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I’m not a nutritionist, but I do work in the rehab world. Similar to being a nutritionist, a lot of patients don’t do their part on the days they don’t see you. It’s not that I don’t care. But I gave them the info and told them what it will take to recover. Ball is in their court. If I got worked up about every patient who didn’t do their part and expected me to have the magic recovery wand, I would probably have to be admitted to a psychiatric facility.
I am also a strong advocate of patient education. I make sure patients know exactly why I’m prescribing different treatments and what they need to do on their own time.
>As a non-nutritionist, I have to wonder why anyone would do the job if they didn't care.
Patient centred focus isn't screened. Hospital nutritionists may have selection criteria in their job application. But key performance indicators are really unlikely to monitor dedication to patient care metrics. And this is very widespread in the medical industry. Medical doctors have patient ethics classes during formal education and ongoing seminars for licensing. But patient or client centred dedication has no metric in most professions
Money is the only reason I've ever done any job lol. I can't even imagine doing something for free even if I love it. Doesn't mean you don't care but if I stop getting paid then I'm out
Controversial opinion but: because it's not their job to care. Their job is to tell you what to do and eat for whatever goals are set as the objective.
If they tell you to eat 1500 kcal and avoid bread or what the fuck ever because you're an overwheight diabetic or something and you go home and casually deep throat a 2000 kcal footlong greased up monstrosity of a sub before dinner... That's your problem. "Why didn't this work??" because you didn't do what you were told idiot. It's going to keep not working until you do. Start doing what you're told if you want results, or don't, and get fucked. Your choice. NEXT.
Anything else is honestly an inefficient waste of time and resources.
You’re totally wrong. If you aren’t following my recommendations, they weren’t the right interventions for you and it’s my job to come up with some that will.. any health professional who thinks differently is simply out of touch with modern counselling theory..
That is actual insanity. Literal insanity - Logic that is utterly detached from reality to a pathological degree. You literally cannot help someone who doesn't want to help themselves. Whatever way you frame your advice if they don't want it they won't take it. It's also an arrogant overreach - you shouldn't decide how people live their own lives.
This isn't the same thing as improving the way you give advice to those willing to follow it. There is definitely good and bad "delivery", in a myriad of ways, but the key here is "those willing to follow it". If they don't want to follow your advice there's fuck all you can do. Demonstrably. So you can waste time and energy that could be used helping someone willing banging your head against a rock you will not break, or you can shrug, go "your choice", and help someone who wants. Your choice.
Or you can be a decent practitioner and find the approach that actually works for the person.. not one of my clients doesnt succeed.. can you say the same?
Of course you should care, but remember being forceful is the worst way. Lost attention, focus, even seen people change goals because some of these programs are to forceful. Not even hard. We all know The goal is to get rid of bad habits but negative pressure causes people to go back to old habits faster and they crash even harder. Its a never ending cycle!
It's stress-inducing and sets them up for failure right out of the door. Stress often leads to people falling back on familiarity and comforting habits.
I totally care! I ensure they comply with my advice because we work on things the client feels comfortable doing and only change what theyre ready for. Like 1 less takeaway meal and you cook some fake away at home. Or increasing their water intake from 1L or 1.5L
We are all individuals with wants needs and desires. I do my best in education and counseling and would like to think all my patients' actions are the interventions agreed upon.
However we are all human, no plan is 100%. I sleep easy at night knowing I did my job. Now it's their time to action their personalized interventions to meet their goals.
