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NUTRITION COUNSELOR VR: TRAINING PROGRAM FOR HEALTH PRACTITIONERS

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NUTRITION COUNSELOR VR

Using the virtual reality environment, learners build strategies for talking to
a patient and preparing them to follow a guided program of diet and behavior.
This helps to prepare dieticians, interns, and others doing nutrition counseling
for the reality of interacting with patients who are in physical and emotional
distress.

Comming soon on Meta
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Students will gain exposure to a life-like scenario as a registered dietitian
nutritionist (RDN) in which nutrition care is being provided.



Students will gain different experiences depending on the selections that each
student makes throughout the storyline decision tree.


PATIENT CARE SCENARIOS

DOLORES

Barriers to blood glucose management

Dolores has diabetes and has been engaged in nutrition counseling with you for
the past 4 months. She has recently experienced pain associated with blood
glucose monitoring and is feeling defeated. She needs help overcoming this
barrier.

Dolores' EMR

CRAIG

Unintended weight loss consultation

Craig was admitted to the hospital with diagnoses of Crohn’s Disease with a
fistula. You are being asked to consult on the patient for unintended weight
loss. Speak with your patient to gather information that will assist with his
care plan.

Craig's EMR

SAMUEL

Discussing the NG tube

Samuel is feeling ill and being evaluated for dysphagia. His nutrition diagnoses
are inadequate oral intake and unintended weight loss. The next proposed step in
the care plan is to provide nutrition through a nasogastric tube.

Samuel's EMR

JHEM

CVD and obesity outpatient

Jhem has been diagnosed with cardiovascular disease (CVD), obesity, and
high-blood pressure (HTN). She has been referred to you for outpatient medical
nutrition therapy. Jhem has been seeing you for the past 5 weeks and has missed
her last two appointments with you. She is currently 15-minutes late to the
current appointment.

Jhem's EMR

Produced in collaboration with Rutgers University as part of research supported
by the National Institute of Food and Agriculture, U.S. Department of
Agriculture (USDA) under award number 2021-70003-35433.

© 2024 New Mexico State University Board of Regents. All rights reserved. NMSU
is an equal opportunity/affirmative action employer and educator.



ELECTRONIC MEDICAL RECORD:DOLORES

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Patient Name: Dolores DOB: 1950 Age: 74 Sex: Female Gender Identification:
Female Ethnicity: Hispanic Race: Hispanic Religious affiliation: Catholic

Education: High school diploma Occupation: Retired Residence: Home Household
members: 5; daughter, son-in-law, and three grandchildren Marriage status:
Widowed Relatives/Next of Kin: Four adult children (2 sons and 2 daughters)

PATIENT INFORMATION

Referring physician: Dr. Pan Creas (endocrinologist) Chief Dx: T2DM diagnosis 8
months ago. Treatments include metformin (Glucophage), BG monitoring regimen,
and nutrition care services. Other Dx: HTN Medications: metformin (Glucophage),
insulin aspart (NovoLOG), metoprolol (Lopressor) PMH: Currently weighs 176 lbs.;
weighed 198 four months ago Smoker: Non-smoker Tx plan: Manage BG with
medication and diet as evidenced by HgbA1c and FBG WNL and reduced body weight.
Nutrition counseling services.
Medication management.

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ELECTRONIC MEDICAL RECORD:CRAIG

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Patient Name: Craig DOB: 1966 Age: 58 Sex: Male Gender Identification: Male
Ethnicity: Non-Hispanic Race: White / Caucasian Religious affiliation: N/A

Education: Bachelor's Degree Occupation: Retired Residence: Assisted Living
Facility Household members: None Marriage status: Widowed Relatives/Next of Kin:
Two adult children (son and daughter) live out-of-state

PATIENT INFORMATION

Referring physician: Dr. Duo Denum (gastroenterologist) Chief Complaint: “I’ve
had bowel issues for years, but was told a couple years ago that it was IBD. The
pain has gotten real bad in the past couple of months. I have sharp pains in my
abdomen and terrible bloody diarrhea.” Onset of condition: Crohn’s disease
diagnosis 38 months ago. Lacerations observed in duodenum and jejunum.
Treatments include adalimumab (Humira), mesalamine (Delzicol), and intermittent
corticosteroids. PMH: Currently weight 163 lbs.; weighed 194 six months ago
Smoker: Quit smoking 12 years ago) General appearance: Thin, pale white male
Vitals: Temp 100.6*F, BP 127/84 mm Hg, HR 92 bpm, RR 22 bpm Neurological:
Oriented X 4 HEENT: all WNL Extremities: No edema, normal sensations, normal
strength Skin: Warm, dry Abdomen: Slightly distended, extreme tenderness with
guarding Hospital course: CT scan of abdomen ordered. Tx plan: R/O acute
exacerbation of Crohn’s disease vs. infection vs. small bowel obstruction
BMP/CBC Endoscopic ultrasound Surgical consult Nutrition support consult

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ELECTRONIC MEDICAL RECORD:SAMUEL

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Patient Name: Samuel DOB: 1978 Age: 46 Sex: Male Gender Identification: Male
Ethnicity: Non-Hispanic Race: Black Religious affiliation: N/A

Education: Bachelor's degree Occupation: Retired Residence: Home Household
members: None Marriage status: Single Relatives/Next of Kin: Mother and two
siblings live in a neighboring city.

PATIENT HISTORY

Referring physician: Dr. Feed Noorish Chief complaint: Difficulty swallowing,
throat irritation, nausea, loss of appetite Onset of condition: PMH: Currently
weight 173 lbs.; weighed 197 lbs. Smoker: Non-smoker General appearance: Think
black male Vitals: Temp 99.6° F, BP 119/78 HG, HR 88 bpm, RR 20bpm Neurological:
Oriented X 4 HEENT: all WNL Extremities: No edema, normal sensations, normal
strength Skin: Warm, dry Abdomen: No distension Hospital course: Screen ofor
malnutrition, SLP referral Tx plan: R/O dysphagia NGT placement Nutrition
support consult

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ELECTRONIC MEDICAL RECORD:JHEM

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Patient Name: Jhem DOB: 1992 Age: 32 Sex: Female Gender Identification: Female
Ethnicity: N/A Race: N/A Religious affiliation: N/A

Education: Associates degree Occupation: Retail Store Manager Residence: Home
Household members: One child Marriage status: Single Relatives/Next of Kin:
Mother and brother live next door

PATIENT HISTORY

Referring physician: Dr. Ribo Flavin Chief complaint: SOB, chronic fatigue,
overweight Onset of condition: Progression of CVD over past 1-2 years PMH:
Weight of 190-200 lbs. x 5 years Smoker: Non-smoker Current Weight: 198 lbs Dx:
CVD, HTN, obesity, GERD, sleep apnea Rx: Metoprolol, Omeprazole, Rosuvastatin
Referral note: Pt. started on Metoprolol for HTN; Rosuvastatin for
dyslipidemia/hypercholesterolemia; Omeprazole for GERD; and CPAP for sleep
apnea. Pt. is obese. Recent lab values indicated pre-diabetes. Referral for
nutrition care with nutrition counseling intervention. Dietary and lifestyle
interventions needed to promote weight management and overall health.

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