Dietetics

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Adult outpatient referral to Dietitian

This prioritisation framework is aimed to identify those at highest risk who require our most urgent attention. It is designed for use at point of referral based on information provided by the referrer. Response times may vary subject to staffing levels.

Priority

  1. Dysphagia compromising nutritional intake. (Consider referral to Speech and language therapy for swallowing assessment)
  2. Active Inflammatory Bowel Disease
  3. Pre PEG assessment
  4. Unstable Artificial Nutrition Support Patients (ongoing weight loss or derranged biochemistry)
  5. MUST 2 or more regardless of clinical cause (see screening tool for information)
  6. Newly diagnosed Coeliac Disease
  7. Known Coeliac disease with positive serology / symptoms
  8. Newly diagnosed Type 1 and Type 2 Diabetes
  9. CKD with uraemia
  10. CKD with Hyperkalaemia +/- hyperphosphataemia PO4>1.5
  11. Eating Disorders ( see Eating Disorder Guidelines)
  12. Chronic pancreatitis requiring enzyme replacement therapy
  13. High Output Stoma
  14. Decompensated Liver disease (patient must be engaging with healthcare services)
  15. Functional Bowel Disorders including Irritable Bowel Syndrome (moderate to severe symptoms)
  16. Food allergy where appropriate medical investigation has excluded non dietary causes

Routine

  1. Food Intolerance and Hypersensitivity
  2. Weight management (see Healthy Weight Guideline)
  3. Functional Bowel Disorders including Irritable Bowel Syndrome (for first line dietary advice)

Self Management

The British Dietetic Association “Food Facts” leaflets provide appropriate advice on a wide range of conditions that can be prevented or treated with diet.

Useful Information

Useful Information - Available via the Sip Feed Guideline - algorithms and documents. (NHS Highland intranet connection required). 

Guidelines for Naso-Enteric Feeding in Adult Patients 
Guidelines for Gastrostomy Feeding in Adults 
MUST Information 
Managing Malnutrition and Prescribing Oral Nutritional Supplements in Adults – Guidelines, Food First Advice and Food Fortification Advice
Managing Malnutrition and Prescribing Oral Nutritional Supplements in Substance Misuse – Guidelines

Dietetic contact details
 
Telephone
Email
Argyll and Bute
01369 708344 high-UHB.DietitiansDirect@nhs.net
Caithness
 01955 880269  
Highland council paediatric dietitians
01463 705097  paediatricdietitians@highland.gcsx.gov.uk
Inverness, Raigmore
01463 704325  
Lochaber
01397 709852  
Skye and Lochalsh
01478 614201  
South and Mid Community Dietetic Dept
01463 704632  highland.nutritionsupport@nhs.net
Sutherland
07989 135139  
Wester Ross
01349 869203  
Glossary - Abbreviations used in dietetic records
General Record Card Completion:

Abbreviations that are in the Oxford dictionary are not on this list.

#

Fracture or fraction in oncology

o

No

?

Query

Δ

Diagnosis

ċ

With

-ve

Negative

+ve

Positive

/12

Month

/52

Week

/7

Day

/40

Gestation

1o

Primary / 1 hourly

2o

Secondary / 2 hourly

AA

Attend Anywhere

Appt

Appointment

ATSP

Asked to see patient

Ax

Assess/Assessment

b.d

Twice daily

C/o

Complaining of

CNA

Could not attend

Cont.

Continue

D/C

Discharge

DD

Day diary i.e. 3DD 7DD

D/W

Discussed with

DNA

Did not attend

DNA CPR

Do not attempt cardiopulmonary resuscitation

Est.

Estimated

F2F

Face to Face

FOC

Free of charge

H/O

Handover

Hx

History of

IFAC

Infant feeding allergy clinic

IFDC

Infant feeding difficulties clinic

Ix

Investigation

L

Left

Mane

Morning

MDT

Multidisciplinary team

N

Normal

N/A

Not applicable

NBA

Not Brought to Appointment e.g. child not brought to appointment

NH

Nursing Home

Nocte

Evening or at night

occ

Occasional

Dietetic/Nutrition Specific Abbreviations:

Abbreviations that are in the Oxford dictionary are not on this list.