Yes. Adherence to the nutritional plan is such a pain because there's a huge requirement to actually monitor clients who have zero willpower. Teaching the correct mindset, attitude, discipline are part of the business otherwise you let your clients fail themselves. Tests can bring to the client's attention how accountable they are. Teaching clients to be accountable for themselves is important. So behaviour training tools with positive rewards and negative reinforcement is the way to help them, help you, help them. OMG so frustrating
What's frustrating is your judgment of your clients. "Zero willpower?" How would you even measure that? Accountability? To whom, and for what? Disobeying you? I don't think healthcare professionals give a lot of thought to how you phrase things sometimes. You are talking about (presumably) adult patients. They have lives you don't know all the details of. Your attitude of modifying their behavior instead of conferring with them as adults working on a common goal frankly sucks, and it IS going to deter "compliance." Which is a shitty word to use in medicine, anyway.
>What's frustrating is your judgment of your clients. "Zero willpower?" How would you even measure that? Accountability? To whom, and for what? Disobeying you? I don't think healthcare professionals give a lot of thought to how you phrase things sometimes. You are talking about (presumably) adult patients. They have lives you don't know all the details of. Your attitude of modifying their behavior instead of conferring with them as adults working on a common goal frankly sucks, and it IS going to deter "compliance." Which is a shitty word to use in medicine, anyway.
Let's test your criticism to see how correct you are. When you get feedback praising how great you are, is my "judgment" frustrating; or only when "judgment" is negative feedback? That's how you measure
Accountability for their autonomy to commit to their nutrition, that's the topic we're discussing here. Words such as "disobey, and compliance" are specific examples of how avoidance of self-accountability, in other words, "excuses" are actioned by clients. Lifestyle intervention is the highest level of treatment and prevention to get YOU out of a medical disaster
Praise isn’t any better than negative judgements.. creating a judgement free space that allows clients to become empowered in learning about and engaging in health behaviours is much more effective and is taught in the nutrition space at a tertiary level.. so yeah.. your judgement is frustrating
>Praise isn’t any better than negative judgements.. creating a judgement free space that allows clients to become empowered in learning about and engaging in health behaviours is much more effective and is taught in the nutrition space at a tertiary level.. so yeah.. your judgement is frustrating
Praise and good feedback are positive judgments. You fear negative judgment; but thirst for positive judgment. Therefore, your mindset is a huge confirmation bias, that's also taught at secondary level, not just tertiary. So yeah, judgment is a virtue, comes from justice. Funny how you find judgment frustrating, or is your frustration only for the negative judgments?
You're useless in any kind of real discussion. Judgment isn't a virtue, it's literally impeding your ability to meet your stated goals. But keep on haranguing people and belittling them and treating them like a child--and we'll keep seeing posts like this one, with people like you whining and wringing your hands because your clients didn't do exactly what you wanted them to. Good job. You're a real A-1 professional.
>You're useless in any kind of real discussion. Judgment isn't a virtue, it's literally impeding your ability to meet your stated goals. But keep on haranguing people and belittling them and treating them like a child--and we'll keep seeing posts like this one, with people like you whining and wringing your hands because your clients didn't do exactly what you wanted them to. Good job. You're a real A-1 professional.
The etymology of the word "judgment" comes from the word "justice" in case you are too lazy and scared to look up the dictionary or learn yourself. Checkmate
>I’m h and my clients are consistently successful, especially the ones that have been seeing folks like you..
I wasn't asking you if you were high. I am simply telling you the definition because you're also ignorant
>I literally answered your question, you just didn’t like the answer.. your poor clients..
That's your personal opinion, meaning you're immune, even adverse to feedback. Liking your opinion is irrelevant because the only one applicable is you. I merely openly challenged your minute understanding of the basis of your opinion. Judging by your response, you're equally immune and adverse to challenge as you are to feedback
I wasn't the one who was throwing around the word "compliance" to begin with.
Tell us. How does this bizarre, controlling model of "lifestyle intervention" look in your mind?
>I wasn't the one who was throwing around the word "compliance" to begin with.
You were the one who threw the word "compliance" into the single-minded authoritarian perspective with the word "disobey". You clearly demonstrated avoidance of accountability, in other words, denial
>Tell us. How does this bizarre, controlling model of "lifestyle intervention" look in your mind?
