Coordination of CareNutrition Interventions


Box 11.2 Overcoming Patient Objections to Mental Health Care (continued)


˚ Refuse to contine nutrition counseling unless the patient


seeks mental health care. “We have come to a point where continuing to meet will not move things forward. I have to insist that you have at least one meeting with a coun- selor before we set our next appointment. After that meet- ing, have your counselor call me. Then we will get back together and keep pressing on.”


• Manage your own feelings. Even if you insist, the patient may not see a counselor. You have made a referral and your patient must choose whether to pursue recovery. If you feel that you are abandoning your patient, speak with a support person about these completely normal feelings. Allow your- self to grieve that your patient is struggling. Expressing your feelings to a trusted colleague or adviser can help prevent this situation from adversely affecting your ability to make future referrals.


199


ADDITIONAL MEMBERS OF THE TREATMENT TEAM


Depending on a patient’s symptoms and needs, a variety of additional supportive professionals may be added over the course of treatment, either for evaluation and consulta- tion, or on an ongoing basis. Table 11.1 lists potential team members to whom you or other members of the treatment team may refer your patients. Generally, it is appropriate to consult with or inform other members of the treatment team before or after you refer a patient for additional care.


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