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Dietetics and Food Service Department - Townsville HHS

Overview

The Department of Nutrition and Dietetics is responsible for providing a comprehensive dietetic service to patients of the Townsville Hospital, Parklands Nursing Home, Palm Island, North Ward renal satellite unit and surrounding areas of North Queensland (via outreach renal service).  An outreach service is also supplied to Charters Towers including The Charters Towers Hospital, Eventide Nursing Home and Charters Towers Rehabilitation Unit.

Dietetic Services Provided

The Nutrition & Dietetics Department provides service to both inpatients and outpatients. Referrals may be forwarded to community health for services outside the acute setting or for group education.

Examples of appropriate referrals include:

Malnourished or at Risk

  • Diarrhoea or constipation
  • Eating disorders or disordered eating
  • Feeding difficulties
  • Hypermetabolism
  • Long term texture/fluid modified
  • Poor oral intake
  • Risk of pressure areas and ulcers
  • Special diet restrictions
  • TPN – total parental nutrition
  • Unintentional weight loss

Medical

  • Cerebral Palsy
  • Diverticular disease
  • Irritable bowel disease
  • Liver disease
  • New Type 1 Diabetes Mellitus
  • Pancreatitis

Renal

  • Dialysis patients
  • Malnutrition
  • Unstable electrolytes

Cardiac

  • Heart disease
  • High blood lipids
  • Hypertension

Paediatric ward

  • Allergies and intolerances
  • Cancer treatment
  • Cystic fibrosis
  • Enteral and parenteral feeding
  • Failure to thrive
  • Feeding difficulties

Other

  • Altered gut function
  • Clinical Management Pathways – stroke, cardiac, hip fracture
  • Not coping at home with meals, budget, preparation
  • Poor growth
  • Special diet education
  • Unstable diabetes

Surgical ward

  • Clinical Management Pathways – stroke, cardiac, hip fracture
  • Gallstones
  • Gastro surgery
  • Hypermetabolism eg stress, fractures
  • Risk of pressure areas and pressure ulcers

Oncology

  • Alternative feeding – enteral feeding or TPN
  • Food hygiene
  • Poor appetite
  • Stem Cell Transplant
  • Treatment toxicities affecting dietary intake
  • Unintentional weight loss

Orthopaedic Physiotherapy Screening Clinic (OPSC)

  • OPSC patients can be referred to the OPSC dietitian and are seen with outpatient clinics.

Role of the Dietitian

Nutritional assessment

  • Anthropometry
  • Biochemistry
  • Clinical factors
  • Diet history

Nutrition interventions

  • Dietary education
  • Enteral feeding
  • Provision of oral nutrition support
  • Therapeutic diets
  • Total parenteral nutrition

Follow-up

  • Discharge arrangements
  • Handover to ward dietitian upon ward transfer
  • Home enteral nutrition
  • Referral to community health dietitiandietetics
  • TTH dietetic outpatient clinics

Education of staff members

  • Inservices

Referral Sources

The following referral sources are valid for both inpatients and outpatients:

  • Allied Health Professionals
  • General Practitioners
  • Medical staff
  • Nursing staff

Referral procedures

Inpatients

Outpatients

Contact ward dietitian or phone 4433 2950 or use Patient Flow Manager.

Please include:

  • Patient name and UR
  • Presenting condition
  • Reason for referral
  • Ward and bed number

Complete generic referral form and forward to Dietetics Department:

  • Phone 4433 2370, Fax 4433 2371 (adults)
  • Phone 4433 2150 (paediatric patients)

GPs – referral letter to Dietetics Department to include:

  • Patient name and contact information
  • Presenting condition Reason for referral

Contact Details

Nutrition & Dietetic Department

Location: Allied Health, Level 1, A Block, The Townsville Hospital,
100 Angus Smith Drive, Douglas, QLD 4814
Postal Address: Nutrition & Dietetics Department, IMB 1,
PO Box 670, Townsville, QLD 4810
Phone Number: +61 7 4433 2370
Fax Number:

+61 7 4433 2371

Dietitian Hours:

Monday to Friday 8.00am-4.30pm
No service available on weekends
(For Christmas and Easter 4 day weekends a dietitian will be on call for one nominated day)

Other contact details

PositionPhone numberFax number
Dietetic Department Reception +61 7 4433 2950 +61 7 4433 2371
Dietetics Director +61 7 4433 2952 +61 7 4433 2371
Dietetics Deputy Director +61 7 4433 2968 +61 7 4433 2371
Community Dietitians +61 7 4433 9500 +61 7 4433 9501
Older Persons Allied Health Team +61 7 4433 8300 -
Renal Dietitian – CKD (North Ward Campus) 0429 632 261 +61 7 4433 9341
Renal Outreach Dietitian 0408 181 364 +61 7 4433 9341
Last updated: 2 November 2017