1. The Consumer has a change in condition or a new diagnosis such as fractures, pressure injuries, hypothyroidism, cancer, upper respiratory infections, hypertension, edema, vomiting, constipation or diarrhea etc.

2. The Consumer has lost or gained more than 5 pounds in one month.

3. The Consumer has lost or gained more than 7 pounds in three months.

4. The Consumer is refusing to eat 3 meals 3 meals in a row.

5. The Consumer consistently refuses to eat a particular food item such as –refusing to drink milk, refusing vegetables or fruits, refusing to drink water at mealtime.

6. The Consumer is having more trouble chewing or swallowing than usual.

7. The Consumer has an abnormal lab value that is nutritional pertinent. (RBC., Hgb., Hct. Total Protein, Albumin, K, Ca, Na, Cholesterol, HDL, LDL, Triglycerides, Hb A1 c, BUN, creat. alk phos.)

8. A consumer is hospitalized, moved to another facility, admission, discharges or has expired.

9. You have a question about the menu, or someone’s diet.

10. The doctor orders a dietary consultation.

To Contact the dietitian please:

1. Use e-mail or text. I check e-mail frequently and I will be able to response quickly. I prefer you e-mail.

2. If you do not have access to e-mail please call my office to report any of the above. Please always try my office before my cell.

3. If you need immediate assistance and I do not answer my office please call my cell.