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Gator Clinic

 
 
The Gator team holds clinic every Wednesday at Shands Pediatric Immunology Center. We are an integral part of a larger group of health care professionals including physicians, nurses, pharmacists, social workers, lab technicians, and insurance providers.
 
Diet Recall and Measurements
Each time we see a patient, we take a 24-hour diet recall and perform body composition measurements (anthropometrics). The data on the diet recall is then entered into a database using a program called Food Processor, and it is analyzed and compared to the recommended intake for the patient. Using Food Processor, we can determine the amount of calories, protein, vitamins, and minerals a patient is receiving in his or her diet. We also use the diet recall to construct a personal food pyramid for each patient in order to determine which of the major food groups he or she is lacking, and which food groups he or she has excessively consumed. After analyzing this data, we formulate dietary recommendations for each patient and present them to the patient at the following interview at clinic, along with a printed copy of the food pyramid and diet/exercise information. We review the educational material with the patient and explain ways to improve his or her diet.
 

Assessments

We also use the data to create metabolic assessments of our patients, which are then given to the clinic staff. Here we provide a holistic evaluation of the patient's health, with special regard to growth trends, nutrition, and exercise. We also track specific ailments commonly seen in our population, such as insulin resistance and hypertension.
 

A Week in the Life of a Gator Team Member

Before a patient is seen in clinic, their assigned Gator Buddy first prepares chart rounds for that patient. These are then presented at a Chart Rounds meeting before the entire team. We also meet with the clinic staff during Clinic Conference, during which the staff reviews each patient and receives our assessments. The Gator team has two team meetings a week to discuss various team matters and learn more about HIV related topics.
 
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