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                                                                                                                   ii @.
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                                                                                                            IL:e@vv
                                                        in  inut,e

                                       v o I    2      n o. 32                                                September        23,, 1970


                                                       AN OVERVIEW OF DIETETICS ACTIVITIES IN RMP@.

                                  was  a'6   interestin   hi   hlight   of   the   Conference   h'el                15,  16  and  17   to   help
                                                       9   9
                                  dietitians   in   leadership   positions    become    better    in                 RMP,      Sponsored      by
                                  the   L.   A.   District   of   the   California   Dietetic   Association   under   the   leadership   of   Jessie
                                  C.   Obert,   Ph.D.,,   R.D.,   Chairman   of    the    Commiitee    for    RM.P,    the    triple    meetings
                                  attracted   a   lively   group   of   participants   interested   in   exploeing   ways   in   which    dietitians
                                  can help the purpose of RMP.
                                                                                               p    i                                     Edulco
                                  Wiss Julia J. Kula, MPH.. RD.. Allied Health S ec alist with the Continuing                                  tion
                                  and Training Branch of DRMP noted that initial 'emphasis in RMP planning res
                                                                                                                                      ponded      to
                                  the training needs of physicians, later fo@ nurses,,             and, more gradually,, for the other
                                  allied   health   disciplines.   Miss   Kula    observed    that    projects    involving    dietitians    and
                                  nutritionists   are   now"@6"ining   more    visibility    in    RMP    thro'ugh,,activit;es    conducted    unaer
                                  planning   or   developmental   grants   and   funded   projects*   ,   In   each   of   the   programs    de-
                                  scribed below,, Miss Kula said, representatives of the RMP's;and the @:,di'ete-tic profes-
                                  sions,   working   together,   identified   not   only   what   needed   to   be   done   in   the   area   of
                                  nutrition,   but   also   showed   how   it   could   best    be    accomplished    within    the    framework
                                   f    RMP:
                                  California RMP - A training project on Comprenenstve Care of. Patients with Hyper-,
                                  tension is being carried out by Area I              San Frcinc@lsd6.'@ A multi-professional         staff
                                    '@ysician,    nurse,    ublic    health    nurse,,    nutritionist'     o@i@l worker,  biostatisti    cion,,
                                   p                       p
                                  and others) give weekly demonstration clinics with associated seminars in has itals.'
                                                                                                                                      p
                                                                       bei     held in fou                      d   a   east    two
                                  -Yeekly inpatientirounds are,            ng                r   hospitals    an'  t I            large multi-
                                      fessional workshops have been held,
                                  iro
                                  Albany RMP -  One project involves the use' of @              2-wo       :radi(                 in   43   has-
                                                                                                       y
                                  pitals   located in the 24 counties of the Region,               A     consult'                 memiDers     trom-
                                  the   State   Bureau   of   Nuteition,   dietiticms    involved    in,    Omini                 rqe hospitals.,
                                  clinical and therapeutic diet.6ti            an   instructor    of    nutrition                 f  nursing,  .
                                  representatives   from   the   School   @'Home    Economics    of    a    start                    from two
                                  diste, ct di et'eti c c*Soci ati 6ns) i sconducting programs,            pianni                 4   document-
                                  ing the  training needs for the       dietet'      ro
                                                                                i c p      fessions.
                                                                                                     (cont                     page




                                             Kansas,RMP          @@inq with representatives of the itati                              hospieti
                                             tions, as o@@,eloped"an' educational                                                            in thi
                                                                                           prog(ra                I
                                             portion  f the state w ere there is a      drasti
                                                                    h                                                                        n I
                                                 0                                                               c                    n      ec
                                             -few re istered    dietitians.    A    second     project                                itute  in
                                                                                                                                    a        -01
                                                                        th emphasis                                      I                   so @ci'
                                             therapeutic   nOtriti                      on
                                             aspects  of  foo             and modified                       s                               n

                                             North    Carolir              developed,                        e                               IE
                                             services,  a  bc             1 agement,of        a     es    r      Si CIO s a            medical
                                             booklet entitled "Diet and Kidney        Diseaie",    and    a    selection    of     stam;)-size
                                                      ,C,,Ior tb:i I Just
                                                                              @ecii       planning
                                      @@trations     in     0           rute                          @166   ti@    patients     having      [in
                                                     I      of   .@u@i  @cuity,
                                             ailit
                                              y or        ass   vi

