The Nutrition and Dietetic Services of Monash Health aim to provide a high quality professional service which is patient focused.
Dietitians have specialist knowledge of nutrition and health throughout all stages of the life cycle, including pregnancy and lactation, paediatrics, rehabilitation and aged care. Dietitians provide services to all inpatient clinical programs and selected outpatients (refer to specific hospitals for details of services).
Dietetic consultations require a medical/nursing/allied health referral. Referrals can also be made to Dietitians in Community Health, Community Rehabilitation and to Dietitians who provide services in the home as appropriate.
Monash Medical Centre, Clayton
Nutrition and Dietetics provides a seven-day a week onsite service to all Monash Medical Centre Clayton clinical units, both inpatients and outpatients with an on call service provided to Moorabbin on weekends and public holidays. At Clayton, services are provided to a range of clinical areas including paediatrics, adolescents, cystic fibrosis, clinical nutrition, renal, neurosciences, cardiology, intensive care, gastroenterology, women’s health, endocrinology and stroke. A clinical dietetic service is also provided to Stepping Stones and Jessie McPherson Private Hospital. The provision of enteral and infant formula is provided by Nutrition and Dietetics Formula Room at Clayton. The department has a close working relationship with food service and works together to cater for the special dietary needs of Monash Medical Centre patients.
Nutrition and Dietetics at Dandenong Hospital provides services to a range of clinical areas including paediatrics, general medical, cardiology, intensive care, gastroenterology, orthopaedic, plastics, endocrinology, mental health, day chemotherapy, sub-acute care and stroke.
Nutrition and Dietetics at Casey Hospital provide a wide range of acute and sub-acute services, including surgery, medicine, rehabilitation, paediatrics (including Special Care Nursery), obstetrics, palliative care, mental health, primary care, haemodialysis and emergency services.
Nutrition and Dietetics at Kingston Centre is part of the Rehabilitation and Aged Care Services (RACS) in Monash Health. Dietitians provide services to inpatient rehabilitation and aged sub-acute inpatients, the low care residential unit (Eastwood Hostel) at Kingston Centre as well as the Aged Persons Mental Health Program, both Residential (Mooraleigh and Allambee) and Aged Psychiatry Assessment Unit (Biala) located at Kingston Centre and off site. The Dietitians also provide services to Pain Clinic, Continence Clinic and Movement Disorders Clinic. There are professional links with Rehabilitation in the Home, Transition Care Program, Community Rehabilitation Centres and other community based services.
Nutrition and Dietetics provide a range of acute, surgical and specialist inpatient services to Moorabbin Hospital, one of Victoria’s leading medical and research facilities, and premier integrated cancer treatment centre: Monash Cancer Centre, incorporating Monash Health’s Chemotherapy Day Unit and Peter MacCallum Radiotherapy. Clinical areas of medical oncology, chemotherapy and radiotherapy are co-located with major surgical oncology units including breast oncology, gynae-oncology, urology and head and neck. Dietetics is a member of the ENT Head and Neck Oncology Multidisciplinary Team (MDT) and services its outpatient clinic. Non-malignant surgical units include orthopaedics, gynaecology, urology, Ear, Nose and Throat (ENT).
The hospital also hosts the Southern Melbourne Integrated Cancer Services (SMICS) of which Moorabbin dietitians have professional links, with involvement in a number of quality improvement projects, research and initiatives to improve the quality and continuity of patient care across the southern Melbourne region. Additionally, Moorabbin dietitians have research and project collaborations with the Victorian Department of Health, Malnutrition in Victorian Cancer Services (VICS) Governance Group and state wide nutrition working parties.
The Moorabbin Satellite Renal Haemodialysis Unit is also located at Moorabbin Hospital. It is one of four servicing the south–east Melbourne metropolitan region and operates from Monday, Wednesday, Friday (7.00am-11.30pm) and Tuesday, Thursday, Saturday (7.00am-7.00pm). Our renal dietitian provides ongoing assessment, education, monitoring and nutritional supplementation as required for the 15 bed unit over 3 sessions: morning, afternoon and evening.
