Which patients should see a Dietitian

1
Which patients should see a Dietitian?

• Fiona Steven
• Lead Therapist Adult Dietetics

2
Role of Dietitian

• Practically implementing science of nutrition
• Providing direct patient contact
• Providing advice to patient groups/agencies
• Advising other health professionals

3
Assessing the patient needs

• Nutritional assessment, BMI
• Diet history and assessment
• Assessing if potential for dietary change that
  could influence diabetes management
• Assessing if person ready for change
• Informing other members of team about assessment

4
Aims of dietary management

• Motivating patient to improve eating habits
• Culturally appropriate
• Informing people about current effective dietary
  treatment
• Preventing weight gain
• Encourage weight loss

5
Developing a Plan

• Taking previous assessment into account
• Taking into account other aspects of health
• Prepare an individualised plan for care
• Negotiate this with patient and agree realistic
  goals

6
Implementing the Plan

• Providing individualised dietary treatment
• Offering options for learning - written, groups
  settings, videos
• Utilising resources available
• Monitoring the benefits and problems

7
Weight Management

• Local and national strategies needed
• Counterweight programme
• Treat obesity seriously
• Innovative approaches
• Team approach and support

8
Key issues

• Evidence to support weight management reduced
  blood pressure and blood glucose
• Evidence to support that better blood pressure
  control can be achieved by weight control and
  change in diet
• Evidence to support better blood glucose control
  can be achieved by intensive support

9
Future plans for dietary care

• Cost/Benefits of SRD
• Skill mix
• Training more in the healthcare team
• Involving other agencies
• Using IT to record input
• Sharing information