Day 2 Nutrition Management Principles 2 by Hattie Wright https://padlet.com/usc/m91pv70afpw0 Afternoon session groups en-us 2017-11-27 06:36:02 UTC 2026-03-04 05:01:42 UTC hello@padlet.com Treatment Principal (Emma, Kate, Jacinta) https://padlet.com/usc/m91pv70afpw0/wish/213157161 Obesity
- reduce overall energy intake 
- reduce discretionary food intake
- weight loss 
- consume foods high in protein and fiber (plant based foods and lean meats) 
-limiting intake of foods high in fat, added sugar and alcohol

HTN
- low/reduced salt diet
- achieving and maintaining a healthy weight
- limit sat fat consumption
- increase fruit and veg intake 

Hyperlipidaemia 
- fat - reduce sat fats
-fiber - increase fiber intake from fruit, veg and whole-grains
-phytosterols- prod like fortified marg, weetbix and milk
-fish - increase intake to 2 serves/week
-fitness - increase to 30 min most days of the week

T2DM
- achieve and maintain a healthy weight
-watch timing and amount of CHO consumed (2xper meal, 1x per snack) 
- Consume low GI foods to avoid spikes in BGL
-consume CHO with other foods (proteins and fats) so as to slow down digestion and reduce spikes in BGL.

T1DM
-watch timing and amount of CHO consumed (2xper meal, 1x per snack). Educate on insulin to CHO ratios and management
- monitoring BGL especially with exercise and alcohol. 
- educate on hypo- and hyper-glycemic symptoms and management of. 

 Malnutrution
- high energy high protein meals and snacks
- oral nutrition support and/or supplementation as needed
- food fortification to increase protein and energy density
-syptom management (N&V, nutrition impact symptoms)
- consider refeeding syndrome 

Diverticulitis 
-reduce fiber intake during flare ups and increase fiber intake during periods of remission 
- aim for 5-10 gram above the daily average rec of 25-30g fiber/day during remission
-aim for adequate fluid intake especially when the patient is on a high fiber diet 
- during flare ups, reduce fat intake if pain and diarrhea is present and check for lactose tolerance 

Coeliac Disease
- education on gluten and foods containing gluten
-label reading
-focus on what foods CAN be eaten and not on what CAN'T be eaten
-aiming for a generally healthy, balanced diet
-monitor for dairy tolerance 

COPD
- achieve and maintain a healthy weight 
-quite smoking immediately
-watch Na intake if presenting with oedema 
-symptom management such as smaller meals more often to counteract breathlessness 
- fortification of foods if need be
-encourage fluid consumption to keep fluids thin
- follow guidelines for fiber and Na
-allowing adequate time for meal consumption 
-high energy high protein meals and snacks available 
-energy, protein and fluid]]> 2017-12-05 06:15:46 UTC https://padlet.com/usc/m91pv70afpw0/wish/213157161 Kelly, Jacob, & Wil https://padlet.com/usc/m91pv70afpw0/wish/213231438 Obesity:
- reduce energy intake
- reduce saturated and trans fats 
- increase fibre
- increase F&V intake
- eat wholegrains
- limit discretionary items and alcohol
- eat more lean protein
- eat a balanced diet
Hypertension:
- reduce salt intake
- reduce saturated and trans fats
- increasing fibre
eat a balanced diet
Hypercholesterolaemia:
- reduce saturated and trans fats
- increase fibre intake
- eat more fish
- eat more MUFAs and PUFAs
- eat foods containing phytosterlos
- eat more F&V
- eat more wholegrains
- eat a balanced diet
T2DM:
- spread carbs evenly throughout the day
- eat low GI 
- limit intake of refined sugars
- eat wholegrains
- eat a balanced diet
T1DM:
- limit intake of refined sugars
- spread carbs evenly throughout the day
- treat hypos properly
- eat a balanced diet
COPD:
- high energy high protein
- eat a balanced diet
Malnutrition: 
- high energy high protein
- eat a balanced diet
Coeliac:
- avoid all sources of gluten
- don't completely cut out carbs
- eat a balanced diet
Diverticular disease:
- eat low fibre during a flare up
- eat high fibre when not sick
- eat plenty of F&V
- drink plenty of water
- slowly increase fibre intake after a flare up
- eat a balanced diet]]> 2017-12-05 11:39:54 UTC https://padlet.com/usc/m91pv70afpw0/wish/213231438 Ged, Jo, Tim https://padlet.com/usc/m91pv70afpw0/wish/213542336 Obesity
- reduce energy intake below EER
- aim for 5-10% weight loss (0.5-1.0kg p/w)
- Enjoy a wide variety of nutritious foods from the five food groups.
- drink plenty of water
- limiting intake of foods high in fat, added sugar, added salt
- limiting intake of drinks high in added sugars and added salts and alcohol
- Physical Activity >30 min/day
- Behaviour modification

