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#dysphagiadietitian - a thread 🧵
Please note - it’s the first time doing a thread so hopefully I’ll get it right!
Please note - it’s the first time doing a thread so hopefully I’ll get it right!
I just HAD to share a case study from a visit this week. This one in particular has to be the most rewarding yet in my extended role. Considering it’s dietitians week and following on from the #extendedroles hype! ✨
Patient with a PEG in place due to poly trauma following a serious RTA. Meeting all needs (nutrition, hydration and meds) via PEG. Nil by mouth for diet and fluids. Sent home from acute care with exercises to improve swallow. 🏥
#LowFODMAP Diet, restriction phase x 2 wks done!😅
✅Hardest #GIEmpathyInitiative yet (5 pts!)
✅Worth it b/c 🤯reflections in🧵⬇️
Disclaimer: LFD is🙌for some w/ #IBS but NOT good fit/safe for all
@Gut_BMJ 2021 Network MA on LFD in IBS @alex_ford12399
pubmed.ncbi.nlm.nih.gov/34376515/
✅Hardest #GIEmpathyInitiative yet (5 pts!)
✅Worth it b/c 🤯reflections in🧵⬇️
Disclaimer: LFD is🙌for some w/ #IBS but NOT good fit/safe for all
@Gut_BMJ 2021 Network MA on LFD in IBS @alex_ford12399
pubmed.ncbi.nlm.nih.gov/34376515/
1⃣Hardness of diet complexity:
✅❓rhyme/reason to👍vs.👎fruits/veggies
✅#Glutenfree🚫always safe (fillers!)
✅ If packaged you just avoid b/c label reading =😱
✅🙌@KateScarlata_RD for LFD label reading tips gastrogirl.com/626/
✅Apps @MonashUni app ($8), FastFodmap(free)
✅❓rhyme/reason to👍vs.👎fruits/veggies
✅#Glutenfree🚫always safe (fillers!)
✅ If packaged you just avoid b/c label reading =😱
✅🙌@KateScarlata_RD for LFD label reading tips gastrogirl.com/626/
✅Apps @MonashUni app ($8), FastFodmap(free)
2⃣Hardness of diet behavior change:
✅Eating out = embarrassing to be "that person" + 😱spice situation
✅NEED coach (dietitian) to guide/remind of goals
✅If eat like🗑️at baseline,❓sustainability ➡️maybe why many patients preferred @NICEComms diet
cghjournal.org/article/S1542-…
✅Eating out = embarrassing to be "that person" + 😱spice situation
✅NEED coach (dietitian) to guide/remind of goals
✅If eat like🗑️at baseline,❓sustainability ➡️maybe why many patients preferred @NICEComms diet
cghjournal.org/article/S1542-…
