Episode Overview: In this practical episode of the Long Term Care RD podcast, Michelle breaks down a real-world sample nutrition care plan for a resident with a stage 3 pressure injury. Drawing from over a decade in SNFs, we cover the Nutrition Care Process step-by-step, MDS requirements, and tips to make your documentation survey-ready while supporting better healing for your older adults. Whether you're juggling MDS deadlines or looking for quick interventions to boost protein intake, this episode is designed to save you time and build your confidence in geriatric wound care.

Key Takeaways:

• How to craft a specific Nutrition Diagnosis (PES statement) for increased protein/energy needs tied to wounds.
• Setting measurable goals for healing, weight maintenance, and intake — with geriatric nuances like potential weight gain.
• Multi-layered interventions: From fortified foods and ONS to interdisciplinary referrals (e.g., OT for positioning).
• Monitoring strategies to stay proactive on quality measures and prevent burnout.
• A ready-to-adapt sample chart note in SOAP format for your own residents.

Resources Mentioned:

• Downloadable Your FREE RD Starter Kit!: Grab the full example we discussed, including the resident briefing, NCP details, MDS section, and chart note. Available as a free teaser on https://fantastic-frost-95925.myflodesk.com/ggnskwevs8 — perfect for quick reference in your facility.
• Full Wound Healing Toolkit in Clinical Nutrition Central: For even more depth, join the membership to access downloadable templates for all wound stages, PES statement guides, charting libraries, monthly updates on CMS regs/PDPM, and a community forum for LTC RDs. Designed by someone who's been in your shoes, for RDs working with older adults. Check it out at https://clinicalnutritioncentral.com
• Related Blog Post: "Wound Care Dietitian - Step by Step Practical Advice" — Read it free at https://longtermcarerd.com/wound-care-the-dietitians-role2/.

Thanks for Listening! If this episode helped you feel a bit more equipped for those wound care challenges, share it with a fellow RD and subscribe for more practical geriatric nutrition tips. Got questions or episode ideas? Drop a comment on the blog or join us in Clinical Nutrition Central. You've got this — let's keep supporting our seniors together.

Hosted by Michelle Saari, MS, RD LongTermCareRD.com | ClinicalNutritionCentral.com

Links mentioned in show:

Membership Website Learn More At: https://clinicalnutritioncentral.com

Research Article: https://longtermcarerd.com/research-tube-feeding/

In long term care, few topics spark more debate than tube feeding (PEG tubes) for residents with advanced dementia. Families often push for it out of fear and love, physicians may default to it, but what does the latest evidence actually say?

In this episode, Michelle Saari, MS, RD breaks down recent research including eye opening 2025-2026 reviews showing tube feeding frequently brings more burden than benefit.

We'll cover why tubes don't meaningfully extend survival, improve nutrition, or prevent complications like aspiration pneumonia or pressure ulcers... and often add risks like infections, restraints, and reduced quality of life.

You'll walk away with:

• Key stats and myths to bust in care conferences
• Ethical charting tips
• Practical alternatives: comfort-focused hand-feeding, high-calorie/protein oral strategies, and palliative approaches that honor dignity

Perfect for RDs navigating these tough cases weekly. Ready to advocate more confidently?

Listen now and check the show notes for links to Michelle's blog post ("New Research Explores Tube Feeding in Advanced Dementia: More Burden Than Benefit?") and free resources at longtermcarerd.com.

If you're loving these practical tips, rate/review the podcast and join Clinical Nutrition Central for monthly support and tools tailored to LTC dietitians.

Struggling with PES statements for unintentional weight loss, malnutrition, or geriatric challenges in LTC/SNF?

In this episode, Michelle Saari, MS, RD breaks down common pitfalls, shares a simple step-by-step framework, provides 15 real-world examples tailored to seniors, and offers mindset tips to stop overthinking.

Discover practical goals, interventions (like fortification, adaptive feeding, and between-meal supplements), and monitoring plans used daily in long-term care.

Get started with the free PES guide at https://longtermcarerd.com/

Ready for more time-saving tools? Join Clinical Nutrition Central NOW for exclusive PES templates, cheat sheets, sample chart notes, webinars, and a private community—before prices increase on March 1, 2026! Current rates: $19.95/month or $199.95/year (2 months free on annual). Sign up at https://clinicalnutritioncentral.com

Subscribe for more evidence-based LTC nutrition tips! Hosted by Michelle Saari, MS, RD—your go-to expert for senior nutrition.

If you’re a dietitian working in long-term care, you already know…

This job can feel isolating.