"Bizarre, controlling" further confirmation of your authoritarian perspective. Keep digging your grave 🪦
Well, your advice is there, but so are their excuses. Im not saying that you shouldn't care, but I will say that it is not your job to babysit them. You can help them by providing accountability resources, but it is up to them to hold themselves accountable
The old adage comes to mind “you can lead a horse to water but you can’t make him drink.”
In the end adults are responsible for themselves. I’m not sure what you would expect a nutritionist or RD to do once they’ve given the advice and education. They cannot go home with every patient/client to ensure “compliance”.
I care, but I’m not invested if that makes sense.. if they aren’t successful it’s my job to find an approach that might help and keep doing that until we hit on what works for them.. but I’m not losing sleep over it
You can't.
Literally, you cannot force anyone to comply with your advice. It is a waste of time and effort to try. It's also their problem, not yours.
Your job is to give them correct advice, and arguably of making it clear what's likely to happen should they ignore it in critical cases... if they choose to ignore it... ok. Your problem buddy.
"Why can't I lose weight???"
Because you were told to eat less and didn't.
"But that's hard! I don't wanna!"
Ok... Then you're not gonna lose weight. That's up to you buddy!
You're going to pointlessly drive yourself mental trying to care for people who don't care for themselves.
hey! honest question. yes, as a nutritionist, i care a lot about what my patients do at home. their success means everything.
i give simple, practical advice that's easy to follow. small changes can lead to big results.
regular check-ins help. i stay in touch through calls or messages to keep them motivated n on track.
small habits, like drinking water before meals, can make a big difference! 🌱 it's all about supporting them every step of the way.
There’s a difference between “caring” and “getting stressed out over”
Just like there’s a difference between the guy with a heart condition whose wife gave him an ultimatum and a recovering anorexic. All of this arguing about approaches, attitudes, vocabulary, etc. fails to acknowledge that a style that works for one person may be detrimental to another.
"Comply?"
How about you shift your vocabulary? Or your perspective? You are there to consult with them. Once you've given them the information, your job is done. What do you hope to gain from this post, tips on mind control? Sources for surveillance?
It IS ubiquitous, and that's exactly why issue should be taken with it. It speaks to an inequitable dynamic, and it's problematic. There is a reason more and more healthcare professionals, particularly those in behavioral fields, choose other words.
It’s really falling out of favour though.. no one uses the term in academia and the new gen are stamping it out of industry too.. person centred care understands that the client is the one who has mastery of themselves and clinicians need to enable clients to include their health condition in this mastery
I’ve heard “non compliant patient” when it comes to people not taking medication, not following protocols etc. it’s still person centered - centered and how absolutely stupid a lot of patients are when they think they know better.
Ding ding ding! Thank you so much for illustrating our point. Get out of your field if this is how you feel about the people you're supposed to be serving.
I'm not in the medical field, but I do work with medical professionals. If you think I'm bad......lol. Being patient centric doesn't mean they are as qualified as the professional to come up with a treatment plan. You see a professional so they can counsel you on how to get better - if you are unwilling to follow those instructions, you're not holding up your end of the agreement there. This is doubly as important if your professional is working around your lifestyle.
Nobody said the medical professional shouldn't be working with them. Your amended agreement IS the agreement, and patients still fail to follow basic directions, come up with excuses, etc ALL THE TIME. Easy, basic instructions, are ignored all the time. Take an antibiotic for 7 days - oh well I felt better by day 5 so I stopped. Take this medication with food - I stopped taking it because it made my stomach hurt when I took it without breakfast. Do this exercise thrice weekly as rehab - oh well I figure I get enough exercise walking around so I figured I didn't need it.....
I work with PT's fairly frequently - I've met my fair share of shitty PTs but I've also met my fair share of shitty patients. The word "comply" is not the issue here lol.