Hypertension
- low/reduced salt diet (sodium free or 5mg per 100g serving / SDT 1600mg/day - 2300mg/day)
- 5-10% weight loss (if appropriate) through energy restriction
- DASH diet: rich in fruits, veg, low fat dairy & sat fats
- limit alcohol consumption
-Educate on overall management

Hyperlipidaemia 
- fat - reduce sat & trans fats
- fiber - increase fiber intake from fruit, veg and whole-grains
- phytosterols - from fortified products like marg, weetbix and milk
- fish - increase intake to 2 serves/week
- physical activity - increase to >30 min/day
- Educate on overall management

T2DM
- achieve euglycaemia (via diet and/or medication and exercise)
- 5-10% weight loss (where appropriate) through energy restriction
- Eat regular balanced meals (according to ADGs) 
- Reduce intake of foods high in added sugars
- Education around food containing CHO, portion sizes and GI/GL
- reduce alcohol intake and drinks with added sugars
- Limit sat fat intake

T1DM
- Synchronise insulin intake with food intake 
- Spread CHO meals evenly over 6 meals over the day
- Educate on insulin to CHO ratios and CHO exchanges
- monitoring BGL especially with exercise and alcohol 
- educate on hypo- and hyper-glycaemic symptoms and management 

 Malnutrution
- HPHE meals and snacks
- Achieve nutritional adequacy
- ONS and/or supplementation as needed
- food fortification to increase protein and energy density
- symptom management (N&V, nutrition impact symptoms)
- consider refeeding syndrome 

Diverticulitis 
- Bland low fibre diet - white bread etc. during flare up
- Clear fluid diet if severe 
- Aim for 25-30g fiber/day during remission + 6-10g/day above
- Aim for adequate fluid intake 
- During flare ups, reduce fat intake if pain and diarrhea is present and check for lactose tolerance 
- Eat a balanced diet

Coeliac Disease
- education on gluten, foods containing gluten and food contamination)
- label reading
- focus on what foods CAN be eaten and not on what CAN'T be eaten
- aiming for a generally healthy, balanced diet
- monitor for dairy tolerance 
- be wary of highly processed gluten free foods
- supplement with iron, folate, vit C & D where necessary

COPD
Stable COPD:
- Maintain or improve nutritional status through a HPHE diet / ONS if necessary
Acute exacerbation:
- HPHE diet for inflammation (1.5g/kg/day)
- achieve and maintain a healthy weight 

- quit smoking / avoid environmental allergens
- monitor sodium intake if presenting with oedema 
- management symptoms with small meals more often to counteract breathlessness - make every mouthful count. 
- texture modification where dysphagia is present
- fortification of foods if need be
- follow guidelines for fiber and Na]]> 2017-12-05 23:40:42 UTC https://padlet.com/usc/m91pv70afpw0/wish/213542336 Bec, Char, Nat, Tess https://padlet.com/usc/m91pv70afpw0/wish/213543811 Obesity:
Assess knowledge
Reduce energy intake
Reduce saturated and trans fats
Increase fruit and vegetable intake
Increase fibre
Eat lean meats
Limit discretionary foods
Reduce alcohol intake
Increase physical activity.
Consume low fat dairy instead of full fat.

