is its own

profession because it has a unique body of knowledge; a body of knowledge that

is not part of our PT profession.

I hear PTs justify performing nutrition training because good nutrition is

essential for optimal patient performance. This argument does not hold as it

also applies to pharmaceutical prescription and surgical intervention,

interventions clearly outside of the PT scope of practice. We cannot prescribe

Sinemet or remove intra-articular loose bodies, nor can we perform nutrition

education.

PTs justify providing nutrition training based upon the false assertion that

dietary advice is just " common sense " . Did the PT base the common sense advice

on appropriate laboratory tests? Were drug-diet interactions considered? Did the

therapist consider the patient's dietary goals, morphology, developmental

concerns, allergies, religious constraints, etc. in making those common sense

recommendations?

In my practice if I feel a patient has dietary / nutrition issues I make a

referral to a registered dietitian. I respect the dietitian's profession, their

unique body of knowledge, and their role in patient care.

Hansen, PT, PhD

Physical Therapist

Rehabilitation Institute of Kansas City

Kansas City, Missouri

>

> I am wondering if anyone does nutrition training as part of the home program

training. If so, do they use the assistance of a nutritionist or dietician??

If feel this is an important component of physical therapy and would like to do

more of it during the preparation of a complete home program

>

> Thanks

>

> Steve Marcum PT

> Outpatient Physical Therapy

> Lexington, KY

>

February 3, 2012

,

I wonder if physicians get nutrition education! We all know that physicians get

physical therapy education.

So since chiropractors have nutritional classes perhaps they are the experts!

We must not confuse recommended supplements with advising on sound eating

habits!

Mulvey

Ft. Myers Fl

Sent from my iPhone

> Performing nutrition education / counseling is outside of the scope of

physical therapy practice. As PTs we receive NO training in nutrition in our

professional education program. Hence, if the patient is injured by a PT's

nutrition training there is nothing to justify the intervention. Dietetics is

its own profession because it has a unique body of knowledge; a body of

knowledge that is not part of our PT profession.

>

> I hear PTs justify performing nutrition training because good nutrition is

essential for optimal patient performance. This argument does not hold as it

also applies to pharmaceutical prescription and surgical intervention,

interventions clearly outside of the PT scope of practice. We cannot prescribe

Sinemet or remove intra-articular loose bodies, nor can we perform nutrition

education.

>

> PTs justify providing nutrition training based upon the false assertion that

dietary advice is just " common sense " . Did the PT base the common sense advice

on appropriate laboratory tests? Were drug-diet interactions considered? Did the

therapist consider the patient's dietary goals, morphology, developmental

concerns, allergies, religious constraints, etc. in making those common sense

recommendations?

>

> In my practice if I feel a patient has dietary / nutrition issues I make a

referral to a registered dietitian. I respect the dietitian's profession, their

unique body of knowledge, and their role in patient care.

>

> Hansen, PT, PhD

> Physical Therapist

> Rehabilitation Institute of Kansas City

> Kansas City, Missouri

>

>>

>> I am wondering if anyone does nutrition training as part of the home program

training. If so, do they use the assistance of a nutritionist or dietician??

If feel this is an important component of physical therapy and would like to do

more of it during the preparation of a complete home program

>>

>> Thanks

>>

>> Steve Marcum PT

>> Outpatient Physical Therapy

>> Lexington, KY

>>

>

> ------------------------------------

>

> In ALL messages to PTManager you must identify yourself, your discipline and

your location or else your message will not be approved to send to the full

group.

>

> Physician Self Referal/Referral for Profit {POPTS} is a serious threat to our

professions. PTManager is not available to support POPTS-model practices. The

description of PTManager group includes the following:

> " PTManager believes in and supports Therapist-owned Therapy Practices ONLY "

> Messages relating to " how to set up a POPTS " will not be approved

>

> PTManager encourages participation in your professional association. Join

APTA, AOTA or ASHA and participate now!