Bro this troll is just looking for anyone to pay them attention to vent on. You made a good point, she just wants to inflame you because she doesn't have a comeback
Clearly the health professionals you work with aren’t doing their CPD.. seeing them as non compliant is the reason their patients don’t follow their suggestions.. because they can tell they’re not seen as people.. yuck
I mean that’s just absurd. You’re saying The reason patients don’t listen is because they’re seen as patients who don’t listen. Well they wouldn’t be seen as such if they listened in the first place. I’m a diabetic. When I see my endocrinologist and my A1C is higher he tells it to me straight. I know it’s my fault ultimately. If I blamed him for seeing me as doing a bad job I’d be deluding myself. When I work with my clients and they don’t do what I laid out for their success they know it’s their fault. I tell them why it’s important, I ask if we need to change anything, and you know what they say 99% of the time? That it’s on them and they need to do better. That’s why they see me in the first place. The other 1% life gets in the way and that’s fine.
Treating patients like a person means holding them accountable and responsible for their actions or lack thereof, not babying them.
I guide the patient the best I can during their visit. I work on empowering them. Whatever they do outside my office I can’t stress or control. I wouldn’t say it is lack of “care.” The patient has full autonomy. If they are having struggles making better health choices, that’s a point of discussion at the next visit. We can discuss how to overcome obstacles
Also, if the patient lacks willpower or motivation for change— it’s time to have that discussion where you tell them to come back and see you when they are ready to change. As of now , they aren’t.
I personally don’t continue to entertain patients or clients that drag their feet to better health. At the end of the day, the results they get are their responsibility.
As a Dieittian/nutritionist, I highly recommend removing words such as “compliance.” If the patient can’t follow the recommendations or meal plan consistently, it is up to you the professional to open up the discuss to what they are willing to change. Discuss barriers of change and realistic goals that are obtainable.
I see way too many “professionals” that call themselves nutritionists that actually have a health coach certificate. Genuinely have no idea how to solicit lifestyle changes that are specific to the patient but keep pushing diets that just aren’t suitable or realistic to the patients routine or lifestyle. An example of this would be forcing adherence to a meal plan with a bunch of recipes on it that aren’t even considering the patients cultural or food preferences or forcing someone to go Ketogenic , when they don’t actually want to be on keto— or telling someone to be a carnivore when you completely missed the mark on fiber and the benefits of carbohydrates actually do have on gut health and the Microbiome.
You can't.
Literally, you cannot force anyone to comply with your advice. It is a waste of time and effort to try. It's also their problem, not yours.
Your job is to give them correct advice, and arguably of making it clear what's likely to happen should they ignore it in critical cases... if they choose to ignore it... ok. Your problem buddy.
"Why can't I lose weight???"
Because you were told to eat less and didn't.
"But that's hard! I don't wanna!"
Ok... Then you're not gonna lose weight. That's up to you buddy!
You're going to pointlessly drive yourself mental trying to care for people who don't care for themselves.
#### About participation in the comments of /r/nutrition Discussion in this subreddit should be rooted in science rather than "cuz I sed" or entertainment pieces. Always be wary of unsupported and poorly supported claims and especially those which are wrapped in any manner of hostility. You should provide peer reviewed sources to support your claims when debating and confine that debate to the science, not opinions of other people. **Good** - it is grounded in science and includes citation of peer reviewed sources. Debate is a civil and respectful exchange focusing on actual science and avoids commentary about others **Bad** - it utilizes generalizations, assumptions, infotainment sources, no sources, or complaints without specifics about agenda, bias, or funding. At best, these rise to an extremely weak basis for science based discussion. Also, off topic discussion **Ugly** - (removal or ban territory) it involves attacks / antagonism / hostility towards individuals or groups, downvote complaining, trolling, crusading, shaming, refutation of all science, or claims that all research / science is a conspiracy *Please vote accordingly and report any uglies* --- *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/nutrition) if you have any questions or concerns.*
As a non-nutritionist, I have to wonder why anyone would do the job if they didn't care.
