Dr Burch
Consultant Consultant Gastroenterologist and Gastroenterologist and clinical lead in Nutrition clinical lead in Nutrition
50% of Dr Burch’s work 50% of Dr Burch’s work load is nutrition, this load is nutrition, this includes clinics, includes clinics, endoscopy and spending endoscopy and spending time with the rest of the time with the rest of the team. team.
Specialist Dietitian’s
Individual Nutritional assessment and specialised nutritional care plans Extensive knowledge and highly skilled, provide teaching across the trust.
Nicky Wyer and Bekki Ford are the nutrition teams specialist dietitian’s
Specialist Pharmacist
Reena Parmar Specialist Gastroenterology and Nutrition Pharmacist .
• Provides extensive knowledge and support to the wards and the team
• Responsible for the formulation of TPN
• Assists in modifying patients treatments to meet nutritional requirements.
Community Dietitian
Joy Hattersley is the nutrition team Community DietitianJoy provides nutrition support to community patients
Enteral feeding - rotas for NG, PEG, NJ, Jej tubes
Works closely with Community Nutrition CNS’S in assessing patients and creating care plans.
Nutrition Nurse’s
Joe Colby Senior CNS Nutrition and Rebecca Whitefield CNS nutrition.
Provide access to nutrition in the acute hospital setting, assess patients for PEG tubes, insert PEG tubes. Assess and facilitate the insertion of lines for TPN. Provide support in NG placement and nasal bridles. NJ and RIG assessments. Provide education and support across the trust.
Community Nurse’s
Gayle Read and Jamie Hanford are the Community Nutrition CNS’S.
Provide Education and training to patients/carers/family when going home. Education and training for Nursing homesLiaise with Community Dietitian, SALT, GP’s acute services.Insert gastrostomy tubes/NG tubes and provide care.
Who To Refer Parenteral Nutrition:Patients with non functioning GI tract i.e. intestinal failure e.g. fistula, anastamotic leak, short bowel, ileus Inaccessible GI tract e.g. Obstruction
Complex issuesEthical issues regarding feeding routeComplex GI problems where enteral feeding still possible e.g. high output stoma, bowel fistula, severe malnutritionPatients where there is evidence of failure of enteral feeding
...And patients where advice is required on – Appropriate feeding route, Long term enteral feeding routes or parenteral feeding line management or assessment for a nasal bridal is required
Who to refer to Dietitian’s
For every other nutritional concern Dietitian should be contacted for:
Enteral NutritionMalnourished or high risk on screeningRenal failure needing assessmentLiver diseaseDysphagiaDiabetes – newly diagnosed or problemsPancreatitisFood allergy/intolerancesComplex dietary requirements This is not an exhaustive list.
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