Hypertension:
Reduce salt intake
Limit alcohol consumption
Eat a high fibre diet
Eat a low-fat diet
Exercise regularly 
Maintain a healthy BMI

Hypercholesterolemia:
Eat fish 2 to 3 times a week
Reduce trans and saturated fats and eat MUFAs and PUFAs
Have fortified products with phytosterols (eg.proactiv)
Increase fibre intake.
Increase physical activity

T2DM
Limit intake of refined sugars
Spread CHO intake throughout the day
Eat a variety of fruits, veg & wholegrains
Reduce alcohol consumption
Maintain a healthy BMI
Stop smoking
Increase physical activity

T1DM
Ensure a balanced diet
Spread CHOs evenly throughout the day
Avoid refined sugars
Medication
Increase physical activity

Malnutrition:
Increase intake (oral or EN or TPN as required)
HPHE - fortify foods 
Make every mouthful count
Address nutrition impact symptoms
Educate

Diverticular:
Increase fibre intake
Probiotics
Avoid nuts and seeds if pt feels necessary (not scientifically proven)
When severe clear fluid diet & bowel rest

Coeliac:
No gluten 
Avoid oats also
Reduce risk of cross-contamination 

COPD:
HEHP if malnourished 
May require texture modified
Reduce risk factors (stop smoking)
Manage associated illnesses 

]]> 2017-12-05 23:55:05 UTC https://padlet.com/usc/m91pv70afpw0/wish/213543811 Jen, Amy, Laura https://padlet.com/usc/m91pv70afpw0/wish/213547502
Obesity
  • Restrict overall calorie intake (weight loss)
  • Increase physical activity levels aiming for 30 minutes per day, most days of the week
  • Behaviour change
  • Limit intake of alcohol
  • Facilitate healthy weight loss 
  • Limit intake of discretionary foods 

Hypertension
  • Limit sodium containing foods
  • Cessation of smoking
  • Increase physical activity levels aiming for 30 minutes per day, most days of the week
  • Reduce overall fat intake and improve fat quality
  • Weight management/weight loss if appropriate
  • Include Phytosterols 
  • Manage NIS

Hyperlipidaemia
  • Reduce overall fat intake
  • Reduce saturated and trans fats in diet
  • Eat more MUFA, omega 3 and PUFA sources
  • Weight management/weight loss if appropriate
  • Increase physical activity levels aiming for 30 minutes per day, most days of the week
  • Improve diet quality/nutritional adequacy 

Malnutrition 
  • High protein/high energy snacks
  • Facilitate healthy weight gain/weight maintenance if appropriate 
  • Ensure electrolyte balance (re-feed risk)
  • Manage NIS (nausea, fatigue etc)
  • ONS, EN or TPN if indicated 
  • Behaviour change 

Diverticular Disease 
  • Manage NIS
  • Low fibre during flare ups
  • Slowly increase fibre when appropriate 
  • Encourage fibrous foods when in remission (fruit, veg, whole grains)
  • Adequate fluid intake
  • Education on diet-disease 

T2DM 
  • Reduce intake of discretionary foods 
  • Reduce intake of high sugar foods
  • Increase fruit and vegetables 
  • Increase physical activity levels aiming for 30 minutes per day, most days of the week
  • Manage BSL within normal ranges 
  • Education on diabetic diet 
  • Achieve healthy weight (eg facilitate weight loss or gain)
  • Consume foods with a low GI to avoid spikes to BSL 

Type 1 diabetes
  • Be aware of CHO intake and distribution throughout day
  • Ensure adequate CHO quality (reduce intake of refined CHO)
  • Educate on CHO counting and exchanges (including CHO recognition and label reading) 
  • Ensure regular monitoring of BGL
  • Educate on CHO to insulin ratio 
  • Emphasis general healthy eating 
  • Incorporate low GI foods into diet to lower risk of  BGL spikes 
  • Educate on management strategies of hyper/hypo - glycaemic symptoms 

Coeliac disease 
  • Strict life-long gluten free diet (after diagnosis has been confirmed)
  • Educate on recognising gluten containing foods (gluten in wheat, rye, barley and oat products) 
  • Educate on label reading (allergen warnings, wheat/rye/barley derivatives, checking products regularly for changes) 
  • Ensure understanding of avoiding cross contamination with utensils, appliances, spreads and dips
  • Consume an overall balanced diet
  • Emphasis a normal happy life can be lived with coeliac disease 

COPD
  • Cease smoking 
  • Prevent weight loss and malnutrition by ensuring adequate energy/protein intake 
  • Incorporate HPHE meals and snacks 
  • Have small, frequent meals
  • Use food fortification or oral nutrition support if experiencing early satiety/anorexia 
  • Have ready prepared/easy meals and snacks on hand 
  • Eat away from times of airway clearance to avoid being too fatigued to eat 
  • Use soft foods to reduce shortness of breath 


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