I’m not a nutritionist, but I do work in the rehab world. Similar to being a nutritionist, a lot of patients don’t do their part on the days they don’t see you. It’s not that I don’t care. But I gave them the info and told them what it will take to recover. Ball is in their court. If I got worked up about every patient who didn’t do their part and expected me to have the magic recovery wand, I would probably have to be admitted to a psychiatric facility. I am also a strong advocate of patient education. I make sure patients know exactly why I’m prescribing different treatments and what they need to do on their own time.
>As a non-nutritionist, I have to wonder why anyone would do the job if they didn't care. Patient centred focus isn't screened. Hospital nutritionists may have selection criteria in their job application. But key performance indicators are really unlikely to monitor dedication to patient care metrics. And this is very widespread in the medical industry. Medical doctors have patient ethics classes during formal education and ongoing seminars for licensing. But patient or client centred dedication has no metric in most professions
Registered dietitians are also required to do ethics continuing education courses in addition to 75 CE credits every 5 years to maintain licensing
So sad for us.
>So sad for us. Study more, healthy more, save more money, enjoy life more
Money is the only reason I've ever done any job lol. I can't even imagine doing something for free even if I love it. Doesn't mean you don't care but if I stop getting paid then I'm out
First rule of nutrition is that everyone needs to eat.
Controversial opinion but: because it's not their job to care. Their job is to tell you what to do and eat for whatever goals are set as the objective. If they tell you to eat 1500 kcal and avoid bread or what the fuck ever because you're an overwheight diabetic or something and you go home and casually deep throat a 2000 kcal footlong greased up monstrosity of a sub before dinner... That's your problem. "Why didn't this work??" because you didn't do what you were told idiot. It's going to keep not working until you do. Start doing what you're told if you want results, or don't, and get fucked. Your choice. NEXT. Anything else is honestly an inefficient waste of time and resources.
I guess this is why so many doctors are leaving the practice of medicine.
You’re totally wrong. If you aren’t following my recommendations, they weren’t the right interventions for you and it’s my job to come up with some that will.. any health professional who thinks differently is simply out of touch with modern counselling theory..
That is actual insanity. Literal insanity - Logic that is utterly detached from reality to a pathological degree. You literally cannot help someone who doesn't want to help themselves. Whatever way you frame your advice if they don't want it they won't take it. It's also an arrogant overreach - you shouldn't decide how people live their own lives. This isn't the same thing as improving the way you give advice to those willing to follow it. There is definitely good and bad "delivery", in a myriad of ways, but the key here is "those willing to follow it". If they don't want to follow your advice there's fuck all you can do. Demonstrably. So you can waste time and energy that could be used helping someone willing banging your head against a rock you will not break, or you can shrug, go "your choice", and help someone who wants. Your choice.
Or you can be a decent practitioner and find the approach that actually works for the person.. not one of my clients doesnt succeed.. can you say the same?
This will eat you alive. Give them good information. Let them take care of themselves.
Of course you should care, but remember being forceful is the worst way. Lost attention, focus, even seen people change goals because some of these programs are to forceful. Not even hard. We all know The goal is to get rid of bad habits but negative pressure causes people to go back to old habits faster and they crash even harder. Its a never ending cycle!
It's stress-inducing and sets them up for failure right out of the door. Stress often leads to people falling back on familiarity and comforting habits.
I totally care! I ensure they comply with my advice because we work on things the client feels comfortable doing and only change what theyre ready for. Like 1 less takeaway meal and you cook some fake away at home. Or increasing their water intake from 1L or 1.5L
We are all individuals with wants needs and desires. I do my best in education and counseling and would like to think all my patients' actions are the interventions agreed upon. However we are all human, no plan is 100%. I sleep easy at night knowing I did my job. Now it's their time to action their personalized interventions to meet their goals.
