Guest guest Posted December 4, 2006 Report Share Posted December 4, 2006 Hi, I'm trying to have our hospital change the bariatric clear liquid diet, but the CNM wants some literature on why the patients need sugar-free clears post-op to put in the diet manual. Anyone have any literature they would suggest I give her? Thank you all so much for any input! Dana Swilley Dunn, RD Check out the all-new beta - Fire up a more powerful email and get things done faster. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 4, 2006 Report Share Posted December 4, 2006 Not sure what you're asking for . . . is she looking for evidence that RNY pts will dump on non-SF liquids post-op? Steve Huntington, PhD, RD, LD > > Hi, > I'm trying to have our hospital change the bariatric clear liquid diet, but the CNM wants some literature on why the patients need sugar- free clears post-op to put in the diet manual. > Anyone have any literature they would suggest I give her? > > Thank you all so much for any input! > > Dana Swilley Dunn, RD Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2006 Report Share Posted December 12, 2006 I have to voice a concern about what appears to be an over-reliance by some RDs for evidence-based literature versus using knowledge of changed anatomy following surgery and a patient's own history, labs and symptoms as " evidence " when determining nutritional counseling. Why, for example, would your CMN need published articles to justify sugar-free liquids for bariatric pts? Is she unaware of dumping syndrome in RNY pts, or the need for all bariatric pts to limit sugar consumption? Seems to me the best time to start that is in the hospital. The need for evidence-based justification assumes that all pts are the same. Problem is: they're not. Each is biochemically different. Don't get me wrong--published articles assist in setting up treatment protocols and are necessary, but so does knowledge of biology, basic nutrition principles and common sense, IMO. Steve Huntington, PhD, RD, LD > > > > Hi, > > I'm trying to have our hospital change the bariatric clear liquid > diet, but the CNM wants some literature on why the patients need sugar- > free clears post-op to put in the diet manual. > > Anyone have any literature they would suggest I give her? > > > > Thank you all so much for any input! > > > > Dana Swilley Dunn, RD > > > > > > > --------------------------------- > Have a burning question? Go to Answers and get answers from real people who know. > Quote Link to comment Share on other sites More sharing options...
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