Page 50 - Fall2011
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nutritional shakes made of real food to replace Ensure and pharmaceuti-     It is time to include a naturopathic, holistic
               cally sponsored supplements.                                    physician or true nutritionist in a nursing home
                   Foods should be served in whole form, without their fats removed.  who understands healing modalities. Change
               Margarine and other synthetic trans fats should be categorically banned.  the type of care, forming a plan that focuses on
               Fresh foods should be highlighted, and purchased locally if the location  true healing. The role of an allopathic physician
               supports this option. Organic and pastured foods should be sought out as  should be to serve as a consultant to administer
               a first priority.                                               and decrease pharmaceuticals or recommend
                                                                               invasive procedures or supportive equipment
               THE NEW PARADIGM                                                such as oxygen.
                   Many Americans are searching for residential care offering these     The Centers for Disease Control say there
               healing modalities, and the numbers demanding such options are increas-  are three ways to address the burgeoning health
               ing. After publishing my last article in the Summer 2011 Wise Traditions,  care crisis: a rise in payroll taxes, a reduction
               “A Dietitian’s Experience in the Nursing Home,” I received close to one  of benefits, or a combination of the two. Why
               hundred calls and e-mails from people searching for a holistic-based  not change the benefits our system supports to
               residential care or nursing home.                               include only those that prevent disease and heal,
                   Unfortunately, the way our healthcare system currently reimburses  such as whole, unadulterated food, whole-food
               medical expenses makes it difficult to offer this type of nursing home, as  supplements, homeopathy and herbs? Reimburse
               its virtues are essentially unrecognized by Medicare and Medicaid, but  healing practitioners such as acupuncturists,
               if you choose to pursue this option, now there is a way. Consider the fol-  chiropractors, herbologists, true nutritionists,
               lowing suggestions to create the health support team you desire:  massage therapists, energy workers, physical
                                                                               therapists, speech therapists, occupational thera-
               •   Find a physician who is willing to recommend referral to an alternative  pists, consulting pharmacists, activity directors
                  practitioner who works in an adjunctive healing modality, and work  and chaplains.
                  toward decreasing medications if indicated.                     The facility or physician should assume
               •   Be willing and able to pay for alternative healing therapies and insist  the costs of pharmaceutical interventions. If
                  on them. You will need a naturopath, nutritionist, acupuncturist or  pharmaceutical interventions become necessary,
                  other healer to lead you in the process. Be aware that this avenue can  this indicates the abject failure of the physician
                  be costly.                                                   or facility to keep the resident healthy and well.
                •  Be patient. Real healing on a deep level takes time, but is the true goal.     The health care delivery paradigm I envision
                  The quick improvement of symptoms that we have become accustomed  rewards good health and encourages a facility or
                  to via pharmaceutical intervention is not true healing.      physician to decrease or eliminate reliance upon
                •  Most important, you must be able to incur the cost and time required  pharmaceuticals. The paradigm I envision heals
                  to purchase and prepare whole, real unprocessed food if the facility is  the healthcare system and the American people.
                  not willing to do this. You are within your legal rights to bring in food
                  and whole food supplements.
                                                                               Kim Rodriguez works as a registered dietitian/
                   The Nursing Home Reform Law mandates that all services be provided  nutritionist in private practice, specializing in
               to a resident when required by the resident’s comprehensive assessment and  nutrition for the elderly. She offers consultations
               care plan, regardless of the availability of Medicare or Medicaid payment  via phone/e-mail and can be reached at (803)
               for the service.                                                349-5588 or nutrition@bellsouth.net.

                                                     A HOLISTIC NURSING HOME?

                    Our author, Kim Rodriguez, RD, would like to assess interest in establishing a holistic-based nursing home in the
                United States, offering integrative medicine and a diet of whole foods. If the interest is high enough, she will then approach
                nursing home owners who otherwise may be forced to close based on recent sharp Medicare cuts. Such owners may be
                interested in shifting to private care with these priorities.
                    The fee for the nursing home care is expected to be around $2500 per month, not reimbursed by Medicare or Med-
                icaid. (Typical nursing homes charge Medicare $6500 per month.) Additional costs may include nutritional supplements
                or other healing modalities.
                    If you are interested in such a facility for a loved one, contact nutrition@bellsouth.net or (803) 349-5588.
               50                                         Wise Traditions                                    FALL 2011                   FALL 2011                                  Wise Traditions





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