PAGE 11
HIV NUTRITION UPDATE
VOLUME 8, ISSUE 4

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 Heartland CARES, Inc.
By Kelly Glynn, RD




Location: Paducah, KY; 270/444-8183

Year Program Started:  1998

Principal RD:  Lucia Vining, MS, RD, LD

Service Provisions: Monday- Friday   8:00 a.m. to 5:00 p.m.

E-mail:  lvining@heartlandcares.com

Patient Referral Source:  Various.

Number of Clients and Population Served: Ms. Vining notes, "We serve a total of approximately 300 adult clients from a 41-county area in rural western Kentucky and southern Illinois.  We do not currently serve any pediatric patients.  A total of 23% of our clients are African American, 2% are Hispanic, and the remainder are Caucasian/White."


 
 


 
 
 

 


Funding Source: Ryan White Title II/III, Housing Opportunities for Persons With AIDS (HOPWA), Special Projects of National Significance (SPNS), Community Health Outreach Workers (CHOW), and several small foundation grants.

Are all patients screened for nutritional risk? Yes. 

How often do you provide nutritional assessments and follow-ups? Ms. Vining notes, “Depending on the individual client’s needs, assessment/follow-up is provided at least every six months.  Clients who are at higher nutritional risk are seen more frequently”.

Other Provided Nutritional Services: BIA (Bioelectrical Impedance Analysis) and Congregate meals

Patient Education Materials: Lucia incorporates a variety of handouts, including those from the American Dietetic Association  (ADA)  and other professional organizations as well as those produced in-house.  She notes, “Our facility also has a lending library, and we recently purchased a wide variety of books that are now available for loan to clients.”

What was the most difficult issue you had to deal with when you started? Establishing trust with clients and the community.

Who is your best ally? The client is the best ally in individual care—unless he/she is internally motivated to make dietary and lifestyle changes, no changes will be made. Ms. Vining also works very closely with the physicians and case managers to encourage clients to live healthier lives.

What differences exist between your current clientele and that of the HIV-positive person in the early 1980s? Unlike the early 1980’s, wasting and weight loss are now not necessarily the primary nutritional concern for all HIV-positive people.

Do you participate regularly in HIV/AIDS networking groups? Yes. Our organization participates regularly in the Association of Nutrition Services Agencies (ANSA), the American Dietetic Association’s HIV/AIDS Dietetic Practice Group (DPG#29), the Kentucky State HIV/AIDS Advocacy Group, the Kentucky and Illinois Care Consortia, and the Kentucky HIV/AIDS Advisory Council.

Is someone involved in program operation also actively involved with your local HIV/AIDS Health Services Planning Council? Yes. Our Executive Director, Krista Wood.

What have you found to be most useful in helping to keep up with the current research on nutrition and HIV? Ms. Vining notes, “I have found that membership and participation in DPG #29 provides a great resource for current research and information.  I am also an active member of the electronic listserv for DPG #29 and find that the regular interaction between dietitians is very educational.
 
 


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


 
 
 
 
 
 
 
 

 


 
 

 
 
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2/1/2004