Vikki Poole RD

Catching up on all things Kidney this week at @bda_kidney week and AGM #kidneydietitiansweek

@gemma_520103 @LPTnhs @lizelle100 Congratulations Gemma, can't think of anyone better to take that challenge on.

📢New job📢 Today marks the start of a new adventure for me as Allied Health Professionals Research Leader promoting research capacity and capability for NMAHPP research in @LPTnhs. Looking forward to getting stuck in 😊

Great training session today at the Critical Care Study Day by @BDACriticalCare in the @BDA_Dietitians HQ. Thank you to the team and lovely to meet the many very talented and experienced ITU dietitians from across the UK. #WeAreDietetics

@deepaRD Hope it went well @deepaRD 👍

#wearedietetics #DW2023 getting ready to present at 2pm in meeting room 4 #ukkw2023

Happy #dietitiansweek. #wearedietetics @ekhuftrenal part of @EKHUFT where we assist patients living with renal disease manage their diet #dw2023

One of our amazing patients gifted us this, a Lego dialysis machine he designed with hand made instructions too! Phenomenal brain power to come up with this! #dialysis #transplant #renal #kidney

@ward38_freeman Wow, amazing 👏👏👏

@UHCW_RenalDiet Love this 😂

Incredible 🤩

@AlisonCulkin @simongabe @BDA_PENG I guess it depends on if he's training for another Iron-man.

Guess the energy requirements of @simongabe weight 100kg 💪🏻 @BDA_PENG

@Dotti_RD @SSHINE_Students This looks like a great document, can't wait to read it (thinking of an employer/employee situation).

@AlisonCulkin @BDA_Dietitians @BDA_PENG Love Dr Mike's teaching 😍

😯 @BDA_Dietitians @BDA_PENG Amazing teaching as always

@Leicnut 🤢🤮

A massive yes. And don’t just take my word for it. Tacitus wrote that Caesar would regularly put pineapple on his pizza. Fact.

@KWebbNurse @Leicnut NG is best for short term feeding, to get someone over an acute episode of poor oral intake. Longer than this and if poor oral intake likely to be prolonged gastrostomy maybe considered. Gastrostomy may not be suitable eg GI anatomy is skewed and surgery may not be appropriate.

@rd_poole @Leicnut Why not a PEG?

Today I bumped into someone in the supermarket who is dependent on home artificial intravenous nutrition & they looked great; out shopping with a friend/partner - a simple thing but a massive win and why clinical nutrition is both life saving & rewarding. #NutritionMatters

@Leicnut @KWebbNurse There's a risk in everything really, that's why it's part of our clinical judgement to weigh up the risks and benefits of oral, enteral or parenteral nutrition on a case by case basis. No two patients are alike.

@KWebbNurse @rd_poole Insertion of PEGs has considerable risks in the confused/delirious and the elderly.

@Leicnut @KWebbNurse Absolutely an essential part of nutrition support when a patient is unable to meet nutritional requirements. Just in my experience those with poor cognition need to be closely monitored. Had an LD pt with mittens, bridle and 24 hrs 1:1 carers and she still managed to get an NG.

@KWebbNurse @rd_poole NG tubes are really great way of supporting nutrition. Not used enough.

@Leicnut 🙄

@KWebbNurse @Leicnut Yes I have to admit I'm not a fan as also as a graduate had a patient dislodge there NG and filled there lungs with feed so only recommend when needs must and am very conscious nursing staff closely monitor tube position and pt.

@rd_poole @Leicnut Great stuff! I’m very dubious about NG tubes being used for feeding purposes though? Such high risk of misplacement and mortality.

@Leicnut It certainly does save lives and so undervalued in a lot of clinical settings.

@rd_poole Reminds me of being phoned by ITU about a pt who’d infarcted most of their bowel and been put on Liverpool Care Pathway (long time ago). I stopped LCP, started PN and subsequently HPN. They left hospital and have had a fulfilled and active life since. Nutrition saves lives.

@Leicnut within a couple of days pt sitting up in bed recovering well. The pt was in a heavier body so I think the fact that she was malnourished was overlooked. It was at that very moment I realised I had chosen the right career and how important nutrition is in the clinical setting. 3

@Leicnut she had diarrhoea and severe damage to her pressure areas. I'd just graduated and knew there was something I was missing so spoke with a HPB dietitian. We started the pt on a semi elemental feed and asked for a faecal elastase test. Turns out our suspicions were correct PEI, (2)