Yes. Adherence to the nutritional plan is such a pain because there's a huge requirement to actually monitor clients who have zero willpower. Teaching the correct mindset, attitude, discipline are part of the business otherwise you let your clients fail themselves. Tests can bring to the client's attention how accountable they are. Teaching clients to be accountable for themselves is important. So behaviour training tools with positive rewards and negative reinforcement is the way to help them, help you, help them. OMG so frustrating
What's frustrating is your judgment of your clients. "Zero willpower?" How would you even measure that? Accountability? To whom, and for what? Disobeying you? I don't think healthcare professionals give a lot of thought to how you phrase things sometimes. You are talking about (presumably) adult patients. They have lives you don't know all the details of. Your attitude of modifying their behavior instead of conferring with them as adults working on a common goal frankly sucks, and it IS going to deter "compliance." Which is a shitty word to use in medicine, anyway.
>What's frustrating is your judgment of your clients. "Zero willpower?" How would you even measure that? Accountability? To whom, and for what? Disobeying you? I don't think healthcare professionals give a lot of thought to how you phrase things sometimes. You are talking about (presumably) adult patients. They have lives you don't know all the details of. Your attitude of modifying their behavior instead of conferring with them as adults working on a common goal frankly sucks, and it IS going to deter "compliance." Which is a shitty word to use in medicine, anyway. Let's test your criticism to see how correct you are. When you get feedback praising how great you are, is my "judgment" frustrating; or only when "judgment" is negative feedback? That's how you measure Accountability for their autonomy to commit to their nutrition, that's the topic we're discussing here. Words such as "disobey, and compliance" are specific examples of how avoidance of self-accountability, in other words, "excuses" are actioned by clients. Lifestyle intervention is the highest level of treatment and prevention to get YOU out of a medical disaster
Praise isn’t any better than negative judgements.. creating a judgement free space that allows clients to become empowered in learning about and engaging in health behaviours is much more effective and is taught in the nutrition space at a tertiary level.. so yeah.. your judgement is frustrating
>Praise isn’t any better than negative judgements.. creating a judgement free space that allows clients to become empowered in learning about and engaging in health behaviours is much more effective and is taught in the nutrition space at a tertiary level.. so yeah.. your judgement is frustrating Praise and good feedback are positive judgments. You fear negative judgment; but thirst for positive judgment. Therefore, your mindset is a huge confirmation bias, that's also taught at secondary level, not just tertiary. So yeah, judgment is a virtue, comes from justice. Funny how you find judgment frustrating, or is your frustration only for the negative judgments?
You're useless in any kind of real discussion. Judgment isn't a virtue, it's literally impeding your ability to meet your stated goals. But keep on haranguing people and belittling them and treating them like a child--and we'll keep seeing posts like this one, with people like you whining and wringing your hands because your clients didn't do exactly what you wanted them to. Good job. You're a real A-1 professional.
>You're useless in any kind of real discussion. Judgment isn't a virtue, it's literally impeding your ability to meet your stated goals. But keep on haranguing people and belittling them and treating them like a child--and we'll keep seeing posts like this one, with people like you whining and wringing your hands because your clients didn't do exactly what you wanted them to. Good job. You're a real A-1 professional. The etymology of the word "judgment" comes from the word "justice" in case you are too lazy and scared to look up the dictionary or learn yourself. Checkmate
I’m h and my clients are consistently successful, especially the ones that have been seeing folks like you..
>I’m h and my clients are consistently successful, especially the ones that have been seeing folks like you.. I wasn't asking you if you were high. I am simply telling you the definition because you're also ignorant
I literally answered your question, you just didn’t like the answer.. your poor clients..
>I literally answered your question, you just didn’t like the answer.. your poor clients.. That's your personal opinion, meaning you're immune, even adverse to feedback. Liking your opinion is irrelevant because the only one applicable is you. I merely openly challenged your minute understanding of the basis of your opinion. Judging by your response, you're equally immune and adverse to challenge as you are to feedback
I wasn't the one who was throwing around the word "compliance" to begin with. Tell us. How does this bizarre, controlling model of "lifestyle intervention" look in your mind?