                                                                                   t
                                                                                         'by@    h icia@s,:6u  es       dietitians    and    p        nal
                                             Oregon RMPK  A co@operative ven ure
                                                                                              p YS
                                             educators @ from loc"al'hos-pital@,        health"de'paitment"and         medical         societies off c du-
                                             cational program to extend nutrition services          to the  perip6ery 6@@ds of'the jarcie  com-
                                             mun                                                    ex                  -fo d,'
                                             ities.   Included are diabetic meal plans,@               change lists,       a -proporation-methods
                                                                              i       0       d     s
                                             fo fami I
                                             r,   y meals and commerc al, fo d pro uct
                                             Connecticut    RMP  ,  have developed and are contrib                                ration     a          ai
                                             Continuinq Care  Unit for convdles                        en8e                    lents      with
                                     -@:'illhess and disabilities  The Unit                           an int
                                             e e     On  is   an   important   en16
                                             th di titi
                                             the pati6ni@, 'unit r               b6i                                    selli                             s
                                             a   major   community                               c                 with@loc
                                             cilitidii "nursing ho                               u
                                             Intermountain RMP@,,.                                                re               b@ di eti tia
                                             once a month b roadr-as          60,                               t6er             t@i o@'i@ an @i II
                                             f ip     ck'etbo4'o:k  I       "'Fol    and                    on @in  I                            ti
                                             cooperative   ef
                                                            foits        ietit,cns experig                                                      c@'
                                                            l@l  land .              -  !                                             I
                                             @06d their  fa@iI       1 @tended @as a re      renipe  I n:t@
                                             Tei  State       RMP (NH.-    Mass,     and Rhode          @a                          et
                                                  for      Pe              cio-ec                                          ve      cce.

                                             arservices,

                                             A a d,ma       RMP
                                             I b                          se       0                 urs
                                             Physici@ans,n                                                                                   will   inc
                                                                                   are prer
                                             ti   i,in@f'o@   ati(                 6nf                                              ut       'a
                                                                                                                                             h
                                             re creati an et@;@










                                                v         @A'L        L PR06RAMS
                                        AREA   REGION         MEDICA

                                                 @@Ptembe@,, @Oc     r',,19
                                 t  24
                   Thu'rs@y

                                                C16tecion Ca
                   AREA                                    I Heart'
                                                                                          P.M.
                                                Cn"
                                                --m ittee
                   Frido
                   -Y
                   CCRMPI@                      @Organiz@ation-an'd@               a  I     12.@.
                                                Procedures                      i ort Marina Hotel@@'

                   Tii6sday'r
                   AREA V                       Area  V Advisory              7:3    9..OO  P.M.
                                                               mmitTee        RMP     Confe @c
                                                Conference Co'                            r@n 'e Rw

                   Th  @d6      CT. I

                   CCRM
                          p:
                                                Staff Consultants                 5 pom.@@Hili
                                                                                 F.@ -At rport
                              et
                   Feiday  0
                   AREA V                       @committee, Chairmen          11 30
                                                                              RMP             ce
                             0
                   Tues&@,   et,   o@

                                                @uncii
                   AREA-V@@@'@                         "@f,Fr@e Cli@i@@,
                                                                                            n@
                                                                               M      n  re
                                      7.
                                @,Oct.
                      d@nes  Yt

                   AREA@@V@,                              i ng                              nterence

                   AREA V                                  nning

                                                           tted




                                                                                       0
                   com                            EETINGS..                               N
                                                                                          ,0
                                     F,          ASILOMAR.,                          r   28




