More Related Content
Similar to Nutrition Counselling Presentation (20)
Nutrition Counselling Presentation
- 1. Nutrition Counselling Development Haliburton Highlands Family Health Team March 2, 2007
- 2. Big Picture Nutrition Counselling: Integral part of the health care system provides primary, secondary and tertiary prevention. offers nutrition education and medical nutrition therapy reduces the risk and impact of diseases and illnesses Impacts positively management or prevention of many diseases and illnesses
- 3. Roles of the FHT Dietitian Individual Client Consultation/Education physician-referred, self-referred, walk-ins Group Education community workshops etc. Information and Resources for Health Professionals and clients Developing workshops, and resources (i.e. handouts) Interdisciplinary Planning program development Interdisciplinary Teaching Physicians, allied health professionals, nurses, nursing students/residents and dietetic interns
- 4. Documentation Dietition Notes can be accessed through the Care Plan button in the Master Record of a client. By clicking the Care Plan button you will be able to locate encounters by date and description example: Mar 20, 2007…...…Dietition Initial Consult Apr 3, 2007……...…Dietitian Follow Up Direct client care documented using templates: Assessment Template for initial consultations SOAP for follow-up appointments Telephone appointments documented as above or by internal email to family physician / FHT member
- 5. Who Do I Refer? Cardiovascular Disease CAD, stroke, hyperlipidemia, hypertension Celiac Disease Diverticulosis Food Allergies and Intolerances Inflammatory Bowel Disease Crohn’s, Ulcerative Colitis Irritable Bowel Syndrome Nephropathy Weight Management Overweight, obese, underweight
- 6. Cardiovascular Disease Counselling consists of: Dietary Fats : Saturate, Trans, Poly- and Mono- unsaturated fats Reducing Cholesterol intake Increasing Fiber : Insoluble, and Soluble Reduction of Sodium Dietary Approaches to Stop Hypertension (DASH) diet for appropriate clients to reduce BP (this will happen automatically for all appropriate clients referred to the Health Living Program for HTN)
- 7. Celiac Disease Counselling consists of: Modifying diet to relieve symptoms, prevent nutrient deficiencies and to maintain good health of the intestinal tract Adherence to a gluten-free diet
- 8. Diverticulosis Counselling consists of: Dietary fiber: soluble and insoluble Low residue or elemental diets Importance of increased fluid intake Fiber supplements if appropriate Healthy eating guidelines
- 9. Food Allergies & Intolerances Counselling consists of: Determining foods that provoke symptoms and hidden forms of these foods Avoidance of foods that cause the reaction Replacement of trigger food(s) with other foods that provide the missing nutrients
- 10. Inflammatory Bowel Syndrome Counselling consists of: Adjustment of eating pattern Determining the foods that aggravate symptoms Increased fiber intake, psyllium fiber or fiber supplements to relieve diarrhea Determining the need for multivitamins Importance of physical activity Management of stress
- 11. Irritable Bowel Syndrome Counselling consists of: Review of the client’s diet to determine foods that may trigger symptoms Increasing dietary fiber Healthy eating guidelines Determining the need to increase physical activity Management of Stress
- 12. Nephropathy Counselling consists of: review of biochemical data to determine the need to adjust intake of: Calcium Phosphorus Potassium Sodium Protein
- 13. Weight Management Counselling consists of: Health risks Healthy weights Healthy eating guidelines and dietary modifications How to set realistic goals (Above will be coordinated with counselling on physical activity, stress management and other lifestyle behaviours provided by Healthy Living RN)
- 14. Email Referral To Dietitian Email Referral To Dietitian Appropriate self-referral forwarded to Team Support for appt Walk-in Physician Referral Rostered Affiliated Unattached FHT Program Referral Rostered Affiliated Enrolled in FHT programming Primary Practitioner Referral Rostered Affiliated Inpatient (to be discharged) Email Referrals: Client Name Indication for referral Reason for consultation Attach Patient History Lab results as indicated Level of Urgency Who to follow-up with if different than Referring Physician (ie. Resident) Registered Dietitian Encounter Direct Telephone . Dietitian documents encounter in client electronic medical record using Careplan template: Assessment Information / Resources Provided Recommendations Referral to other (if any) Dietitian Follow-up (if any) 2. Dietitian will send Email to Referring and / or Primary Care Practitioner with notice of client encounter. 1. If Documentation required: Same actions as Direct Encounter. 2. If Documentation not required : Email to Referring and / or Primary Care Practitioner with notice of telephone encounter and attach email to client electronic medical record: using Careplan template Assessment Information / Resources Provided Referral to other (if any) Dietitian Follow-up (if any) Follow-up as required Will coordinate Client careplan as appropriate with other health professional(s) (ie. Healthy Living RN)