St George's, Epsom and St Helier Profile picture
Mar 14, 2019 13 tweets 8 min read Read on X
Here’s Evanna our Gastrointestinal Surgery Dietitian in MDT Pre-Op clinic. Dietetic advice is key to help prepare a patient for better surgical outcomes incl. reducing the chance of stoma formation and reducing hospital stay for patients with #CrohnsDisease #Gisurgerydietitian Image
Evanna is involved in surgical prehabilitation for gastrointestinal surgeries.
Here's more on the importance of the role of nutrition and exercise: anesthesiology.theclinics.com/article/S1932-…
Nutrition is a modifiable risk factor for post-operative outcomes. We must identify ‘at-risk’ patients early to help prevent malnutrition @StGDietitians
#WhatDietitiansDo #NutritionScreening #MUST #PreOp #Patientflow Image
St George’s Nutrition Team - supporting patients who require parenteral nutrition due to intestinal failure and those who require Home Parenteral Nutrition #IntestinalFailure #MDT #parenteralnutrition Image
Short fasting times before surgery can help prevent complications, reduce nausea and make patients feel better before surgery. Most patients can drink clear fluids until 2 hours before their procedure: onlinelibrary.wiley.com/doi/abs/10.111… Image
There has been lots of work in our Anaesthetic department @StGgas on minimising fasting before surgery; we've been working on better patient info, awareness for clerical and clinical staff and campaigns like this 👇 ImageImage
Patients in hospital can develop high blood glucose levels due to infection or surgery, not because of the food they have eaten. Changes to medications are often required rather than food restriction #diabetesdietitian @StGDietitians
Steph, one of our highly specialist diabetes and principal dietitian’s, has this advice:
”26% of patients with type1 diabetes experience a hypo in hospital. Treat a hypo with 15-20g of quick acting glucose, equivalent to 4 glucotabs, 1 bottle of glucojuce or 200ml orange juice”
The renal dietetic team are part of the MDT who look after patients with kidney problems. The team see patients on Champneys ward+outpatients in general nephrology, advanced kidney care, peritoneal dialysis, transplant clinics and also review outpatients on haemodialysis
Some patients with kidney disease need to follow a low potassium diet. There is a renal menu available that is lower in potassium - ward dietitians can advise on who is suitable for this. Did you know 250ml orange juice contains the same amount potassium as 1 large banana? 🍊🍌
The malnutrition universal screening tool (MUST) is used to screen for patients at risk of malnutrition. However studies have shown MUST may miss more than 50% of people with kidney disease at risk of malnutrition so we developed our own screening tool to address this called iNUT
And that's it from us @StGDietitians this morning - back again tomorrow for our last day tweeting for @NHWeek ! #WhatDietitiansDo

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More from @geshNHS

Feb 8, 2021
“A huge thank you to everyone at St George’s”

Celebrities have come together to celebrate the efforts of St George’s staff throughout the pandemic in a special thank you video message 🏥

#ThankYouNHS #TeamStGeorges 💙

Georgina Day, A&E nurse, said: “This project was my way of sending a huge thank you to staff for their phenomenal work. They are all truly the best.”

Read more about our celebrity thank you video of support for St George's staff here ⬇️

stgeorges.nhs.uk/newsitem/celeb…

#ThankYouNHS
Read 4 tweets
Jul 5, 2020
Did you spot #TeamStGeorges on the #ClapForTheNHS 👀?

Thanks to our staff who helped to spell out 7⃣2⃣ on our helipad to mark #NHS72 , and to everyone who has supported us in recent months.

#HappyBirthdayNHS | #NHS72 | #NHSBirthday Image
📸Here are a few more pics from the helipad...

A pleasure to welcome @BBCOne to St George's for #NHS72 ImageImageImageImage
Re-watch the #ClapForTheNHS at St George's 👇
Read 4 tweets
Jun 19, 2020
To celebrate #WorldSickleCellDay, we'll be sharing a series of short videos created by our paediatric haematology and red cell team. 📹

In our first video, patients Mapaolo, Elle and Jennifer explain what it's like living with the condition 👇

@SickleCellUK | #ShareSickle
"I have been taking hydroxyurea since the age of ten and I have recently started the red cell exchange."

Everyone's treatment journey is different and individual to them - hear from some of our patients about their experiences. #SickleCellAwareness #WorldSickleCellDay
"Having a good support system really does help me feel less alone"

In addition to treatment, some of our patients say talking and sharing their experiences with others helps them to cope with their condition. #SickleCellAwareness #WorldSickleCellDay
Read 7 tweets
Jun 10, 2020
We want patients & visitors to stay safe when using our services. This includes observing social distancing; washing hands regularly; and from 15 Jun wearing a face covering when visiting our hospitals or community services. Our Chief Nursing Officer @BleasdaleRob explains why 👇
More guidance about wearing a face covering, and who is exempt, can be found on our website 👇

stgeorges.nhs.uk/news/coronavir…
It's important that you wear your face covering properly:

➡️ Wash your hands before wearing
➡️ Ensure it covers your mouth and nose
➡️ Avoid touching your face
Read 4 tweets
Mar 26, 2020
Today, NHS Improvement has published an independent mortality review of our heart surgery service at St George’s Hospital: stgeorges.nhs.uk/newsitem/heart…

The review found failings in the care we gave many heart surgery patients between 2013-2018, and we are deeply sorry for this. [1/4]
We would like to say sorry to the relatives of those patients who were let down by us – the care they received fell far short of the high standards they deserved.

We are in direct contact with relatives, and continuing to offer them all the support we can. [2/4]
Our heart surgery service is now safe, and the current service is very different to the one we took urgent steps to improve. This was confirmed by the @CareQualityComm in their latest report: cqc.org.uk/location/RJ701 [3/4]
Read 4 tweets
Mar 12, 2020
To minimise the risk of Coronavirus infection, we have decided to temporarily restrict visiting arrangements at our hospitals.

Full details here: stgeorges.nhs.uk/newsitem/coron…
We are asking friends & relatives to only visit patients if absolutely essential. They should also not visit our hospitals if they have flu-like symptoms, cough, fever or a cold.
If you really do need to visit, please only do so between 5-7pm (weekdays and weekends), with an absolute maximum of two visitors per patient.
Read 4 tweets

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