Page 13 - Today's Dietitian (March 2020)
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Funding for Food is Medicine pro-  medical providers. Most will require   unintended 40-lb weight loss before
          grams and services also varies. Many   verification of the client’s illness, nutri-  becoming an OAM client. Since receiv-
          are supported by individual donations,   tional status, and difficulty accessing   ing meals, she has maintained her
          foundations, grants, and health care   and/or preparing healthful foods. Some   weight and stopped progression of her
          partnerships.                     programs, including OAM, also pro-  malnutrition. Overall, 92% of OAM cli-
            In addition to medically tailored meals,   vide meals for their clients’ caregivers   ents report that receiving meals from
          many Food is Medicine organizations   and dependents. And after clients have   the organization helps them eat more
          provide services to engage their clients   received services for a certain length   healthfully, and 91% report that the
          and expand the impact of their mis-  of time, the organizations usually will   meals have made a difference in main-
          sions. Some of the services include ongo-  require them to undergo recertification   taining their health.
          ing nutrition classes, grocery deliveries,   to update their clients’ diagnoses, medi-  Several research studies have been
          and group meals for seniors. For example,   cal status, and nutritional needs.   conducted to support the benefits
          OAM offers monthly cooking classes and   It’s important to keep in mind that   of Food is Medicine organizations.
          provides written nutrition information   Food is Medicine organizations differ in   One study conducted in partnership
          in each client’s weekly meal delivery. The   terms of the types of illnesses they serve,   between MANNA, a Philadelphia-based
          organization also owns and operates five   the menus and services offered, and   Food is Medicine organization, and
          urban farms throughout the Twin Cities,   their application process. If clients have   a health insurance company in 2017,
          where produce is grown using organic   questions about their local Food is Medi-  found improved health outcomes after
          methods. The produce is then harvested   cine organization, they should contact   providing medically tailored meals and
          and used for client meals and a commu-  the organization directly to obtain accu-  nutrition counseling to chronically ill
          nity supported agriculture program. OAM   rate information.         members. A 26% reduction in inpatient
          also gives clients ingredient labels for   Dietitians should determine   admissions and 7% reduction in emer-
          every food item they receive plus nutrition   whether they have Food is Medicine   gency department visits was observed
          facts information upon request.   organizations in their area and keep   among individuals with Medicaid and
            Nutrition counseling is another   the programs on a list of resources for   Medicare coverage.  Similar results
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          essential service Food is Medicine   their clients who have cancer. In the   were found in research led by a San
          organizations offer. Most of their   future, Food is Medicine organizations   Francisco–area Food is Medicine orga-
          on-staff dietitians are available to meet   may become more widely available and   nization, Project Open Hand, in 2014.
          with clients by telephone or in person   a routine component of health care for   Home-delivered, medically tailored
          to discuss nutrition goals that help   cancer patients.             meals lead to a 63% reduction in hospi-
          them make the connection between                                    talizations, 50% increase in medication
          how the medically tailored meals they   The Impact                  adherence, and 58% decrease in client
          receive impact their health. The support   Food is Medicine organizations have   emergency department visits among
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          the RDs provide is intended to help   the potential to improve the health   patients with HIV and type 2 diabetes.
          clients overcome barriers and learn to   and quality of life of their clients. By   Although the findings of Food is
          make healthful choices on their own.   providing home-delivered, nutrient-  Medicine studies are promising, most
          OAM currently has three full-time   dense meals to cancer patients,   of the methods used have been observa-
          dietitians who work with clients. In   organizations intend to help reduce   tional. Thus, more research is needed to
          2019, approximately 35% of clients who   the risk of and prevent complications   confirm the benefits of these programs.
          received nutrition counseling from OAM   from malnutrition. According to the   There haven’t been any Food is Medicine
          dietitians had a cancer diagnosis.   European Journal of Oncology Nursing, a   studies specifically conducted on cancer
                                            reported 20% of cancer patients die from   patients. At present, most of the benefits
          Finding a Food is Medicine        malnutrition rather than their primary   of Food is Medicine programs for cancer
          Organization                      cancer diagnosis.  In 2019, approximately   patients are anecdotal. Nevertheless,
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          People can find Food is Medicine   22% of new clients with cancer who   these programs are a useful resource for
          organizations in 22 different states   were referred to OAM had a severe   dietitians to refer their cancer patients
          throughout the country. OAM, as   malnutrition diagnosis. The healthful   to, especially those who have difficulty
          well as various other programs, have   meals and nutrition education the   accessing and/or preparing healthful
          services available specific to cancer   program provides aim to help improve   meals on their own. n
          patients. Many of the organizations   health outcomes for these individuals.
          have shipping programs that enable   Many of these clients with cancer   Brianna Tobritzhofer, MS, RD, LD, is the
          them to deliver meals to clients who   that OAM serves report health bene-  senior manager of nutrition services for
          live outside of their core delivery areas.   fits after services begin. According to   Open Arms of Minnesota. She also provides
          Clients can visit www.fimcoalition.org/  OAM’s internal client survey, one indi-  freelance writing services through her
          partners for more information about   vidual diagnosed with lymphoma and   business, Bri Toby Nutrition Company.
          Food is Medicine organizations.   severe malnutrition in 2019 reported a
            Before clients are approved to receive   12-lb weight gain after only two months   For references, view this article on our
          services, typically Food is Medicine   of receiving meals from OAM. Another   website at www.TodaysDietitian.com.
          organizations will require referrals from   individual with colon cancer had an
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