DC Journal Club Podcast

MOVING FORWARD, we'll release podcast episodes on just one platform: The Dietitian Connection podcast. Subscribe now to get new episodes by searching: DIETITIAN CONNECTION within your podcast platform.

Dr Jack Bell is an advanced dietitian, a conjoint Principal Research Fellow with University of Queensland and Metro North Hospital Health Service, and a current MRFF TRIP Fellow. As an implementation scientist, Jack currently works with teams across Queensland and Canada to implement systematised, interdisciplinary malnutrition care in hospitals.    In this podcast episode we discuss: Jack’s background into dietetics, Jack shares insight into his 20 years’ experience in clinical dietetics Jack’s current role and the many different hats he wears from clinical work in the hip fracture unit, conjoint research fellow project, role translating research into practice with the SIMPLE project and lastly working on the More-2-Eat project in Canada. Jack’s thoughts on the barriers facing malnutrition and the negative health impacts it can cause to patients How we can become more efficient at delivering malnutrition care for every patient The SIMPLE approach, what is it and what lead to the development of this complex healthcare intervention, and how this tool can provide a timelier management of malnutrition How we as dietitians can begin to look at things differently to better the future care of patients and priorities high priority patients more efficiently How clinical dietitians can put systems in place to ensure high value care for patients, whilst considering the hospital sites individual needs and capacity The key principles to consider when trying to change current practices How to build strong relationships in the hospital and account for the climate in which you are implementing changes to ensure it is tailored appropriate to the healthcare site The Spread and Sustain Framework, how to spread and sustain change How to get the support of multidisciplinary teams to ensure the success and longevity of implementations Future goals for SIMPLE, will this tool roll out across QLD health services?

Malnutrition is highly prevalent in hospitals, aged-care facilities, and community settings. It leads to poor health outcomes, increases a person’s length of stay in hospital and impacts one’s quality of life. In this Podcast, Maree Ferguson, Dietitian Connection Founder and Director interviews Associate Professor Judy Bauer to investigate the role dietitians can play in disease-related malnutrition. We explore what is currently being done and how we can move forward in our future practice.   Complete the continuing education quiz and get the shownotes at: dietitianconnection.com/journalclub

Probiotics are BOOMING! With this comes questions about where the evidence is at, which strains to look out for and the clinical applications for probiotics. Tune in NOW with Dr Tim Crowe and Dr Jason Hawrelak to learn about the latest in probiotics and gain some CPD. We’ve got a gut feeling it’s going to be good! Complete the continuing education quiz and get additional resources at www.yakultknowledge.com.au

Are you frustrated with your clients unnecessarily removing entire food groups? During this podcast, we delve into food group avoidance and self - (or Dr Google) diagnosis, with the help of a behavioural scientist. We’ll investigate the drivers of self-diagnosis, and why clients are self-prescribing their own nutrition treatment like food group restriction. About our speaker: Dr Sinead Golley from CSIRO, Australia, is a behavioural scientist and researcher who specialises in understanding the drivers of food choice, particularly when it comes to food avoidance and restrictive diets. For the shownotes and quiz: http://dietitianconnection.com/journalclub

Getting the facts on fats and cholesterol can be confusing. In this latest podcast with guest Dr Tim Crowe, we sort through the misinformation, myths and discuss the best dietary patterns for heart health. Tune in now to debunk common cholesterol myths and get the facts. For the show notes and quiz, go to: https://dietitianconnection.com/journalclub

We interview Australian ICU dietitian, Emma Ridley, about her research and work in critical care, including how dietitians can be leaders in nutrition research. For show notes and quiz, go to: http://dietitianconnection.com/journalclub

It is well known that growth is a fundamental marker of health and wellbeing in children. Previous research has found that children with cerebral palsy (CP), particularly with moderate to severe gross motor limitations, are typically shorter and grow more slowly than children without CP. In this longitudinal cohort study of 175 children diagnosed with CP between the ages of 18 months and five years, data was collected and measured to assess influencers of height in children with CP. The key findings indicated that when the growth of young children with CP is being assessed, both functional status and gestational age at birth should be taken into consideration. Similarly, the study also concluded that energy intake, physical activity and sedentary time, whilst important for a child’s development, did not explain additional variations in growth. For the shownotes: https://dietitianconnection.com/podcasts/podcasts-journalclub/episode-4-growth-children-cp/

Hand grip strength (HGS) has been proposed an indictor of nutritional status that is objective, requires little operator training and is quick to use at the bedside. In this study, the discriminatory ability of HGS in screening for malnutrition during admission to general surgical wards in an older (≥65 years) population was tested against MST screening and PG-SGA nutritional assessment. HGS was found to be unsuitable in screening older inpatients for malnutrition during admission to surgical wards. This finding does go against what previous studies have found in that HGS is a useful screening tool for malnutrition, however, many limitations to the current study were noted. Click here for the the shownotes and quiz.

Malnutrition is common in hospitalised patients. Adults of advanced age may also have impaired or disrupted swallowing function (dysphagia) associated with age-related physiological changes and impact of a decline in muscle mass and strength on swallowing function. As dysphagia can affect oral intake, it can further impact on the nutritional status of an individual. In this research study, a New Zealand team looked at the prevalence of nutrition risk and associated risk factors among adults of advanced age newly admitted to hospital and reported how this was associated with dysphagia risk. For the shownotes, go to: https://dietitianconnection.com/podcasts/podcasts-journalclub/episode-3/  

The provision of nutritional support for critically ill patients continues to be the subject of intense debate, with the central question being the optimal energy and protein intake for ICU patients. However, most studies that have examined this area have used predictive equations, demonstrated to be inaccurate to target energy intake. In this research study, the investigators looked at the 60-day mortality outcome of a large cohort of ICU patients in relation to the percent of administered calories divided by resting energy expenditure (REE) with REE obtained by indirect calorimetry. A key message from the study was how both under- and over-feeding appear to harmful to critically ill patients and that the use of indirect calorimetry should be a core assessment tool in the ICU setting. For the shownotes, please go to: https://dietitianconnection.com/podcasts/podcasts-journalclub/episode-2/  

Food nourishes the body and mind, so could an effective way to manage depression be found in the kitchen? A healthy diet is a common feature linked to a positive mental outlook, but the problem with most of the observational research validating this link is that it is hard to tease out which comes first. In one of the first studies of its kind, a 12-week randomised-controlled trial set out is to explicitly seek to answer the question: if I improve my diet, will my mental health improve?  In this podcast, details of the study, dietary intervention and implications for translating the work into practice are covered. For the shownotes, go to: https://dietitianconnection.com/podcasts/podcasts-journalclub/episode-1/

Welcome to the DC Journal Club Podcast. Our very first episode will be released in February 2018 and will be hosted by Dr Tim Crowe – who will be bringing you a series of podcasts to get you up to speed on the latest in clinical dietetics research. For now, all you have to do is subscribe (for FREE) and you'll be notified when the first podcast episode is released. Thanks for listening and for renewing your commitment to lifelong learning. We’ll see you in episode 1 with Dr Tim Crowe!