To act as a source of clinical expertise/advice and guidance for clients, families, carers, and the multi-disciplinary team. To raise nutritional awareness and promote the benefits of Nutrition and Dietetic services with respect to people with an orthopaedic condition both within and outside of the organisation. To take responsibility and a leadership role in supporting the service delivery and clinical practice in the inpatient setting. To undertake comprehensive assessment of patients' clinical needs in a holistic manner using specialised clinical knowledge and skills and a broad range of nutritional assessment skills, measurements, and techniques.
This may include the use of dietary analysis software and anthropometric measurements, often in patients with diverse or complex nutritional and physical health needs. To negotiate and agree dietary or nutritional goals with individual patients and/or their carers using motivational interviewing, counselling, and cognitive behaviour therapy tools as applicable. This may include identifying individual barriers to change and helping clients to manage them. To aim to meet these goals using appropriate nutrition interventions including enteral feeding, oral nutritional supplements, and specialist dietetic advice.
To re-assess nutritional requirements and change clinical interventions as appropriate in line with NICE Clinical Guidance 32, Nutrition Support in Adults. To have a lead role in clinical audit around nutritional standards. To provide clinical and nutritional support with catering to ensure dietary needs are met and patient choice is facilitated. To undertake nutritional analysis for inpatient meals.
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