Dietetics.pptVIP

DIETETICS  AN APPRECIATION  JO OLIVER SENIOR I DIETITIAN BIRMINGHAM HEARTLANDS AND SOLIHULL NHS TRUST (TEACHING) Aim To provide an overview of the dietitians role in the clinical setting.  Objectives By the end of this session you will be able to: Appreciate the dietitians role in the clinical setting. Understand the importance of therapeutic diets and nutritional support. Objectives (cont) Understand how malnutrition is identified. Appreciate how the dietitian aims to improve nutritional status. Acknowlegde the importance of dietetic monitoring and how this takes place. What is the Dietitian’s role? Dietitians translate the science of nutrition into practical information about food. Dietitians work in hospitals, community or industry. Dietetics Specialities include nutrition support, diabetes, gastroenterology, cystic fibrosis, health promotion and sports nutrition. State registration indicates approved training and legally recognised qualification. Evidence based. Therapeutic diets Diabetes; low sugar, low fat, mediterranian diet. Coeliac disease; gluten free diet. Inflammatory Bowel Disease; low residue diet if mechanical strictures. Acute pancreatitis; elemental diets. Therapeutic diets Renal disease; low electrolyte, low phosphate depending on biochemistry. Liver disease; low salt, high calorie. Nutritional support Poor nutritional status. Poor and inadequate nutritional intake. Weight loss. Aim is to treat and prevent undernutrition. Malnutrition Often an unrecognised risk in surgical patients(Hill et al 1977). Up to 40% of patients malnourished on admission(Pennington et al 1994). Nutritional status often deteriorates in hospital(Hungry in hospital 1999). Malnutrition complicates illness Mental changes - apathy, loss of concentration, depression. Further loss of appetite. Respiratory and cardiac muscles affected due to loss of lean tissue mass(Hill GL,Windsor 1988). Malnutrition continued Mobility affected leading to increased risk of pressure sores a