Clinical Dietitian / Public Health Nutritionist / Multi Award Winning Athlete & Father - Preventing Disease & Strengthening Bodies by Using Foods as Drugs Via Nutrition Prescription
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As an expert in food and nutrition, I welcome the opportunity to work with you or your organisation. I can advise you or your patients on the specific nutritional management of many health conditions. As your Accredited Practicing Dietitian and Accredited Nutritionist, I translate scientific nutrition information into personalised, practical dietary advice. Nutrition intervention can considerably improve patient outcomes. Nutritional management should be reviewed periodically
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Medicare Rebates by Telehealth - GP Referral
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Corpotate Wellness Programs
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Aged Care Contractor & NDIS Provider Dietitian
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Virtual Telehealth Consultations Australia-Wide
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Private Health Insurance Funds Registered Provider
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3 x World Natural Bodybuilding Championships Qualified Athlete
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Training Partner to Triple Crown (Mr Universe/World/Olympia) Professional Open Men's Overall Natural Bodybuilding Champion
Improving patient outcomes through Medical Nutrition Therapy
1
Diagnosis/Condition
(1) All
(2) Anaemia
(3) Asthma
(4) Cancer
(5) Chronic Fatigue Syndrome
(6) Chronic Obstructive Pulmonary Disease
(7) Coeliac disease
(8) Congestive cardiac failure
(9) Constipation
(10) Coronary heart disease
(11) Depression
(12) Diabetes
(13) Diarrhoea
(14) Disability - physical or mental
(15) Diverticulosis/diverticulitis
(16) Eating disorders
(17) Food Allergy or intolerance
(18) Gastro-oesophageal reflux
(19) HIV positive
(20) Hyperlipidaemia/ dyslipidaemia
(21) Hypertension
(22) Inflammatory bowel disease (Crohn's disease, ulcerative colitis)
(23) Insulin resistance or impaired
glucose tolerance
(24) Irritable bowel syndrome
(25) Liver disease
(26) Malnutrition
(27) Mental illness - severe or psychotic forms (such as schizophrenia, schizoaffective disorder, bipolar affective disorder
(28) Metabolic syndrome
(29) Multiple sclerosis/motor neurone disease
(30) Obesity
(31) Osteoporosis
(32) Parkinson's disease
(33) Polycystic ovarian syndrome
(34) Pregnancy
(35) Renal disease
2
Indications for Referral
(1)
• Change in clinical markers or medication
• Undesirable weight change
• Not meeting nutrition needs
• Requiring periodic dietary review
(2)
• New diagnosis
• Poor dietary intake
• Symptoms persisting
(3)
• Chronic corticosteroid use
• Undesirable weight change
(4)
• Loss of appetite
• Poor dietary intake
• Taste changes associated with treatment
• Undesirable weight change
(5)
• Food intolerance
• Poor dietary intake
• Undesirable weight change
(6)
• Poor appetite
• Poor dietary intake
• Undesirable weight change
BMI* <20
(7)
• New diagnosis
• Poor understanding of nutritional management
• Abdominal pain
• Diarrhoea
• Undesirable weight change
(8)
• Poor appetite
• Fluid retention
• BMI* <20 or >25
(9)
• Recurring
(10)
• New diagnosis
• Poor understanding of nutritional management
(11)
• Poor appetite
• Inadequate dietary intake
• Binge eating
• Emotional eating
• Undesirable weight change
(12)
• New diagnosis - type 1, type 2, gestational
• Unstable BGLs
• Elevated HbA1c• Frequent hypoglycaemia
• Poor understanding of nutritional management
• Changes to medication prescribed, including commencing insulin
• Undesirable weight change
(13)
• Recurring
(14)
• BMI* <20 or >25
• Poor dietary intake
• Difficulty chewing, swallowing or feeding self
• Undesirable weight change
(15)
• New diagnosis
• Constipation
• Abdominal pain
(16)
• Poor dietary intake including restrictive dieting
• Bingeing
• Purging, laxative abuse or excessive exercise
• Weight change or overly concerned with weight
(17)
• New diagnosis or suspected intolerance
• Poor understanding of nutritional management
• Undesirable weight change
(18)
• New diagnosis
(19)
• Loss of appetite
• Poor dietary intake
• Undesirable weight change
(20)
• Prior to or in combination with statin therapy
• Elevated TC, LDL-C, TG
• Low HDL-C
• Poor understanding of nutritional management
(21)
• Elevated systolic and or diastolic blood pressure BMI*>25
(22)