ABBBIE

Argyll and Bute Basal Bolus Insulin Education

FD

Food diary - with number of days in front

FSD

Food & Symptom diary

FFED

4 food exclusion diet

SFED

6 food exclusion diet

abdo

Abdomen

AF

Activity Factor

BB

Before breakfast

BBed

Before bed

BCM

Body Composition Monitor

BF

Breakfast

BL

Before lunch

BG

Blood glucose

BMR

Basal Metabolic Rate

BNO

Bowels not opened

BO

Bowels open

BSC

Bristol Stool Chart

BEM

Before evening meal

CMPA

Cow’s milk protein allergy

CHO

Carbohydrate

DAFNE

Dose adjustment for normal eating

DESMOND

Diabetes Education and Self Management for ongoing and diagnosed

EAR

Estimated average requirements

E+D

Eating and drinking

ED

Eating Disorder

EEN

Exclusive Enteral Nutrition

EM

Evening meal

ETOH

Alcohol

FB

Fluid balance

FCM

Full cream milk

Fr

French Gauge (tubes)

FRC

Food record charts

GF

Gluten Free

GFFS

Gluten Free Formulary Scheme

GJET

Gastro-jej button device

HE

High energy

HEF

Home Enteral Feed(ing)

HEIDI

Highland Education In Diet & Insulin

HGD

Hand grip dynometry

HPN

Home Parenteral Nutrition

Ht

Height

ICR

Insulin carbohydrate ratio

IDWG

Interdialytic weight gain

IBW

Ideal body weight

ISF

Insulin sensitivity factor

Jej

Jejunostomy

L

Lunch

LC

Low Clearance

LF

Lactose free

LCP

Long chain Polyunsaturated Fatty Acids

MA

Mid-afternoon

MAC

Mid arm circumference

MAMC

Mid arm muscle circumference

MCT

Medium Chain Triglycerides

MDI

Multiple daily injections/basal bolus

MM

Mid-morning

MUAC

Mid upper arm circumference

MUST

Malnutrition Universal Screening Tool

NBM

Nil by mouth

NG

Nasogastric

NJ

Nasojejunal

ONS

Oral nutritional supplements

PAL

Physical Activity Level

PEG

Percutaneous endoscopic gastrostomy

PEG-J

Percutaneous endoscopic gastrostomy-jejunostomy

PEJ

Percutaneous endoscopic jejunostomy

PERT

Pancreatic enzyme replacement therapy

PN

Parenteral Nutrition

PYMES

Paediatric Yorkhill Malnutrition Score

RIG

Radiological Image guided gastrostomy

RNI

Reference Nutrient Intake

SAM

Small Appetite Menu

SD

Standard deviation

SGA

Subjective global assessment

SF

Stress factor

SSM

Semi skimmed milk

SWMS

Specialist Weight Management Service

TPN

Total parenteral nutrition

TSF

Tricep skinfold thickness

WFF

Wilshire Farm Foods

WFH

Weight for height

Medical Terminology: Conditions:

