The McFarland Clinic Patient Education Department in Marshalltown, IA, is comprised of a dedicated team of educators and nurses who work with patients in medical nutrition therapy and nutrition counseling, diabetes management and education and anticoagulation management and education.
Medical Nutrition Therapy/Nutrition Counseling
The Patient Education Department has a licensed, registered dietitian on staff who provides quality nutrition therapy to persons with special needs due to specific medical conditions, as well as to those interested in eating well for general health. Medical Nutrition Therapy is available for specific medical conditions such as diabetes, heart disease, hypertension, digestive disorders, food allergies, hypoglycemia, cancer and kidney/liver disease. Additionally, the dietitian is available to assist with other eating and food-related concerns such as weight management, general nutrition and wellness for all ages including pediatrics, and vitamin/herbal supplement use. Nutrition counseling services are individualized to meet the needs of each patient. Group sessions are also available.
McFarland Clinic Weight Management Program
The Weight’s Over weight management program is a ten-week individualized program consisting of an initial assessment and planning appointment and nine, five-minute weekly follow-up consultations with the dietitian. A personalized healthy eating plan and realistic goals are developed and monitored during this ten-week period. An optional ten-week follow-up program is available for weigh-in sessions and assessment of progress.
iPro Continuous Glucose Monitor (CGM)
Another service provided by the Patient Education Department is the iPro Continuous Glucose Monitor, a tiny glucose sensor at the end of a small recorder that inserts easily under the skin. The patient wears this for three to five days, with the recorder capturing glucose levels continuously, 24 hours a day. Information is downloaded from the recorder, and readings from this sensor provide the patient’s primary care provider, diabetes nurse educator and dietitian with important information for improving the patient’s diabetes treatment.
The Patient Education Department has two diabetes educators on staff who work with diabetic patients on an individual and group basis, along with running a Diabetes Support Group. These educators work with patients to provide them with resources and education to help them control their diabetes. During their routine visits with patients, they address part of the American Association of Diabetic Educators 7-Self Care Behaviors:
- Healthy Eating
- Being Active
- Taking Medication
- Problem Solving
- Reducing Risks and
- Healthy Coping
The diabetes educators also work with the staff’s dietitian when their patients are using the iPro Continuous Glucose Monitor. They interpret the sensor’s data and offer suggestions to the patient’s primary care provider on improving glycemic management.
ProTime Clinic (Anticoagulation Management Service)
Under the supervision of the patient’s primary care provider, a ProTime nurse (anticoagulation nurse) meets one on one with patients who are currently taking Coumadin/Warfarin/Jantoven to assist them in the management of their medication. In order to do so, the ProTime nurses obtain a finger-stick blood sample, which is a fast and reliable method of checking the patient’s Prothrombin Time. The blood test result is available at the time of each appointment. Using physician-established protocols and information gathered at the time of each appointment, the ProTime nurse will adjust the patient’s anticoagulation medication, if necessary.
The ProTime nurses also provide ongoing education regarding factors that can affect this medication.