Keeping our residents healthy in every aspect is a priority for Virginia Health Services. As we celebrate National Nutrition Month and recognize National Registered Dietitian Day, it’s important to understand nutrition is a critical component of health and wellness of all residents in the long-term care setting.
“Nutrition affects every part of the body and all of its functions,” says VHS Director of Dining and Nutrition Christina Lewis. “For residents with chronic health conditions, nutrition plays a vital role in the treatment of those conditions and the prevention of further complications.
“For residents recovering from illnesses, injuries or surgeries, good nutrition can help them regain their strength and stamina more quickly.”
VHS has a team of Registered Dietitian (RDs) who assess our residents and work with the nursing staff and dietary team (who are celebrated during Healthcare Food Service Workers Week in October) to administer medical nutrition therapy for residents, assist food and nutrition service directors with special diets and menus, and conduct regular sanitation audits.
Our team, led by Christina, include three contracted RDs and full-time team member Pamela “Ela” Bowen, who works with residents at The Hamilton Assisted Living, and York and Lancashire Nursing and Rehabilitation Centers.
From VHS intern to Registered Dietician
In her role, Ela works closely with York/Hamilton dining director Nicole Freeman. She is familiar with Nicole, who served as Ela’s preceptor during her internship en route to becoming a RD with VHS.
“She always made sure whatever we had to accomplish, there was a way to accomplish it. I always felt supported. She guided and worked with me to get done what I needed to get done. It gave me a lot of peace to know someone was in my corner,” Ela says of working with Nicole.
Ela was a dietetic tech with VHS, which led to finding preceptors within the organization to help her complete internship hours to graduate the program at Virginia Tech and prepare her for the certification exam. She graduated in May 2023 and started full-time with our team.
“I’m appreciative of the opportunity Virginia Health Services gave me to be an intern, prior as a tech, and now as an RDN,” Ela says. “It’s nice being able to step back into a familiar position coming right out of passing my exam.”
She was given a good foundation with VHS and feels like she learns something new every day.
Keeping tabs
While assisted living communities need bi-annual reports on special diets and weight loss/gain, nursing home regulations are more frequent.
Ela’s main responsibilities are charting on new resident admissions, marking significant changes for weight losses monthly, preparing quarterly reports, seeing residents about potential special needs or dietitian consults at nurse practioners’ requests. There are regular resident assessments of food intake, diet, weight management, changes in skin integrity, monitoring of supplements, and swallowing or chewing problems.
She has weekly meetings with the York nursing staff to keep proactive monitoring of residents’ nutritional needs.
“We’re really working as a team to try to proactively make sure we’re on top of residents not losing weight, which can add to other issues, such as skin integrity,” Ela says. “I’m excited to be part of the team to make sure residents have the best care they can.”
Good nutrition key
Not enough protein or lack of certain nutrition can affect skin integrity and lead to wounds, Ela says.
“Our role is to provide preferences, fortified foods and supplements to increase residents’ protein intake.”
That also includes menu planning, which Christina oversees.
“As many residents make their home with us, it is also important to consider their food preferences along with their nutritional needs. Providing meals that are tasty as well as nutritious is what we strive for every day,” Christina says.
Ela says she was drawn to a profession in nutrition when her granddad had cancer.
“I wondered if having certain nutrition or a specific diet would help prevent certain diseases. It’s what triggered wanting to be a dietitian,” she says.
Ela says meeting residents is her favorite part of the job. She has a good teacher in Nicole.
“One of the reasons I wanted to be here is that she really knows her residents. And that takes time to acquire. That’s been really helpful,” Ela says. “Because she was a really good preceptor, I wanted to work hand-in-hand with her as I was learning to be the best dietitian I could be.”
Join our team
We have career pathways in our dietary department across the organization. Search our listings and apply at vahs.com/careers.
