ABOUT DEPARTMENT OF DIETETICS
Dietetics is a science that deals with the adequacy of diets during normal life cycle and modifications required during diseased conditions. The Department of Dietetics of Apollo Hospitals Dhaka is an established department with well-trained clinical and experienced dieticians, working as a team to provide holistic and integrated dietary services. The primary goal is to provide and maintain an excellent and quality dietary service in meeting patient unique needs and wants.
Apollo Hospitals Dhaka facilitates all sorts of dietary suggestions for you and your family. You can come to our out-patient clinic for diet counselling on your own, or if recommended by your treating physician. Moreover, all Apollo preventive health screening packages provide diet consultation. Hospitalized patients can consult with our in-patient dieticians during their hospital stay and also while being discharged for any necessary dietary advice. Our dieticians will provide personalized diet instruction, menu planning, lifestyle and behavioural changes advice to insure a healthy nutritional plan. They help you learn ways to make better choices about the kind of food you eat, and explain to you what the benefits of these changes are. They understand that the more a person understands the way that his/her body works, the more likely he/she will be to see the immediate benefits of these lifestyle changes, and make them a part of his/her routine.
In addition to providing dietary services, the Dietetics Department also provides educational talks to organizations and public. Our department adopts a multi-disciplinary and integrative approach to patient care.
HOW TO AVAIL DIETETIC SERVICES
- In-patient dietetics services
Level 2, Block E
- Out-patient dietetics services
- Through OPD: Level 2, OPD Room - 2105
- Through Master Health Check (health screening): Level-1, Master Health Check
To avail these dietetics services, please contact the above points or call/e-mail Dietetics Department:
Phone: (02) - 8401661, Ext-1029/1082
In-Patient DietETIC Services
Dietetics Department plans and supervises the preparation of therapeutic or other diets for individuals or groups in the hospital. We plan nutritionally adequate diet for in- patients, as recommended by the Consultant. We ensure that appropriate diet planning is done consistent with the patient's clinical requirements, and that diets are available on a regular basis. We provide guidelines to be able to serve in-patient’s diet from the production line to the in-patient’s bed table. We serve prompt and accurate meals to patients upon admission and render diet counseling/nutrition promotion prior to discharge. We prepare a comprehensive diet chart which will help to maintain nutritional requirement for a patient according to the diagnosis.
The whole dietetics team is actively involved in delivering optimal care to in-patients:
- Providing diet according to in-patient’s health condition
- Providing good quality of food and beverage
- Maintaining freshness and hygiene
- Serving appropriate food for appropriate diet
- Time to time dietary services
- Developing patient faith on dietician’s capabilities in improving patient’s health condition through prescribed diet
Dietary Management of Various Types of Diets:
- Routine Hospital Diet
These are routine hospital diets which are commonly ordered in the hospital when the exact diagnosis of the patient is not yet known. Since these diets are frequently served, they are also the basis for planning therapeutic diets. They include liquid diets (such as clear and general liquid diets), soft diet, and the regular or full diet.
- Liquid Diet: This includes Clear Liquid, Full Liquid and Cold Liquid diets
- Semi Solid Diet: This is an intermediate diet between full liquid and soft diets. The food should be soft in texture and consistency, easy to chew and contain very low roughage.
- Soft Diet: This diet follows regular diet pattern, but is modified in consistency and texture. It is designed for patients who are physically or psychologically unable to tolerate the regular diet.
- Enteral Nutrition Routine
This refers to the delivery of food and nutrients both orally and by tube directly into the gastrointestinal tract. The term enteral nutrition is used interchangeably with tube feeding to differentiate it from oral feeding. Physiologically, enteral nutrition has a beneficial effect on maintenance of intestinal structure and function.
- Total Parenteral Nutrition
The administration is usually through a central venous catheter, of protein hydrolysates or amino acids plus glucose and other essential nutrients in amounts sufficient to meet normal caloric and nitrogen needs.
