Nutrition Standards Project 2006—2009 Volume 3 Issue 6 September 2008 Autumn PACE training 2 A time for harvest, then sweeping up the dead leaves in the garden, cleaning the The Nutrition Link 2 Staff / Leads Groups tools and oiling them and putting them away in the potting shed. We also tradition- ally prepare our houses for the cold and wind and rain of winter, and make sure we MUST training 3 are weathertight, before we settle down by the fire with a good book, a favourite TV The Project Confer- 4 programme and a hot chocolate, or a wee dram, whatever tickles your fancy. ence—4th November Nutrition Lead / 4 So the project is thinking a bit like that too, we have just under 6 months to go until Link Nurse Training the end of Phase 2, and visit of the QIS Review team in March 2009. So we need to Day think about consolidating everything we have done so far and putting our What’s on in Septem- 4 ‘house’ (all our wards) in order, ready for the onslaught!!? (Apologies to the review ber? team). The Project Website 4 We want you to remember, you have done a lot of very good work already, but we think it would be helpful for you to look at your progress, take stock and make one Healthy Eating & 5 Diabetes last effort to really get these standards embedded into normal practice. Dysphagia / Oral 6 The SCNs new agenda “Leading Better Care” and the new CQIs will provide wards Health Day with some very useful tools to improve and monitor their work. The Nutrition REHIS Food & Health 6 Champion will be appointed this week, and our new Project Secretary. So two more courses pairs of hands to help us finish the job. Diet Cooks’ Course 6 Caterers have their own tasks to finish, new menus, patient and staff information and local planning groups to be ongoing. And last but definitely not least, the dietitians. We would really like to thank all the dietitians in NHS Tayside for their work in the past 2 plus years. They have been short-staffed, and under pressure, but they have consistently delivered the training, taken part in discussion groups and decision-making and, as the Yanks say “they have really stepped up to the plate”. We are very proud of them, but no slacking now team. We must get everything finished. To everyone who has helped with the project so far, Speech & Language Therapists, OTs, PPGs, medics and anyone we have missed — many, many thanks! Now—One last PUSH ……... Anne & Caroline Page 2 PACE training Nutrition training packs for nurses and AHPs Nursing staff and AHPs working in in-patient settings and day hospitals, who have not yet started their PACE training pack in nutrition, are advised that these are available from this project office. Contact Anne ext 27961 for further information. Workshops for staff who have not yet completed their PACE packs will be held in Ninewells & PRI as follows: Thursday 18th September 2008— NW 1.30—2.30pm——session for support grades 2.45—3.45pm— session for qualified grades. Wednesday 5th November 2008— PRI 1.30—2.30pm——session for support grades 2.45—3.45pm— session for qualified grades. Aims: to assist learners to complete their packs and to give advice on how to complete the assignment for submission. Booking is essential so please contact Caroline on ext 27960 to book your place Who successfully completed PACE last month? Change of details: NA Leona Stent, Ward 4, Perth Royal Infirmary SN Barry Stark, Ward 6 Perth Royal Infirmary If you have moved SN Pauline Shipman, Ward 4, Perth Royal Infirmary workplace, changed NA Beverley Robertson, Ward 5, Royal Victoria Hospital SN David Hutchison, Ward 13, Sunnyside Royal Hospital name or job, please let NA Pam Hingy, Ward 15, Ninewells Hospital us know so we can update our mailing lists Well done! Your certificate will be with you soon. and training records. The Nutrition Link Staff / Leads Groups Acute Leads 17th Sept 2008 Ninewells Board Room Perthshire Community Hospitals 14th Oct 2008 Aberfeldy DUNDEE Phase 1 wards: 21st Oct 2008 KX Seminar Room PRI / MRH wards: 6th Nov 2008 PRI Nurses Home Learning Disabilities: 18th Nov 2008 Strathmartine Angus 2nd Dec 2008 Lintrathen Rm WHCCC All meetings start at 2pm and finish at 4pm. Please put these dates in the ward diary. Page 3 MUST training Angus CHP—MUST training Tuesday 9th December 2008 2—3.30pm at Stracathro Hospital Nominations to Caroline Hubbard on ext 27960. Envelope request Dundee CHP—MUST training for in-patient wards Does anybody have and day hospital areas any spare internal transit envelopes that 17th September 2008 at Ashludie 1.30pm to 3pm they don't need? 1st December 2008 at RVH 1.30pm to 3pm As you can imagine Nominations to Caroline Hubbard on ext 27960 sending out all the time, and not getting a lot of mail back, we Perth & Kinross CHP—MUST training for in-patient use up a lot of new and used envelopes. wards and day hospital areas So if you can spare a few to reduce our Old Age Psychiatry contact Elaine Garvock on ext 62279 stationery costs - we would be most grate- Community Hospitals contact Alison Campbell on ext 13511 ful! Acute Wards contact main dietetic department on ext 13215. They are training ward by ward. Ninewells Hospital The MUST training at Ninewells is booking up fairly quickly. To avoid disappointment please book a place early. Places are still available on the following courses. 