AAA

Abdominal Aortic Aneurysm

AF

Atrial fibrillation

ALD

Alcoholic Liver Disease

AML

Acute Myeloid Leukaemia

AKA

Above Knee Amputation

AKI

Acute Kidney Injury

ARDS

Acute Respiratory Distress Syndrome

ASD

Autistic Spectrum Disorder

BKA

Below Knee Amputation

BP

Blood pressure

Ca

Cancer

CAP

Community Acquired Pneumonia

CD

Coeliac Disease

CF

Cystic Fibrosis

CHD

Chronic Heart Disease

CKD

Chronic Kidney Disease

CLL

Chronic Lymphatic Leukaemia

CVA

Cerebrovascular accident

CVD

Cardiovascular Disease

D+V

Diarrhoea and vomiting

DKA

Diabetic ketoacidosis

DM

Diabetes mellitus

DT

Deirium Tremen

DU

Duodenal Ulcer

DVT

Deep Vein Thrombosis

EGFR

Estimated Glomerular filtration rate

EO

Eosinophillic Oesophagitis

ERCP

Endoscopic retrograde cholangiopancreatography

FPIES

Food protein induced entercolitis syndrome

GDD

Global developmental delay

GDM

Gestational diabetes mellitus

GI

Gastrointestinal

GN

Glomerulonephritis

GORD

gastro-oesophageal reflux disease

HAP

Hospital acquired pneumonia

HL

Hodgkins lymphoma

HLA

Human leukcocyte antigen

HONK

Hyperosmolar non-ketotic coma

HTN

Hypertension

IBD

Inflammatory bowel disease

IBD-U

Inflammatory bowel disease - Unclassified

IDWG

Inter dialytic weight gain

IFG

Impaired fasting glucose

IGT

Impaired glucose tolerance

IHD

Ischaemic heart disease

LRTI

Lower respiratory tract infection

LVF

Left ventricular failure

MI

Myocardial infarction

MODY

Maturity onset diabetes of the young

OFG

Oro facial granulomatosis

N&V

Nausea and vomiting

NEC

Necrotising enterocolitis

PICC

Peripherally inserted central catheter

SCC

Squamous Cell Carcinoma

SBO

Small bowel obstruction

T1 DM

Type 1 diabetes mellitus

T2 DM

Type 2 diabetes mellitus

TACS

total anterior circulation stroke

TOF

Tracheoesophageal fistula

UC

Ulcerative colitis

URTI

Upper Respiratory Tract Infection

UTI

Urinary tract infection

Medical Terminology: Tests, Investigations and Equipment

ASB

Assisted spontaneous breathing

AXR

Abdominal x-ray

BIPAP

Bilevel positive airway pressure

CGMS

Continuous glucose monitoring system

Chemo

Chemotherapy

ChemoXRT

Chemo radiation

CPAP

Continuous positive airway pressure

CPR

Cardiopulmonary resuscitation

CVC

Central vein catheter

CVVH

Continuous haemofiltration

CVVHD

Continuous haemodialysis

CVVHDF

Continuous haemodiafiltration

CXR

Chest x-ray

EMA

Anti-endomysial antibody

ENT

Ear, nose and throat

ERCP

Endoscopic retrograde cholangiopancreatography

H&N

Head and Neck

HbA1c

Glycated haemoglobin

HD

Haemodialysis

GCS

Glasgow coma score

GTT

Glucose tolerance test

HDF

haemodiafiltration

IM

Intramuscular

LFT

Liver function test

Lipos

Lipohypertrophy

LOC

Loss of consciousness

Mets

Metastases

MRCP

magnetic resonance cholangiopancreactography

NAD

Nothing abnormal discovered

NBM

Nil by mouth

NOF

Neck of femur

OGD

Oesophageal gastric duodenumscopy

OHA

Oral hypoglycaemic agent

PC

Presenting condition

PD

Peritoneal dialysis

PEEP

positive end expiratory pressure

PET

peritoneal equilibration test

PVD

peripheral vascular disease

RDS

Respiratory distress syndrome

RRT

renal replacement therapy

Rt/RTH

Radiotherapy

SOB

Shortest of breath

SPT

Skin prick test

SV

self ventilating

TDD

Total daily dose

TFT

Thyroid function test

Trache

Tracheostomy

t -TG

tissue transglutaminase

TURBT

transurethral resection of bladder tumour

TURP

Transurethral resection of prostate

Tx N xM x

Tumour Node Metastases

UF

Ultrafiltration

UGIE

upper gastro intestinal endoscopy

USS

Ultra sound scan

WCC

White cell count

Professionals

ANP

Advanced nurse practitioner

APNP

Advanced paediatric nurse practitioner

AHP

Allied Health Professional

CN

Community nurse/charge nurse

Cons.

Consultant

DA

Dietetic Assistant/support worker

DN

District nurse

DSN

Diabetes specialist nurse

DSP

Dietetic Support Practitioner

EYP

Early years practitioner

HCA

Health care assistant

HV

Health Visitor

N/S

Nursing staff

OT

Occupational therapist

PDSN

Paediatric diabetes specialist nurse

PESN

Paediatric epilepsy specialist nurse

PHN

School nurse

PT

Physiotherapist

RD

Registered dietitian

SLT

Speech & Language therapist

SW

Social worker

s/n

Staff nurse

MDT

Multidisciplinary Team

Paed

Paediatrician

Reg

Registrar

FYI/FY2

Foundation year

CCN

Community childrens nurse

IFA

Infant feeding advisor

Location

CCU

Coronary care unit

CWard

Children’s ward

RACH

Royal Aberdeen Childrens Hospital

PICU

Paediatric intensive care unit

ED

Emergency department

GOSH

Great Ormond street hospital

H

Home

SCBU

Special Care Baby Unit

THC

The Highland Council

Editorial Information

Next review: 30 June 2021

Approved By: TAM Subgroup of ADTC

Document Id: TAM198