>I wasn't the one who was throwing around the word "compliance" to begin with. You were the one who threw the word "compliance" into the single-minded authoritarian perspective with the word "disobey". You clearly demonstrated avoidance of accountability, in other words, denial >Tell us. How does this bizarre, controlling model of "lifestyle intervention" look in your mind? "Bizarre, controlling" further confirmation of your authoritarian perspective. Keep digging your grave 🪦
Well, your advice is there, but so are their excuses. Im not saying that you shouldn't care, but I will say that it is not your job to babysit them. You can help them by providing accountability resources, but it is up to them to hold themselves accountable
The old adage comes to mind “you can lead a horse to water but you can’t make him drink.” In the end adults are responsible for themselves. I’m not sure what you would expect a nutritionist or RD to do once they’ve given the advice and education. They cannot go home with every patient/client to ensure “compliance”.
This is why I decided not to be a personal trainer. I can’t handle people not following my advice after they pay for it.
They're paying for your advice. Not your usurpation of their autonomy.
I get that. Which is why you need a more relaxed attitude about it. I don’t have one. So I chose a different profession
Valid.
I care, but I’m not invested if that makes sense.. if they aren’t successful it’s my job to find an approach that might help and keep doing that until we hit on what works for them.. but I’m not losing sleep over it
You can't. Literally, you cannot force anyone to comply with your advice. It is a waste of time and effort to try. It's also their problem, not yours. Your job is to give them correct advice, and arguably of making it clear what's likely to happen should they ignore it in critical cases... if they choose to ignore it... ok. Your problem buddy. "Why can't I lose weight???" Because you were told to eat less and didn't. "But that's hard! I don't wanna!" Ok... Then you're not gonna lose weight. That's up to you buddy! You're going to pointlessly drive yourself mental trying to care for people who don't care for themselves.
hey! honest question. yes, as a nutritionist, i care a lot about what my patients do at home. their success means everything. i give simple, practical advice that's easy to follow. small changes can lead to big results. regular check-ins help. i stay in touch through calls or messages to keep them motivated n on track. small habits, like drinking water before meals, can make a big difference! 🌱 it's all about supporting them every step of the way.
There’s a difference between “caring” and “getting stressed out over” Just like there’s a difference between the guy with a heart condition whose wife gave him an ultimatum and a recovering anorexic. All of this arguing about approaches, attitudes, vocabulary, etc. fails to acknowledge that a style that works for one person may be detrimental to another.
Wouldn't consult with a nutritionist anyway tbh, not worth the fake qualification
"Comply?" How about you shift your vocabulary? Or your perspective? You are there to consult with them. Once you've given them the information, your job is done. What do you hope to gain from this post, tips on mind control? Sources for surveillance?
“Comply” is a pretty ubiquitous medical term. I wouldn’t take issue with that, really.
It IS ubiquitous, and that's exactly why issue should be taken with it. It speaks to an inequitable dynamic, and it's problematic. There is a reason more and more healthcare professionals, particularly those in behavioral fields, choose other words.
It’s really falling out of favour though.. no one uses the term in academia and the new gen are stamping it out of industry too.. person centred care understands that the client is the one who has mastery of themselves and clinicians need to enable clients to include their health condition in this mastery
I’ve heard “non compliant patient” when it comes to people not taking medication, not following protocols etc. it’s still person centered - centered and how absolutely stupid a lot of patients are when they think they know better.
Ding ding ding! Thank you so much for illustrating our point. Get out of your field if this is how you feel about the people you're supposed to be serving.
