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A Day in the Life of a Registered Dietitian Nutritionist






Curious what a day in the life of a Registered Dietitian with Envision Wellness looks like? Here’s  an overview of what an Envision Wellness dietitian does before, during, and after seeing a new patient for prevention nutrition counseling or medical nutrition therapy. Preventative nutrition counseling with a dietitian focuses on promoting overall health, preventing chronic diseases, and optimizing nutrition through general dietary guidance and lifestyle recommendations. In contrast, medical nutrition therapy (MNT) is a more specialized, evidence-based approach used to manage specific medical conditions (e.g., diabetes, heart disease) through personalized nutrition interventions and ongoing monitoring. 

 

  • Before a patient arrives for an initial evaluation your dietitian is reviewing the following: 

    • Prevention Nutrition Counseling- review the patient’s diagnoses, insurance type and benefits, labs, most recent chart notes and Cronometer app.

      Additional items reviewed for Medical Nutrition Therapy – review of the following to have a good understanding of the condition or disease we are providing medical nutrition therapy for: diagnostics or home readings (Ex: colonoscopy, CGM reports, home blood pressure reading), medications, specialist (Ex: cardiologist or nephrologist) consult notes. 


  • What to expect during your office visit 


    • Prevention Nutrition Counseling -Review Cronometer or food logs if they have them. Determine calorie and nutrient needs based on their age, gender, height, weight, BMI, activity level, health goals, and more. Assessment of various factors that influence eating and physical activity behaviors, including dietary intake, medical history, lifestyle habits, cooking ability, food access, cultural preferences, and psychosocial influences. Additional screeners may be used to evaluate nutritional quality of life, mindful eating behaviors, or the presence of disordered eating patterns. Use motivational interview techniques to determine what they would like help with, more education on, resources for, goal setting, etc.  Determine frequency of follow-up based upon your diagnosis. Interventions could include: personalized nutrition education, meal planning strategies, behavior change coaching, and goal setting. 

    • Additional Medical Nutrition Therapy- considerations for chronic conditions and how nutrition/exercise impacts them, treats their diagnosis or relieves the symptoms of it. Review of medication for possible drug nutrient interactions. Nutrient or food recommendations to meet therapy goals. Enteral nutrition calculations as needed. Specialized interventions such as therapeutic diets, symptom management, and monitoring of lab values.  


  • What your dietitian is doing after the initial evaluation: 

    • Charting what was discussed, material provided, nutrition recommendations, and creating/updating care plans based on the patient’s goals.  

    • Entering surveys or questionnaires completed during the office visit 

    • Completing nutrient assessment of paper food logs that will be reviewed at follow-up appointment 

    • Coordinating with the referring provider which could include medication recommendations, additional labs, and nutrition therapy goals 

    • Coordination with Envision Wellness nursing 

 

Our dietitians see patients for a wide variety of diagnoses and needs, and they provide individualized care for each patient. They are currently accepting new patients! To learn more about them and the services they provide, please visit EnvisionWell.org

 
 
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Northeast Family Health

1506 Crown Drive       

Kirksville, MO  63501

Phone:  (660) 627-4493

After Hours: 1-844-820-9111

Hours:

Monday: 8 a.m. - 12 p.m. & 1 p.m. - 5 p.m.

Tues/Wed/Thurs: 7:30 a.m. - 5:30 p.m.

Fri: 7:30 a.m. - 5 p.m.

Northeast Pediatrics 

402 W. Jefferson Suite A

Kirksville, MO  63501

Phone:  (660) 627-2229

After Hours: 1-833-745-2217

Hours: 8 a.m.-12 p.m. & 1 p.m.-5 p.m.

OB/GYN Specialty Group 

402 W. Jefferson Suite B

Kirksville, MO 63501

Phone: (660) 665-3555

After Hours: 660-785-1750

Hours: 8 a.m.-12 p.m. & 1 p.m.-5 p.m.

Edina Family Health

104 E. Jackson

Edina, MO  63537

Phone: (660) 397-3517

After Hours: 1-844-820-9111

Hours: 8 a.m.-12 p.m. & 1 p.m.-5 p.m.

Northeast Dental 

402 W. Jefferson Suite C

Kirksville, MO  63501

Phone:  (660) 665-2741

After Hours: 1-866-292-7780

Hours: 7:45 a.m.-11:45 p.m. & 12:45 p.m.-4:45

Macon Family Health & Macon Dental

209 N. Missouri

Macon, MO  63552

Phone:  (660) 395-5045

After Hours: Medical: 1-844-820-9111

After Hours Dental: 1-866-292-7780

Hours: 8 a.m.-12 p.m. & 1 p.m.-5 p.m.

Memphis Community Health Center

118 Grand Ave.

Memphis, MO  63555

Phone:  (660) 465-7522

After Hours: 1-844-820-9111

Hours: 8 a.m.-12 p.m. & 1 p.m.-5 p.m.

Kahoka Dental 

22291 US Highway 136

Kahoka, MO  63445

Phone: (660) 727-1500

After Hours: 1-866-292-7780

Hours: M, T, W, F 7:00 a.m. - 12:00 p.m.

1:00 p.m. - 4:00 p.m.

Thursday: 7:00 a.m. - 11:00 a.m.

Northeast Family Health - Milan 

52334 S. Business Highway 5

Milan, MO  63556

Phone: (660) 265-1042

After Hours: 1-844-820-9111

Hours:

Mon - Thurs: 7:30 a.m.- 12 p.m. & 1 p.m. - 5:30 p.m. 

Friday: 7 a.m. - 3 p.m.

Northeast Behavioral Health 

1410 Crown Drive

Kirksville, MO 63501

Phone: (660) 627-3621

After Hours: 1-800-356-5395

Hours: 8 a.m.-12 p.m. & 1 p.m.-5 p.m.

Envision Wellness

1506 Crown Drive

Kirksville, MO  63501

Phone: (660) 627-4493,  Ext. 412

Hours: 8 a.m.-12 p.m. & 1 p.m.-5 p.m.

Kirksville Veterans Clinic

506 Rosewood Drive

Kirksville, MO 63501

Phone: (660) 627-8387

After Hours: 1-800-349-8262

Hours: 8 a.m.-12 p.m. & 1 p.m.-5 p.m.

Business Office

1416 Crown Drive

Kirksville, MO  63501

Phone: (660) 627-5757, Ext. 6

Hours: 8 a.m.-12 p.m. & 1 p.m.-5 p.m.

Administrative Offices 

1416 Crown Drive

Kirksville, MO  63501

Phone:  (660) 627-5757 

Hours: 8 a.m.-12 p.m. & 1 p.m.-5 p.m.

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The health center receives HHS funding as has Federal Public Health Services (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

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