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Job Descrption

Job responsibilities

To manage a clinical caseload within the Adult Community Dietetic Service.

To demonstrate specialist knowledge in the area of Dietetics, underpinned by current evidence based practice.

To provide advice, teaching and guidance to relevant practice staff to ensure nutrition is managed according to guidance and best practice.

To work autonomously to provide expert nutritional and dietetic advice to patients referred to the service under the care of GPs and other healthcare professionals.

To work in a variety of settings including clinics, patients homes and care homes located across the borough.

To assist with the development and delivery of Nutrition Education Training Programmes within Lewisham to relevant front-line community staff, medical, nursing and care home staff (this includes dietetic staff & students).

To make specialist clinical decisions following assessment of complex cases by calculating and interpreting nutritional requirements and advising on... the most appropriate method of nutrition support.

To provide a broad range of nutrition and dietetic advice for a wide range of medical conditions to adults and their carers to meet varying complex needs. Advice on treatments may need to be given where there is no national or professional consensus to assessment and treatment.

To plan, deliver and review treatment programmes through effective communication and liaison with a wide range of other health professionals within Bromley Healthcare and in other Trusts (to ensure continuity of care, and/ or joint management), and professionals from other agencies, contributing to a multidisciplinary approach to care.

To undertake comprehensive dietetic patient assessments, including patients who have barriers to communication, using a range of methods, including interview skills, interpretation of blood biochemistry, calculation of nutrition requirements and anthropometrical measurements.

To use motivational interviewing and psychological behaviour management techniques for motivation, empowerment and negotiation of a treatment plan with adults and carers, to attain sustained dietary and lifestyle changes

To make independent clinical judgements and diagnoses (such as lipid modification, diabetes and obesity) based on these assessments, in settings where access to other health professionals for professional support is not immediately available.

To evaluate outcomes of dietetic interventions through the monitoring and review of nutritional care plans, and adjusting care plans to facilitate achievement of goals.

To communicate complex nutritional information to patients, their families and carers in one to one and groups sessions. To adapt the presentation of this information to be appropriate for a wide range of learning ability, and ensure that all assessments, communication techniques and advice and treatments are appropriate to the patients level of knowledge, including social, cultural and religion needs.

To compassionately deliver sensitive, unwelcome, and difficult to accept information e.g. long term implications of condition.

To adapt all of the above for adults with complex needs including mental health problems, complex communication problems, learning disabilities and challenging behaviour

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