                                    The  Area  V  Ad  Hoc  Commi  ttee'  on   Al   I   ied         AREA     V     SOCIAL      WO'R
                                       @alth he     its   2nd   meeting    Sept.    2.
                                                                                                     n Ad   oc
                                       e       e  vi  al   r   le   in   nursing   and                                   Committee
                                                r   '     0
                                           0 @n    a c
                                          t
                                                d  t   omplement       her       chairman-   @@@@"@@'An@eles    Health     Probler
                                    ship    of    the    Health     Manpower     Committee         mencea,    in    response    to
                                                                 lih  la'    ngl      Mrs,         need for m
                                    of Comprehensive Hea             P  @ni                                      are info   6tiol
                                    Lola   Marshall   has   been   asked   to    chair             able medical and he@'a@ith'
                                    th          ittee     Po    Gri    dell,     Coor-             that assi tonce oe  fferec
                                      Is Comm                n       n.                                        s            0
                                    dinator,   Allied     Health     Professions,      Mar         fare    Piannin    Council    N
                                    tin Luther'King, jr., Hospital has also                        '.g,, to  @,,blis'h  a  revises
                                    been  invited  to  join   the   group   in   their             such   services,   for   distel
                                    deliberations.  Staffer Dorothy E.                             They urged, in connect on Wi I  th
                                    Anderson     @re.ports   that   the'plan    of    action       Demonstration of Healtl  Core far S
                                    beginning   to    emerge    centers    around    a             !or Citizens, a soeieifi(  tion that thi
                                    plan  for   an   inter-              I  counci   I             social   worker    be    bili@g    anci prete
                                                          professiona
                                    to   define    various    professional    needs    and         ably    a    Mexican     Ameti,    ail
                                                                       ra       r al-              knowi@4eable      about       E    an
                                             and to develop @rog  ms fo
                                                                                                   bilingual social workers with
                                    lied    health    personnel    and    technicians*
                                    Among     the     suggestions     bein      considered         experience be eligible for ap
                                                                       9
                                    is   that   of   a   computerized   registry    of             Finally,    they     recommend      suppc
                                    needs of health professionals, by loca-                        proposal    for the funding of a       fi
                                    tion,   both   for   the   present    and    projected         unit  of   graduate   students   from   I
                                    for   five   years;   seminars   in   which   phy-             School'of     Social     Work      Speci(
                                    sicians   and   allied   health    people    might             phases was' Placed on the' fieeg
                                    discuss   new    roles,    how    cui+ent    roles             ing opportunities for Mexican@
                                    can   be   extended,   -and    preparations    for
                                    change,    the    utilization     of     community
                                    health    people,    a    career    ladder    Can-             AREA     V      ADVISORY      G
                                    cept    of    health    consortium    n    coopera
                                                                                                                  d  fo
                                    tio'n   with    iunior    ano    senior@colleges',             has approve         r    submit
                                    univer'siti@s@and     the     community.      At-@             7   review   of    CCRMP    th4
                                    tending    the,.meeting     were     Be@ell     W.             mecii  Cal  :i@mu'   nohem
                                                          Mr    Ecigar.Rodrig                             chins,     @@m'.
                                    Ferguson, PDS,,                               uez,                         rroci
                                                                                                               ri   ze
                                    Robert                j@i,  Dvm'     Clyde      E.                    66t@       d   ECC-
                                        dc6h.-..AC-SW bnd Wm.         A       @Aarkey.                                    Use
                                                                                                   ceffai i
                                                                                                   @the  At
                                    @Ken'McClain,                       ctor  of   -LA
                                                                                                   ,@cdlled
                                    @Coun@    H                                 repre-
                                                                                                    05a
                                    sent@                               4      Cardiac
                                    @Cdordinciting                              lacing
                                  '@@L,6e Horovitz,    now on,
                                                                        IV     staffe



