from the editor Welcome to the penultimate NHD before Christmas with a variety of articles for you, plus resources and updates, including Web watch which aims to keep you up to date with some of the relevant topics close to our work. Chris Rudd NHD Editor Chris Rudd’s career in continuous dietetic service has spanned 35 years. She is now working part time with the Sheffield PCT Medicines Management Team, as a Dietetic Advisor.
Earlier in October, NHS England published Commissioning Excellent Nutrition and Hydration 2015-2018, which supports and guides commissioners in developing strategies to help prioritise excellent nutrition and hydration care in acute services and the community. It seems to be a practical guide, not only for commissioners, but also for the providers of the services that will hopefully encourage proactive dialogue and ultimately achieve the benefits of good nutritional and hydration care and reduce the consequences of malnutrition. If you have not seen this guidance yet, may I suggest you search it out! I feel that this offers hope and certainly a role for dietitians. Let me now tempt you with our articles. Patients with dysphagia will need to have a texture modified diet and fluids may need to be of a particular consistency. Kelly Fortune tells us of the multifactorial aspects of providing safe food for this patient group in Managing dysphagia in care homes. For some patients it may not be possible to access the gut or focus on enteral nutrition. Parenteral nutrition on the intensive care unit (ICU) by Pete Turner takes us on a journey covering when to use and start parenteral nutrition on the ICU, estimating requirements and what ‘ingredients’ make up the parenteral nutrition recipe. Punita Mistry provides an interesting account of Ketogenic diet and Alzheimer’s disease and concludes that more research into this may provide valuable answers. From the difficulties encountered with our ageing population to paediatric di-
etetics, as our cover story by Miriam Tarkin observes that ‘the field of paediatric food allergy continues to grow in these exciting times’. Miriam asks the question, What’s new in paediatric food allergy? And provides information on offering the most appropriate nutritional care and advice at the right time, whether it is breastfeeding, when to use particular infant formulas , weaning foods or full diet. The National Institute for Health and Care Excellence supports the use of the low FODMAP diet in IBS management. Good compliance to the low FODMAP diet hinges on the comprehensive patient education given. Should this education be on a one to one basis or delivered within a group session? In NHD Extra for our subscribers, Majella O'Keeffe reveals more in Group education and the low FODMAP diet. Experiences in practice written by Alison Holloway, informs us of a case study about the practical integration of dietetics and cognitive behavioural therapy in weight management. Want to know about sustainable protein sources? Then look no further than this issue of NHD! Emma Derbyshire provides us with the nutritional profile of mycoprotein, along with reviews of evidence in relation to its potential health and environmental benefits. Finally, after reading our articles and if you don’t like the idea of Christmas shopping, how about you sit down and write an article for next year’s NHD? We would like to hear from you… NHDmag.com November 2015 - Issue 109
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