Take a behind-the-scenes look into the world of DNA with real examples of our values in daily life. In this episode, clinical dietitians Carolyn Cochran and Nadiya Lakhani explain medical nutrition therapy: what it is, why it's essential for patients with CKD, and its role in comprehensive patient care.

What is Medical Nutrition Therapy?

Medical nutrition therapy is an evidence-based practice involving assessing a patient, evaluation of nutritional diagnostics, and intervention. Lakhani explains that patients are part of the solution in medical nutrition therapy, not the problem.

Cochran says that a session with a clinical dietitian starts before the appointment with a review of the patient's medical history. Then, the patient's goals are explored, along with their preferences, any GI issues, cultural and religious backgrounds, allergies, and so on. Medical nutrition therapy tells people not just what they can't eat but practices they can sustain and enjoy long-term. Cochran emphasizes that the practice is personalized and individual.

How Do Patients Meet With a Clinical dietitian?

A patient typically meets with a dietitian because of a primary care physician's referral, although they may request a referral if they've done their own research. Once a doctor submits the referral, the order is sent to the billing department before being processed for scheduling with a dietitian.

Lakhani explains that the process has been expanding, too. The American Kidney Health Initiative has helped expand services through telehealth, allowing access for those in remote or rural areas. Telehealth allows patients to be comfortable with their primary care doctor or family members in their own homes. It is a safe, accessible option for those who aren't able or comfortable to visit in-clinic.

Why Use Medical Nutrition Therapy?

In Cochran's opinion, the valuable part of medical nutrition therapy is that it involves and empowers the patient in their health. Medical nutrition therapy is research-based and proven to show that even one session can slow the progress of kidney disease.

All members of DNA do everything they can to slow the progression of kidney disease. That includes, Lakhani says, the physicians in direct care, employees in HR, billing, technology, and so on. Everyone is dedicated to the prevention and treatment of kidney failure. Cochran remarks how incredible it's been to see the practice of medical nutrition therapy evolve into a formal method of care rather than an accessory to healthcare.

DISCLAIMER

Dallas Nephrology Associates' (DNA) podcast series, Let's Talk About Kidneys, is provided for general information purposes only and does not replace the need to talk with a healthcare professional about your unique situation, care and options. Our goal is to provide you with as much information as possible so you can be as informed as possible. Reference to any specific product, service, entity or organization does not constitute an endorsement or recommendation by DNA.

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