- Bland Diet
The bland diet regimen is a progression of diets made up of foods which do not unduly increase gastric acid production and are non-irritating to the gastrointestinal tract.
- Residue Restricted Diet
This diet includes foods which are easily digested and are almost completely absorbed, thereby leaving a minimum amount of residue in the intestinal tract for the formation of fecal matter.
- Fibre Modified Diets
- Protein Modified Diet
- Fat Modified Diet
- Carbohydrate Modified Diet
- Calorie Modified Diet
- Sodium Restricted Diet
- Potassium Modified Diet
- Purine Restricted Diet
OUT-Patient DietETIC Services
The nutritional needs of a normal person in his lifespan – from conception through infancy, childhood, adolescence, adulthood and old age – are modified according to the demands of growth and development at different stages of life. The needs of every person at any stage of life are to be modified and deviated from the normal when attacked by illness. Use of medication alone is not always sufficient to cure any health disorder unless there is proper nutritional management. Out-patient diet consultation can then be considered as a shield, which if effectively used, can protect a person from further attack of the disease and help restore normal health.
Out-patient diet counselling is provided through:
- OPD: This is based on referral by Consultant or self. Patient diet consultation is given based on written diet instruction or diet advice from the treating Consultant. Patient can directly visit OPD (Level 2, Room – 2105) for diet consultation from our dietician
- Master Health Check (health screening packages): Diet consultation is provided in every Master Health Check package based on the investigation reports. Patients can avail these packages at Level-1, Master Health Check (MHC) Clinic.
Out-patient dietetics services help in wider use of dietary counselling and serve to extend and clarify diet instructions and have follow-ups.:
- We assess the patient
- We calculate the daily calorie requirement and other nutrient intake
- We make daily meal plan for the patient according to their height, weight, age and based on their disease condition
- Dietician explains the meal plan and counsels the patients
- Dietician educates the patients about dietary restrictions (do's and don'ts), if required
- Dietician provides diet booklets/charts to the patients as per their need
We provide diet counselling for dietary management of:
- Nutrition management of infancy
- Nutrition management of pre-school children
- Nutrition management of school children
- Nutrition management of adolescents
- Nutrition management of adults
- Nutrition management of pregnant and lactating women
- Diabetic diet and calorie controlled diet
- Diet for renal disease
- Nutrition management of chronic renal failure
- Nutrition management of acute renal failure
- Nutrition management of nephrotic syndrome
- Diet for heart disease
- Diet for gastrointestinal disorders
- Diet for liver disease
- Paediatric nutrition
- Nutrition management in burn patients
- Nutrition management in cancer patients
- Sports nutrition
- Dietary management of obesity and underweight
We also provide modified diet chart for every disease:
- Dash diet chart (dietary approaches to stop hypertension)
- Diet chart for kidney diseases (every stage of kidney and renal calculus)
- Diet chart for liver diseases (every stage of liver and hepatic coma)
- Anaemia prevention of nutritional deficiencies diet chart
- Diet chart for electrolyte imbalance
- Diet chart for inborn errors metabolism
- Gluten free diet chart
- Lactose controlled diet chart
- Nutrition management of food hypersensitivities
- Diet chart for arthritis
Special Clinical Management
- Naso-gastric tube feeding diet chart
- Dysphasia diet chart (special thickened measurement diet order)
- Acute dysphasia patients (those who cannot chew or swallow due to oesophageal stricture, anatomical abnormalities or head/neck surgeries)
DIET CHART AND DIET COUNSELLING
The major objective of dietary counselling is to educate patients regarding the nature of the disease, its hazards and how it can be recognized and prevented; advice on personal hygiene, individual instructions on diet and any specific therapy, as required. For effective diet counselling, we work with a team approach (Physician-Dietician-Patient). To provide diet counselling, we educate patients regarding the nature of the disease, its hazards and how it can be recognized and prevented. We provide diet chart and diet counselling to the patients according to their physical condition or on the advice of the treating Consultant. We hand out printed dietary instructions to the patients after explaining to them about the restrictions or foods permitted.