The Nutrition and Dietetic Service at Monash Health provides a high quality patient focused service. Dietitians provide evidence-based care and are available to consult on all aspects of adult nutrition, including nutrition screening, assessment of nutritional needs, recommendations for nutritional management, implementation of therapeutic diets and discharge education and planning.
Dietitians have specialised knowledge of nutrition and health throughout all stages of life, including pregnancy and lactation, paediatrics, rehabilitation and aged care.
Dietitians provide nutrition and dietetic services across all clinical areas in the acute setting to optimise nutritional status and aid recovery.
Specialist areas include:
- Intensive care
- Upper gastrointestinal and colorectal surgery
- Head and neck surgery
Dietitians work in rehabilitation, geriatric evaluation and management, aged mental health, palliative care, and residential services.
Diet is a key factor in helping patients maintain function or return to their previous level of function. Key areas of nutritional input include management of malnutrition, stroke, Parkinson’s disease, chronic renal failure, wound healing and diabetes.
Nutrition and Dietetics works closely with Food Services to ensure the provision of quality, nutritious meals to meet the nutritional, religious and cultural requirements of our patients.
Teaching and training of Nutrition and Dietetics health professionals, allied health assistants and students.
Home enteral nutrition service for patients living in the community reliant on a feeding tube to meet their nutritional needs.
Nutrition and Dietetics provides outpatient services to adults, 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, 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, and Monash Health patients are generally eligible for these clinics. 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. Written referrals should indicate that it is valid for an indefinite period. Most clinics serviced by Nutrition and Dietetics are Medicare eligible.
Nutrition and Dietetics run a number of dietetic led outpatient clinics for the management of complex nutrition issues.
Referrals are accepted from the following 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 issues 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 and weight loss >5%
- Interim feeding clinic (joint clinic with speech pathologist) for nasogastric tube weaning and oral aversion
- Failure to thrive (pre-term – 12 months) prior to long term community dietetic follow-up
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 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.
What to bring
Every time you come
- Medicare card
For a clinic appointment
- Your appointment letter
- Any special items listed on your letter
|Mary Anne Silvers||Head of Nutrition & Dietetics||9928 8368|
|Alison Stewart||Clinical Manager – Kingston Centre||9265 1823|
|Raisa Shaikh||Clinical Manager- Dandenong & Casey Hospitals||9554 8358|
|Clinical Manager – Monash Medical Centre, Clayton & Moorabbin||9594 4182|