                                     New developments and   riorities on the                             STROKE               ACTIVITIES
                                                                     P-
                                                   y                                      9
                                     national   le   el    which    have    potential    si    nifi
                                                                                                         n Area Vill      (I rvi  ne)  1
                                                                    du     tion     &      training      1
                                     cance     for continuing e   co
                                                                                                         compared @ Au           27   at
                                                                        i    for    a
                                     @was the subject of discuss on                 n    Ad
                                                                                                         V Staff with     Dr.       Burt
                                     @'o'@c,,A- 'd'vi's'O'        on       -Continuing       Educa-
                                                    ry , Group                                                       '@Ll        p es, Nurs
                                     tion    convened,    in    Washi@qton    Sept..     11     -by      and    Mli.    la    t&    I
                                                                                                         nator.   of   the   Ar@   VI   I    Stroke             e
                                     @ecelia Conrat@l         Chief   ..@iinuing
                                     c  A   n & T@i@i@        B@pch,        RMP.         Dr     on-      Also     present     were     representati
                                       citio                                                                             @wh                          0
                                                                                                         hospitals in        i   ch   kr
                                     a  I  d  W. Peti t. A  rea   V   Coo'   rdi   nator.   'was   a
                                     membe     Ir  of  the  roup  whi   ch@   was   ch'ai   red   by     programs@@Dr.            Singel
                                                         9
                                                                                                         Gale                    n    lr
                                     ')r.    George    Miller    (Director    of     the     Center
                                                                                                             tal,                a     00
                                     for    Study    of    Medical    Education    U     of     III      pi                      nd J   n Mitch
                                                                                                         Comn                    ital of Son Gob                e
                                     Medical     Center.)     Other     members      were      Miss
                                                                                                         Area                    m invo ves tne u iii;
                                     Margaret    Arnstein,    (Dean    of    Yale     School     oi
                                                                                                         tion    of    trained     teams                    urse
                                     Nursing)     Anne     Pascasiot     Ph      (Dean,      School      and    physical,     therapist.
                                     of    Health    Related    Professions',    U    of     Pitts-
                                                                                                         tal.   An     indication     of
                                     burgh)    J.    Warren    Perry,"     PhD,     (Dean     Schoo
                                                                                                         to "sell" this concept is evident ft
                                     of    Health    Related    Professions,    U    of    NY    at
                                                                                                         Dr. Tesman s statement that. after
                                     Buffalo,)     Donald     H.      Williams,      MD,      (Dir-
                                                                                                         a yeor's operation, of the
                                     ector                                                in    the
                                               Div.      of      Continuing       Education              participating, only one         I  te(               n-
                                     Health     Sciences,     U      of      Beitish      Columbia,
                                                                                                         ing    as    originally     perceive4                t
                                     Canada)      Myron      E.      Wegman,,       MD       (Dean,
                                                                                                         ix almost ready to start.
                                     School of Public Health (U of Michigan) and                         's
                                                                                                         @also   planning   a   mobile   unit    wh
                                     Wm.     S.     Voun     MD     @(Dir6ct6r      of      Medical
                                                                                                         be staffed with multidisci          ii
                                     Education, Monmouth Medical Center,                                                                   p     ne
                                                                                                         nel who'@ wi I  I  treat  al  I  stroke  M
                                     Long Branch; New Jersey.)
                                                                                                           tients   in   certain    E
                                                                                                         PO
                                     II)r.    Petit    reoorts'that    Dr.     Harold     Margulies      week-for    90    days.    I
                                   -"(Acting    Director    of     RMP)     was     present for          that   this   treatment   r4
                                     most of;the day and                            for        disr      better'f6nction,        than
                                     cussion Vith the exp                           hot   from
                                                                                                         care,.  If  this  is   g)rov       fu    w
                                     this,m eti6q there m                           some   1    d@a
                                                                                                         sought    to     support,
                                                 'licies a d                        nui' 'ng'  edu@      VII
                                  --of the@r)o
                                                                                                            I  ci                                 h
                                     zation ne                     e                jec   Ii
                                                  cessaiy to m et, Ri                     t  ves.:@      6t@e  r  areas   in   the
                                     He-saw     RMP as an institutil                evi   ce    to,      coi I  a
                                     e     ct.  achan                system
                                       f fd            ge i6@t@                of      @r6      in@ erms!'@ all o@c
                                     of     itizati6n-of                         @ciccess,, etc,         pitqli
                                     for                                      iscussions          w      at 6                       nth
                                     cei                                          ion     t@
                                                                                                         morDic
                                     he
                                                                            I       latio'nshi           start  b                   Mc

                                                                                                         munity,,.vo
                                                                                                                     @'@lUnteer     qrou
                                     between the a                 r4      0
                                                                                    Intee
                                     R                        s'   tc@ h
                                       egi,on   i@a@tiviii                 as been
                                     Hand    will be reportea      in a later issu







                                                                                                       Area V Staff

                                                                                  Donald W. Petit, M.D.          Area Coordinator
                                                                                  William A. Markey, M.S.        Deputy Coordinator
                                                                                  Russell 0. Tyler, M.D.         Operations Division
                                                                                  Frank F. Aguil,era, M.P.A.     Community Programs
                                                                                  Dorothy  E.   Anderson,   M.P.H. Community Programs
                                                                                  Kay  D.  Fuller,  R.N.         Nursing
                                                                                  Leort C. Hauck, M.P.H.         Health Data             A
                                                                                  John S.  Lloyd,  Ph.D.         Evaluation
                                                                                  Elsie M. McGuff                Communications
                                                                                  Clyde E. Madden, A.C.S.W.      Social Work
                                                                                  Toni Moors, B.A.               Community Programs
                                                                                  Robert E. Randle, M.D.         Continuing Education
                                                                                  Vivien E.  Warr,  R.N.         Coronary Care Programs






                                                                                                Comltfte chaffmil


                                                                                  Area  Advisory   Group         Chester A. Rude
                                                                                  Cancer                         Lewis W. Guiss, M.D.
                                                                                  Chronic Disease                Russell D. Tyler, M.D.
                                                                                  Cardiac                        George C. Griffith, M.D.
                                cm                                                Continuing   Education         Phil R. Manning, M.D.
                #A              a".
                                  a         -NC
                                                                                  Hospital Administrators        Henry B. Dunlap, M.P.H.
                                cm                          D;                    Library Services               John M. Connor, M.A.
                C:
                                                                    r-.           Nursing                        Fotine O'Connor, R.N.
                                                                                  Str oke
                                Lo                                                                               Robert H. Pudenz, M.D.
                            CL                cm      - .0
                                              cm       40 C
                                              =,      i; :?                       Systems  &   Computers         Lee 0. @6dy, M.D.
                                cc
                                -IC
                                TC                                                Social Worker                  Bernice W. Harper, A.C.S.W.


                                C2