>

> Follow Kovacek, PT on Facebook or Twitter.

> PTManager blog: http://ptmanager.posterous.com/

>

February 3, 2012

,

I wonder if physicians get nutrition education! We all know that physicians get

physical therapy education.

So since chiropractors have nutritional classes perhaps they are the experts!

We must not confuse recommended supplements with advising on sound eating

habits!

Mulvey

Ft. Myers Fl

Sent from my iPhone

> Performing nutrition education / counseling is outside of the scope of

physical therapy practice. As PTs we receive NO training in nutrition in our

professional education program. Hence, if the patient is injured by a PT's

nutrition training there is nothing to justify the intervention. Dietetics is

its own profession because it has a unique body of knowledge; a body of

knowledge that is not part of our PT profession.

>

> I hear PTs justify performing nutrition training because good nutrition is

essential for optimal patient performance. This argument does not hold as it

also applies to pharmaceutical prescription and surgical intervention,

interventions clearly outside of the PT scope of practice. We cannot prescribe

Sinemet or remove intra-articular loose bodies, nor can we perform nutrition

education.

>

> PTs justify providing nutrition training based upon the false assertion that

dietary advice is just " common sense " . Did the PT base the common sense advice

on appropriate laboratory tests? Were drug-diet interactions considered? Did the

therapist consider the patient's dietary goals, morphology, developmental

concerns, allergies, religious constraints, etc. in making those common sense

recommendations?

>

> In my practice if I feel a patient has dietary / nutrition issues I make a

referral to a registered dietitian. I respect the dietitian's profession, their

unique body of knowledge, and their role in patient care.

>

> Hansen, PT, PhD

> Physical Therapist

> Rehabilitation Institute of Kansas City

> Kansas City, Missouri

>

>>

>> I am wondering if anyone does nutrition training as part of the home program

training. If so, do they use the assistance of a nutritionist or dietician??

If feel this is an important component of physical therapy and would like to do

more of it during the preparation of a complete home program

>>

>> Thanks

>>

>> Steve Marcum PT

>> Outpatient Physical Therapy

>> Lexington, KY

>>

>

> ------------------------------------

>

> In ALL messages to PTManager you must identify yourself, your discipline and

your location or else your message will not be approved to send to the full

group.

>

> Physician Self Referal/Referral for Profit {POPTS} is a serious threat to our

professions. PTManager is not available to support POPTS-model practices. The

description of PTManager group includes the following:

> " PTManager believes in and supports Therapist-owned Therapy Practices ONLY "

> Messages relating to " how to set up a POPTS " will not be approved

>

> PTManager encourages participation in your professional association. Join

APTA, AOTA or ASHA and participate now!

>

> Follow Kovacek, PT on Facebook or Twitter.

> PTManager blog: http://ptmanager.posterous.com/

>

February 3, 2012

,

I wonder if physicians get nutrition education! We all know that physicians get

physical therapy education.

So since chiropractors have nutritional classes perhaps they are the experts!

We must not confuse recommended supplements with advising on sound eating

habits!

Mulvey

Ft. Myers Fl

Sent from my iPhone

> Performing nutrition education / counseling is outside of the scope of

physical therapy practice. As PTs we receive NO training in nutrition in our

professional education program. Hence, if the patient is injured by a PT's

nutrition training there is nothing to justify the intervention. Dietetics is

its own profession because it has a unique body of knowledge; a body of

knowledge that is not part of our PT profession.

>

> I hear PTs justify performing nutrition training because good nutrition is

essential for optimal patient performance. This argument does not hold as it

also applies to pharmaceutical prescription and surgical intervention,

interventions clearly outside of the PT scope of practice. We cannot prescribe

Sinemet or remove intra-articular loose bodies, nor can we perform nutrition

education.

