Full Time and Interim Nutrition Consultants
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Nutritional Services

Efficient and highly educated Registered Dietitians who focus on continuous quality improvement and program development.

Food Safety Solutions

Innovative ideas that are individualized to each facilities program goals to enhance the overall dining experience.

Regulatory Compliance

An invaluable resource of nutrition consultants that follow the trends in healthcare and changes in regulatory requirements.

Claxton Dietetic Solutions Articles

Nutrition App Spotlight
We have all heard the saying, “There’s an app for that,” signifying that nowadays there is a digitally based application to help you with just about any task. But, in reality we now have about 100 apps to help with any need we can think of. This is true for the nutrition world as well. A plethora of apps are available to help you and your clients achieve their health and wellness goals. So how do we know which apps are worth downloading or buying? To help with your search, I have highlighted 3 top rated health and wellness apps below! Noom: Noom is an app focused on building healthy lifestyle. Creating healthy habits leading to an overall healthier body. The app's free tier provides users with the ability to log food and exercise use and even has an in-app pedometer. Noom steps it up though with customized premium plans that provide daily goals and personalized coaching to help you achieve your fitness goals. This version does cost money, but seems to provide an incredible value for the money invested. My Fitness Pal: Created in 2005, MyFitnessPal is a powerhouse of an app with a large food database that allows users to track calories the calories and macros of the foods you eat as well as calories burned through exercise. Users can import recipes and calculate estimated calorie needs with their goal weight in mind. Fooducate: Similar to MyFitnessPal, Fooducate is a weight loss, health improvement-based app that allows you to track calories in/out. Fooducate helps you shop and eat healthy by allowing users to quickly pull up nutritional information about food products from barcodes. Fooducate gives a letter grade A-D with a quick nutritional summery helping you make the best choices based on your goals. There are MANY more apps out there, but these three seem to be the highest rated and offer extremely helpful information and accountability. And it’s always helpful for us, as practitioners, to guide our clients to helpful resources outside of our office! Visit your app store and check some out for yourself! Let’s not get lost in this digital age. Happy downloading! 
Fuel to Move!
Registered dietitians are typically known as the “food and nutrition experts.” Here on the blog, topics usually center around food, nutrients, weight, eating habits, etc. But did you know that dietitians have a knowledge about exercise as well? I do want to be clear though, that registered dietitians are not exercise experts. We are not exercise physiologists, personal trainers and those of the like. But we do have a general knowledge of physical activity and understand the importance of implementing physical activity into a person’s life to not only achieve and maintain a healthy weight but attain an overall sense of wellbeing. There are many different types of exercises. Examples include but are not limited to: aerobic, strength training, low intensity, high intensity, stretching, interval and circuit training. As a clinician, it’s important to assess your patient or client’s current views towards exercise, current exercise habits and his/her attitude towards increasing physical activity (if deemed appropriate). Promoting increased physical activity should be in line with the person’s ability and affinity as well as within their desired schedule. Keep in mind we want to work within our scope of practice so if a patient/client is wanting a specific exercise regimen, it would be best to refer them to a local exercise specialist to meet those needs. One of the best ways we can help our patients/clients as they embark on an increased physical activity journey is to educate them on how to properly fuel their body for that exercise. A simple education on pre and post exercise foods will be immensely helpful to them. Here are a few tips to communicate to them during this time. Tips: 1) Overall, it’s important to utilize the “buddy system”- that being carbs + protein. Balanced meals and snacks will help keep a person fueled and satisfied not only through an exercise period but the rest of the day as well. 2) Pre Exercise: Utilize the “buddy system,” but focus more on the carbohydrates. Examples of good pre exercise snacks include a banana with 2 TB peanut butter, ½ cup grapes with one stick of string cheese, or a yogurt parfait with fresh berries and granola. 3) Post Exercise: Utilize the “buddy system,” but focus more on the protein. Examples of good post exercise snacks include 1 piece of fruit with a handful of nuts, whole grain wrap with turkey/cheese/veggies, or 1 piece of whole wheat toast with 2 scrambled egg whites. Again, these are just examples and the specific amounts of each food will be determined by you (the RD) for each patient/client to help meet their individual estimated needs and health goals. Remember to be specific and incorporate his/her personal food preferences to ensure compliance and sustainability! Head on over to the recipe page for an example of a great pre OR post exercise snack!
Food First Philosophy
Working as a dietitian in long term care or within a skilled nursing facility is a special job. You are getting to work with a population that has very real nutrition needs and most likely has nutritional deficiencies and/or weight loss. In fact, the most common issue you will see within this population is weight loss. How can we fight against this? Even prevent it? The answer- food first. The food first philosophy aims at increasing calorie/protein/nutrient intake while preserving quality of life; something that is very important in all stages of life, but especially this stage. So, what does “food first” mean? Well, it means exactly what it says. When trying to increase calorie/protein/nutrient intake utilize real food first before turning to oral supplements. Dietitians can sometimes come under the stereotype “supplement pushers.” But we are so much more than that. And yes, oral nutrition supplement have a very real place in our job and in some cases are the most appropriate option. But the food first philosophy encourages us to exhaust all real food options first (if appropriate) before recommending an Ensure, Boost, Magic Cup, etc. Below are some tips to help you implement the food first philosophy in your facilities: Food Preferences: Don’t neglect collecting food preferences for all new patients. This is crucial. This ensures the patient is getting foods and beverages he/she actually likes, getting them off on the best food possible. If your CDM gathers the food preferences, make sure and references these when making a recommendation for a patient. You don’t want to add fortified oatmeal at breakfast if the patient dislikes oatmeal. Fortified Foods: Speaking of fortified oatmeal… Utilize the fortified foods offered at your facility (or talk with the CDM/FSM about adding some to the menu). Fortified foods are simply foods with a little extra bang for their buck. Examples include cheesy eggs, fortified potatoes (made with butter, sour cream, etc.), fortified oatmeal (made with butter, brown sugar, etc.), fortified soup (usually a cream based soup with added protein). Energy Dense Foods: Educate the patient on energy dense food choices and/or make recommendations on how they can add them to their daily meal plan. Two examples of energy dense foods include nuts/nut butters and full fat dairy foods/butter. If a patient still has poor PO intake or is still losing weight after utilizing all real food options, then you move to oral nutrition supplement choices. These include but are not limited to Ensure/Boost, Magic Cup, Ensure pudding, MedPass 2.0, or  TF if medically appropriate. Be sure and consult the patient before making a recommendation for a certain supplement. Always be sure they are on board! The good news is, we have a lot of tools in our tool box when it comes to helping fend off weight loss and increase PO intake in the geriatric population; it’s just important to know which tools to use first.