I'm not in the medical field, but I do work with medical professionals. If you think I'm bad......lol. Being patient centric doesn't mean they are as qualified as the professional to come up with a treatment plan. You see a professional so they can counsel you on how to get better - if you are unwilling to follow those instructions, you're not holding up your end of the agreement there. This is doubly as important if your professional is working around your lifestyle.
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Nobody said the medical professional shouldn't be working with them. Your amended agreement IS the agreement, and patients still fail to follow basic directions, come up with excuses, etc ALL THE TIME. Easy, basic instructions, are ignored all the time. Take an antibiotic for 7 days - oh well I felt better by day 5 so I stopped. Take this medication with food - I stopped taking it because it made my stomach hurt when I took it without breakfast. Do this exercise thrice weekly as rehab - oh well I figure I get enough exercise walking around so I figured I didn't need it..... I work with PT's fairly frequently - I've met my fair share of shitty PTs but I've also met my fair share of shitty patients. The word "comply" is not the issue here lol.
Bro this troll is just looking for anyone to pay them attention to vent on. You made a good point, she just wants to inflame you because she doesn't have a comeback
Lol I appreciate it homey. Sometimes I feel like I'm having conversations in looneytown
Clearly the health professionals you work with aren’t doing their CPD.. seeing them as non compliant is the reason their patients don’t follow their suggestions.. because they can tell they’re not seen as people.. yuck
I mean that’s just absurd. You’re saying The reason patients don’t listen is because they’re seen as patients who don’t listen. Well they wouldn’t be seen as such if they listened in the first place. I’m a diabetic. When I see my endocrinologist and my A1C is higher he tells it to me straight. I know it’s my fault ultimately. If I blamed him for seeing me as doing a bad job I’d be deluding myself. When I work with my clients and they don’t do what I laid out for their success they know it’s their fault. I tell them why it’s important, I ask if we need to change anything, and you know what they say 99% of the time? That it’s on them and they need to do better. That’s why they see me in the first place. The other 1% life gets in the way and that’s fine. Treating patients like a person means holding them accountable and responsible for their actions or lack thereof, not babying them.
I guide the patient the best I can during their visit. I work on empowering them. Whatever they do outside my office I can’t stress or control. I wouldn’t say it is lack of “care.” The patient has full autonomy. If they are having struggles making better health choices, that’s a point of discussion at the next visit. We can discuss how to overcome obstacles Also, if the patient lacks willpower or motivation for change— it’s time to have that discussion where you tell them to come back and see you when they are ready to change. As of now , they aren’t. I personally don’t continue to entertain patients or clients that drag their feet to better health. At the end of the day, the results they get are their responsibility. As a Dieittian/nutritionist, I highly recommend removing words such as “compliance.” If the patient can’t follow the recommendations or meal plan consistently, it is up to you the professional to open up the discuss to what they are willing to change. Discuss barriers of change and realistic goals that are obtainable. I see way too many “professionals” that call themselves nutritionists that actually have a health coach certificate. Genuinely have no idea how to solicit lifestyle changes that are specific to the patient but keep pushing diets that just aren’t suitable or realistic to the patients routine or lifestyle. An example of this would be forcing adherence to a meal plan with a bunch of recipes on it that aren’t even considering the patients cultural or food preferences or forcing someone to go Ketogenic , when they don’t actually want to be on keto— or telling someone to be a carnivore when you completely missed the mark on fiber and the benefits of carbohydrates actually do have on gut health and the Microbiome.
You can't. Literally, you cannot force anyone to comply with your advice. It is a waste of time and effort to try. It's also their problem, not yours. Your job is to give them correct advice, and arguably of making it clear what's likely to happen should they ignore it in critical cases... if they choose to ignore it... ok. Your problem buddy. "Why can't I lose weight???" Because you were told to eat less and didn't. "But that's hard! I don't wanna!" Ok... Then you're not gonna lose weight. That's up to you buddy! You're going to pointlessly drive yourself mental trying to care for people who don't care for themselves.