>

> PTs justify providing nutrition training based upon the false assertion that

dietary advice is just " common sense " . Did the PT base the common sense advice

on appropriate laboratory tests? Were drug-diet interactions considered? Did the

therapist consider the patient's dietary goals, morphology, developmental

concerns, allergies, religious constraints, etc. in making those common sense

recommendations?

>

> In my practice if I feel a patient has dietary / nutrition issues I make a

referral to a registered dietitian. I respect the dietitian's profession, their

unique body of knowledge, and their role in patient care.

>

> Hansen, PT, PhD

> Physical Therapist

> Rehabilitation Institute of Kansas City

> Kansas City, Missouri

>

>>

>> I am wondering if anyone does nutrition training as part of the home program

training. If so, do they use the assistance of a nutritionist or dietician??

If feel this is an important component of physical therapy and would like to do

more of it during the preparation of a complete home program

>>

>> Thanks

>>

>> Steve Marcum PT

>> Outpatient Physical Therapy

>> Lexington, KY

>>

>

> ------------------------------------

>

> In ALL messages to PTManager you must identify yourself, your discipline and

your location or else your message will not be approved to send to the full

group.

>

> Physician Self Referal/Referral for Profit {POPTS} is a serious threat to our

professions. PTManager is not available to support POPTS-model practices. The

description of PTManager group includes the following:

> " PTManager believes in and supports Therapist-owned Therapy Practices ONLY "

> Messages relating to " how to set up a POPTS " will not be approved

>

> PTManager encourages participation in your professional association. Join

APTA, AOTA or ASHA and participate now!

>

> Follow Kovacek, PT on Facebook or Twitter.

> PTManager blog: http://ptmanager.posterous.com/

>

February 3, 2012

I recommend a consult with a dietitian for patients who I suspect have

nutrition concerns. Because a medical or chiropractic physician gives dietary

advice does not make it right for a physical therapist to give dietary advice --

it is not within our practice domain.

When I was at Northern Arizona University several of the PT students

surveyed therapists at CSM regarding nutrition knowledge. The results were

staggering, PTs did not know even basic nutrition. Few PTs could answer, " How

many calories would a person need to reduce each day to lose weight at a rate of

one pound per week? "

It was suggested we can advise our patients on sound eating habits. What

are sound eating habits? Was support for the sound eating habit gathered from

the American Dietetics Association (www.eatright.org) or the NIH. If PTs can

give nutrition advise, are we advocating that dietitians can advise their

patients on " sound exercise habits " as part of their practice domain?

Eating and physical activity are things we all do each day, but engaging in

these activities does not mean I have professional credentials in them. My

professional domain is physical therapy. I am not a dietitian.

(One must reduce intake by 500 calories per day to lose weight at a rate of one

pound per week. 3500 calories = one pound.)

Hansen, PT, PhD

Physical Therapist

Rehabilitation Institute of Kansas City

Kansas City, Missouri

> >>

> >> I am wondering if anyone does nutrition training as part of the home

program training. If so, do they use the assistance of a nutritionist or

dietician?? If feel this is an important component of physical therapy and

would like to do more of it during the preparation of a complete home program

> >>

> >> Thanks

> >>

> >> Steve Marcum PT

> >> Outpatient Physical Therapy

> >> Lexington, KY

> >>

> >

> > ------------------------------------

> >

> > In ALL messages to PTManager you must identify yourself, your discipline and

your location or else your message will not be approved to send to the full

group.

> >

> > Physician Self Referal/Referral for Profit {POPTS} is a serious threat to

our professions. PTManager is not available to support POPTS-model practices.

The description of PTManager group includes the following:

> > " PTManager believes in and supports Therapist-owned Therapy Practices ONLY "

> > Messages relating to " how to set up a POPTS " will not be approved

> >

> > PTManager encourages participation in your professional association. Join

APTA, AOTA or ASHA and participate now!

> >

> > Follow Kovacek, PT on Facebook or Twitter.

> > PTManager blog: http://ptmanager.posterous.com/

> >

February 3, 2012