13th October 2008 for support staff 1.30-3pm 10th November 2008 for support staff 1.30-3pm 17th November 2008 for qualified staff 1.30-3pm 15th December 2008 for qualified staff 1.30-3pm 12th January 2009 for support staff 1.30-3pm 23rd February 2009 for qualified staff 1.30-3pm 9th March 2009 for support staff 1.30-3pm 30th March 2009 for qualified staff 1.30-3pm Places must be booked. Contact Caroline on ext 27960 “We all know what happens to people who stay in the middle of the road: —they get run over” Attributed to Aneurin Bevan (1897—1960)— father of the NHS. Page 4 The Nutrition Standards Project conference 4th November Information about the conference will be coming out shortly. We have been suc- cessful in retaining the services of Vikki Hilton, an internationally-recognised fa- cilitator in Participatory Appraisal approaches, and Senior Lecturer at Edinburgh University. Vikki also facilitated our end of Phase 1 conference, so those of you who came last time will know that you are in for an interesting and fun time. We will also have room for posters about any local work and / or time for short presentations or workshops. If you have something you wish to present, please email a short outline at this stage to: firstname.lastname@example.org There will be 60 places at the conference, and it will be held at Murray Royal Hos- pital in Perth Working groups will only meet as long as Nutrition Lead Nurse / Link Nurse training they have a clear purpose which cannot The next training day for new Nutrition Lead or Link Nurses is on Wednesday 12th November 2008 from 10am—4.30pm at Ashludie be addressed by an existing group To book a place phone Anne Woodcock ext 27961 Or email: email@example.com What’s on in September? www.scottishfoodfortnight.co.uk 6th to the 21st September 2008 All sorts going on around Scotland. Have a look at their website. www.britishfoodfortnight.co.uk 20th September to the 5th October 2008 What’s in season, where to buy things and so on. Another website to have a look at. www.food.gov.uk Keep up to date with the latest news from the Food Standards Authority and the Healthy Eating cam- paign. The Project Website On the NHS Tayside Staffnet Click on the Old Intranet Home Page Click on: Initiatives/Projects Then on: QIS Food, Fluid and Nutritional Care And finally on: Nutrition Standards Project 2006-2009 Page 5 Healthy Eating & Diabetes Eating a balanced diet, managing your weight and having a healthy lifestyle all contrib- ute to the management of diabetes. People with diabetes should be able to continue enjoy a variety of foods as part of their healthy diet. This is a summary of the current dietary recommendations for people with diabetes: 1. Eat regular meals 2. Eat starchy carbohydrate foods at each meal – choose high fibre varieties. 3. Eat plenty of fruit and vegetables: aim for 5 portions a day. 4. Choose fewer sugary foods and drinks. 5. Cut down on the fat, especially saturated fats. 6. Reduce the intake of salt. 7. Drink alcohol in moderation. 8. Achieve and maintain a healthy weight for your height. 9. Maintain an active lifestyle. 10. Avoid diabetic foods or drinks: they are no benefit to people with diabetes. There are no ‘special diets’ for people with diabetes, just healthy choices. It is important for them to have a regular and consistent intake of carbohydrate to minimise fluctuating blood glucose levels. While in hospital, it is up to the individual patient to make an ap- propriate choice from the menu to suit their appetite and diabetic treatment. On the new menus there are no special diabetic puddings and patients should be encouraged to choose a healthy option. Everyone is different and what is appropriate for one person might not be for another. For example, for a frail patient who has a poor appetite and is underweight, a pudding or extra snack might be suitable; but for someone who is overweight and has a good appetite they should be choosing fruit and avoiding sugary puddings. Any foods that a patient’s family and / or friends bring in also have to be considered. S ASIDE NH T Y Dysphagia / Oral Health Day Nutrition Standards Project The next dysphagia / oral health day is planned for the 22nd Septem- Ashludie Hospital MONIFIETH ber, Stracathro Hospital, 9am-4.30pm. This will cover feeding, swal- lowing difficulties, texture modification and oral health. Remember this Phone: 01382 423000 is a very popular day so please sign up quickly to avoid disappointment. Anne ext 27961 or 01382 527961 firstname.lastname@example.org Caroline ext 27960 or 01382 Anyone who books a place is expected to attend, and if you are unable 527960 email@example.com to do so, either the ward or yourself MUST phone the Project office to say that you cannot attend, preferably the week before to give people Fax: 01382 527899 on the waiting list time to arrange release and cover. If you do not infor m us—your manager will be sent an invoice for the cost of your place. To book a place phone Caroline on ext 27960 REHIS Elementary Food & Health is a new nutrition course which we are now qualified to run within NHS Tayside for the benefit of catering staff and any support grades of nursing & AHP staff who would like a nationally recognised certifi- cated course to add to their portfolio. If you have done PACE this might not be for you, but for all other areas where PACE is not being used this might be of interest. There is a multiple choice exam at the end of the day. Call Anne Woodcock on ext 29761 for a course syllabus if you are interested. The courses for the rest of 2008 are as follows: 24th SEPTEMBER 2008 9am to 5pm Ashludie Hospital 29th OCTOBER 2008 9am to 5pm Ashludie Hospital 3rd DECEMBER 2008 9am to 5pm Ashludie Hospital Diet Cooks’ course At the time of writing we are almost into week 3. There are 11 people on the course, 9 cooks from the NHS, 1 from a care home and 1 dietetic support worker. So far we have covered nutri- ents, healthy eating, food labels and diabetes. This week is the first week of practicals, so Caroline will be joined by Bob Mayes On the NHS Tayside Intranet Home Page: for the Healthy Eating practical, as they taste the food prepared Click on: Initiatives/Projectsby the chefs and determine whether the food is suitable for that Then on: QIS Food, Fluid and Nutritional Care type of diet. And finally on: Nutrition Standards Project 2006-2009 This document was created with Win2PDF available at http://www.daneprairie.com. 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