Nutrition & Dietetics provides inpatient and outpatient services to both adults and children under the care of Monash Health requiring nutrition intervention/dietary management for a variety of clinical conditions.
- Nutrition and Dietetics have a close working relationship with the Food Services Department to provide quality meals which cater for special dietary requirements.
- Nutrition and Dietetics at Monash Health is also involved in training Nutrition and Dietetics students within the Faculty of Medicine at Monash University.
- Our service also provides training and education in nutrition for other health professionals and allied health students.
- Nutrition & Dietetics also operates the Home Enteral Nutrition Program for people requiring long term enteral nutrition support.
Nutrition and Dietetics provides outpatient services to adults, adolescents and children requiring nutrition counselling and dietary management for a variety of clinical conditions. The Dietitian works within interdisciplinary clinics including medical and nursing, as well as Dietitian specific clinics, to service specialist outpatient clinics covering conditions such as: diabetes, gestational diabetes, paediatrics, paediatric diabetes, paediatric renal, cystic fibrosis, mental health, oncology, Parkinson’s disease, incontinence, pain, renal impairment requiring peritoneal dialysis, haemodialysis, and long term enteral nutrition support.
The outpatient clinics are provided at various Monash Health sites. Monash Health patients are generally eligible for these clinics. Written referrals are required from a clinician and should indicate that it is valid for an indefinite period. Most clinics serviced by Nutrition and Dietetics are Medicare eligible.
Clinicians – please also refer to below link for further referral information click here.
Referrals to Dietetic Led Outpatient Clinics
Dietetics run a number of dietetic led outpatient clinics for the management of complex nutrition issues. Referrals are accepted from services across Monash Health:
- Medical [GP referrals will not be accepted]
- Nursing [Clinical Nurse Consultants]
- Allied Health [e.g. Speech Pathology, Physiotherapy, Social Workers]
General Dietetics – Monash Medical Centre (Adult Patients)
- Feeding difficulties related to patient with a tracheostomy
- New diagnosis oncology [high risk e.g. UGI, head and neck, lung]
- Patients at risk of admission due to nutrition related issue e.g. nutrition impact symptoms related to cancer treatment or chronic disease [ and patient not due to attend within a week a Dietetic serviced OP Clinic/Chemotherapy Day Unit/Clinical Trials]
- Chronic malabsorption
- Texture modified [aspiration risk] requiring nutrition supplementation
- End stage Renal Failure, GFR < 15
- Complex Crohns disease
- Acute Hyperemesis and weight loss >5%
- High output stoma [problematic high output ileostomy/colostomy]
- Chronic Liver Disease
Home Enteral Nutrition (HEN) – Monash Medical Centre (Adult HEN), Dandenong Hospital (Adult and Paediatric HEN) and Monash Children’s Hospital (Paediatric HEN)
- HEN – ongoing assessment and review
- Patient requiring assessment for feeding tube replacement or removal
- Transfer of adult HEN patient from another health service
Maternity and Paediatrics (Casey Hospital)
- Acute Hyperemesis
For the following conditions we recommend referral to your local Community Health Service:
- Weight management (adult) including morbid obesity
- General maternity
- Diabetes Type 1 or Type 11 OR Impaired Glucose Intolerance
- Multiple/ Complex Food Allergies and/or Multiple/ Complex Food Allergies Intolerances
- Healthy eating, healthy heart [dyslipidaemia] or general nutrition advice e.g. constipation, impaired renal function
- Vegetarian or vegan diets
- Clients requiring in reach nutrition assessment and management
For Paediatric nutrition referrals please refer to Monash Children’s Hospital Dietetic Clinics referral criteria.
|Mary Anne Silvers||Senior Manager of Nutrition & Dietetics||9928 8368|
|Alison Stewart||Clinical Manager – Kingston Centre||9265 1823|
|Raisa Shaikh||Clinical Manager- Dandenong & Casey Hospitals||9554 8358|
|Andrea Elliott||Clinical Manager – Monash Medical Centre, Clayton & Moorabbin||9594 4182|