You’re often the only RD in the building. You’re responsible for clinical decisions, survey readiness, documentation, high-risk monitoring, foodservice oversight — and somehow you’re expected to just “figure it out.”

And most of the time?

You’re doing it alone.

In this episode, I’m sharing the story behind why I created Clinical Nutrition Central — the only membership platform built specifically for dietitians working in long-term care, skilled nursing, and nursing homes.

This isn’t just another CEU library.

It’s practical, real-world support with:

✔ Exact wording for nutrition care plans ✔ Charting templates you can use immediately ✔ Survey & audit preparation guidance ✔ Documentation frameworks that show clinical reasoning ✔ High-risk tracking tools ✔ Step-by-step examples for real LTC scenarios ✔ A community of dietitians who understand this field

My mission is simple: To help dietitians feel less alone in practice — and more confident every single day.

If you’ve ever second guessed your documentation… If you’ve ever rewritten a care plan 5 times… If you’ve ever felt unprepared when survey walked in…

This episode is for you.

⚠️ Important: Membership pricing increases on March 1. If you join before then, you lock in the current rate.

This is your opportunity to become a founding member and grow with us as we build the largest and only comprehensive membership platform dedicated to LTC dietitians.

You don’t have to practice alone anymore.

🔗 Links & Resources:

👉 Join Clinical Nutrition Central (before March 1 pricing increase): https://clinicalnutritioncentral.com

👉 Explore more LTC dietitian resources: https://longtermcarerd.com

Feeling overwhelmed as a new Registered Dietitian —or just tired of chaotic days even after years on the job?

In this practical survival guide, Michelle Saari, MS, RD (with over 10+ years optimizing senior nutrition in skilled nursing and nursing homes), shares a realistic daily routine, mindset shifts, and proven hacks to prioritize residents, streamline charting, boost interdisciplinary teamwork, and prevent burnout.

Whether you're fresh out of internship navigating your first facility or a veteran RD ready to reclaim your schedule, you'll walk away with actionable steps to run your day smarter: from morning stand-up triage to batching PES statements, quick NFPE rounds, protected lunch breaks, and boundary-setting tips.

Episode Briefing + Links Mentioned

Intro & Why This Matters for LTC RDs

Mindset Shift: Compassion + Boundaries

Flexible Daily Routine Framework

Top Time-Saving Hacks (Charting, Prioritization, Teamwork)

Burnout Prevention

Quick Wins Encouragement & Next Steps

Link: Top 16 Time Saving Charting Tips

Ready to save hours weekly with ready-made tools? Join Clinical Nutrition Central at clinicalnutritioncentral.com ($19.95/month or $199.95/year—2 months free annually) for instant access to PES cheat sheets, resident trackers, evidence summaries, webinars, sample care plans, and a private community of fellow LTC RDs for fast peer support.

Subscribe now, leave a review if this helps, and elevate your practice—one efficient day at a time!

Are you a Dietitian that wants to know more about exactly how to do the nutrition focused physical exam?

In today's episode, Michelle breaks down exactly step by step how to perform the NFPE, the value of it, what to look for, and offers a free resource summary on what you need to look for.

Help to improve your skills and feel more comfortable performing the NFPE after listening to today's episode!

The following are links mentioned in today's episode:

1. Step by step article on how to perform the NFPE along with a free resource!

https://longtermcarerd.com/nutrition-focused-physical-exam/

1. Healing a pressure injury as a Dietitian online webinar:

https://longtermcarerd.com/product/virtual-dietitian-meeting/

Contact Michelle and get on the waitlist for the upcoming membership site by sending her an email at:

info@longtermcarerd.com

In this episode of Long Term Care RD, Michelle talks about WHY nutrition interventions stop working, specifically when patients have Dementia. She also covers:

• The progressive nature of Dementia
• How it affects nutrition
• What to monitor in the early, middle and late stages
• Nutrition interventions throughout

If you want to sign up for the membership site waitlist, e-mail Michelle at info@longtermcarerd.com and let her know you want to be added to the waitlist!

Links mentioned in today's episode:

https://longtermcarerd.com

https://longtermcarerd.com/ebooks/

Follow along with Long Term Care RD on:

• Facebook and Instagram @longtermcarerd
• Pinterest @longtermcarerd

What are you supposed to do when your nutrition interventions have all been tried and nothing is working anymore? How are Dietitians supposed to handle end of life? It's all in today's episode!

If you want to be on the waitlist for our upcoming membership site, simply drop me an e-mail with your name at:

info@longtermcarerd.com

Links mentioned in today's episode:

https://longtermcarerd.com/end-of-life-a-dietitians-essential-education/

https://longtermcarerd.com/product/end-of-life-nutrition/