A Community-based, Interagency Approach by Dietitians to Provide Meals, Medical Nutrition Therapy, and Education to Clients with HIV/AIDS

Dietitians have the opportunity to be leaders in providing medical nutrition therapy and home-delivered meals for people with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in the community setting. Four community agencies developed the Visiting Nurse Service HIV/Home Del...

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Bibliographic Details
Published in:	Journal of the American Dietetic Association Vol. 95; no. 6; pp. 683 - 686
Main Authors:	TOPPING, CELIA M, HUMM, DOROTHY C, FISCHER, RUTH B, BRAYER, KATHLEEN M
Format:	Journal Article
Language:	English
Published:	New York, NY Elsevier Inc 01-06-1995 Elsevier Elsevier Science Publishers Elsevier Limited
Subjects:	Acquired immune deficiency syndrome Acquired Immunodeficiency Syndrome - diet therapy Adult AIDS AIDS patients AIDS/HIV Biological and medical sciences categorie professionnelle Community Health Nursing deficience immunologique deficiencia inmunologica dieta terapeutica Dietary Services - methods educacion education Evaluation Female Food and nutrition Food programs food service Food Services Food, Formulated Food, Fortified genero humano genre humain health herpetoviridae HIV HIV Infections - diet therapy HIV patients Home Care Services Home care services industry Human immunodeficiency virus Humans Immunodeficiencies Immunodeficiencies. Immunoglobulinopathies immunological deficiency Immunopathology Male mankind Medical sciences Middle Aged New York Nutrition Nutrition Disorders - prevention & control nutrition policies occupations ocupaciones politica nutricional politique nutritionnelle regime alimentaire therapeutique restauration collective salud sante servicios de alimentacion therapeutic diets Visiting nurses New York Infection Human Prevention Immunopathology Nutrient requirement Dietary allowance Energy requirement Treatment Nutrition Viral disease AIDS Immune deficiency
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Summary:	Dietitians have the opportunity to be leaders in providing medical nutrition therapy and home-delivered meals for people with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in the community setting. Four community agencies developed the Visiting Nurse Service HIV/Home Delivered Meals Program. Fifty clients with the diagnosis of HIV and/or AIDS were served for a 6-month period. The program provided convenient, energy-enhanced, nutritious meals. Participants received daily hot and cold, energy- and protein-enhanced home-delivered meals; weekly high-energy, high-protein, shelf-stable Snack Packs; a Medical Nutritional Supplement Sampler Pack; and two home visits from dietitians. Different diet options were available. Dietitians completed 47 initial nutrition assessment and food safety education visits 1 to 2 weeks after meal delivery began, and 35 participants received follow-up nutrition counseling visits 4 to 8 weeks later. Participant data (including weights) were self-reported. Dietitians reported that 13 of 35 participants gained weight (mean=6 lb), 11 of 35 remained the same weight, and 11 of 35 lost weight (mean=5 lb). Initially, 14 of 35 participants were considered to be “doing well”; this improved to 19 of 35 participants 1 to 2 months later. Snack Packs were effective means to help participants meet some of their increased nutrient needs. The Medical Nutritional Supplement Sampler Pack was effective in familiarizing each participant with available products. Medical nutrition therapy by registered dietitians helped most participants improve their food consumption. J Am Diet Assoc. 1995; 95:683-686.
Bibliography:	S30 S ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0002-8223 2212-2672 1878-3570 2212-2680
DOI:	10.1016/S0002-8223(95)00186-7