• New diagnosis
• Weight loss
• Poor understanding of nutritional management
(23)
• BMI*>25
• Elevated insulin levels
• Symptomatic hypoglycaemia
(24)
• Abdominal pain
• Constipation
• Diarrhoea
• Nausea
• Bloating
(25)
• Poor appetite
• Ascites
• Encephalopathy
• Undesirable weight change
(26)
• Poor dietary intake• Undesirable weight loss
(27)
• Undesirable weight change
• Prescription ofpsychotropic medications (including, but not exclusively, clozapine or olanzapine
• Elevated BGLs, insulin or lipid levels
• Poor nutritional intake or difficulties obtaining adequate nutrition
• Gastrointestinal symptoms(GORD, constipation)
• Increased appetite and/or reduced satiety
(28)
• Elevated BGLs
• Elevated blood pressure
• Elevated lipids
• BMI*>25
(29)
• Swallowing difficulties
• Constipation
• Poor dietary intake
• Difficulty feeding self
• Undesirable weight change
(30)
• BMI*>30 and medical complication
• Child or adolescent
(31)
• New diagnosis
(32)
• Swallowing difficulties
• Constipation
• Prescription of levodopa
• Poor dietary intake
• Difficulty feeding self
• Undesirable weight change
(33)
BMI*>25
• Elevated insulin levels
(34)
• Poor dietary intake
• Morning sickness
• Overweight or underweight
• Excess or inadequate weight gain
• Gestational diabetes
(35)
• Chronic kidney disease with eGFR <60mL/min
• Newly commenced dialysis therapy
• Elevated potassium or phosphate levels
• Fluid retention
• Undesirable weight change
3
Benefits of Involving an APD
(1)
• Better understanding of dietary
management
• Improved dietary intake
• Improved clinical outcome
(2)
• Improved nutritional status
• Improved blood biochemistry
(3)
• Improved body weight (BMI*)
• Improved body weight (BMI*)
(4)
• Improved nutritional status
• Improved body weight (BMI*)
(5)
• Improved nutritional status• Improved body weight (BMI*)
(6)
• Improved nutritional status• Improved body weight (BMI*)
(7)
• Treatment of symptoms
• Improved nutritional status
• Improved body weight (BMI*)
• Normal or improved bowel habits
(8)
• Improved cardiac function
• Improved body weight (BMI*)
(9)
• Normal or improved bowel habits
(10)
• Improved cardiac function• Reduced risk of infarction
(11)
• Improved nutritional status• Improved body weight (BMI*)
(12)
• Improved BGL control
• Improved HbA1c levels• Reduced risk of complications
• Improved body weight (BMI*)
(13)
• Normal or improved bowel habits
(14)
• Improved nutritional status
• Improved body weight (BMI*)
(15)
• Normal or improved bowel habits
• Minimised abdominal discomfort
(16)
• Improved nutritional status
• Improved body weight (BMI*)
• Improved body image and self esteem
• Improved eating behaviourNote: Should only be implemented with psychological counselling and support.
(17)
• Dietary therapy essential to management
• Management of symptoms
• Improved nutritional status
(18)
• Minimised discomfort
(19)
• Improved nutritional status
• Improved body weight (BMI*)
(20)
• Improved blood lipid levels
• Improved body weight (BMI*)
(21)
• Normal or improved blood pressure
• Improved body weight (BMI*)
(22)
• Normal or improved bowel habits
• Minimised abdominal discomfort- Improved nutritional status
• Improved body weight (BMI*)
(23)
• Improved insulin levels
• Reduced risk of developing diabetes
• Improved body weight (BMI*)
(24)
• Normal or improved bowel habits
• Minimised abdominal discomfort
(25)
• Improved nutritional status
• Improved body weight (BMI*)
(26)
• Improved nutritional status• Improved body weight (BMI*)• Improved physical function• Improved wound healing
(27)
• Improved body weight (BMI*)
• Improved BLs, insulin and lipid levels
• Reduced risk of heart disease and diabetes
• Improved nutritional status
• Reduced gastrointestinal symptoms
• Improved management of appetite
(28)
• Improved BGLs
• Improved blood pressure
• Improved blood lipid levels
• Improved body weight (BMI*)
(29)
• Improved nutritional status
• Improved bowel habits
• Improved body weight (BMI*)
(30)
• Weight loss
• Understanding nutritional needs
• Support and motivation to make dietary changes
• Improved medical condition
(31)
• Reduce disease progression
(32)
• Improved nutritional status
• Improved bowel habits
• Maximise effect of levodopa
• Improved body weight (BMI*)
(33)
• Improved body weight (BMI*)
• Improved insulin levels
(34)
• Improved nutritional status
• Appropriate weight gain
• Optimised glycaemic control, with nutritional adequacy
(35)
• Normal or improved biochemistry
• Improved nutritional status
• Improved body weight (BMI*)