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Nutrition and Dietetics | Counties Manukau

Public Service, Allied Health, Dietitian

Today

8:00 AM to 4:30 PM.

Description

What is a Dietitian?

A dietitian is an expert in nutrition. Dietitians provide treatment, education and support to people requiring nutrition information and advice relating to medical and surgical treatments and management of chronic diseases (such as diabetes and high blood pressure). A dietitian applies scientific knowledge about food and nutrition to individuals and groups to promote optimal health outcomes.

Dietitians must be registered to practice under the Health Practitioners Competence Assurance (HPCA) Act 2003 and abide by a code of ethics. 

The educational prerequisite for registration is a two-year Masters Degree, with entry restricted to those who have successfully completed a relevant science degree majoring in Human Nutrition.

What is the difference between a dietitian and a nutritionist?

 Dietitian – The term dietitian is a protected term. A dietitian is a registered health professional who meets standards required by the Dietitians Board and has both an undergraduate science degree in human nutrition and a post-graduate qualification in dietetics. To practise in New Zealand, a dietitian must, by law, be registered with the Dietitians Board and hold a current practising certificate. The Dietitians Board protects the health and safety of the New Zealand public under the Health Practitioners Competency Act (HPCA) 2003, by ensuring that every dietitian working in New Zealand is fit to practice and meets standards of professionalism. In New Zealand dietitians are the only nutrition health profession to be regulated by law. Dietitians work in a variety of settings from hospitals, the community, public health, food service, sports, education, research, media and the food industry.  The Dietitians Board regulates the dietetic profession and only those on the Register can call themselves a dietitian and practise as a dietitian. For more information about how to practice legally as a dietitian in New Zealand visit their website: http://www.dietitiansboard.org.nz/ 

Nutritionist – The term nutritionist is not a protected term, there is no specific qualification or statutory legislation that regulates that profession and therefore the title can be used freely by anyone. This could range from someone with a PHD in a specialty area of nutrition to someone with no formal training. The Nutrition Society has a programme for registration of nutritionists where set criteria must be met to achieve registration status.  

 

Nutrition and Dietetics Services Provided by Counties Manukau Health

InpatientsMiddlemore Hospital or Manukau Surgery Centre

What to expect?
As an inpatient at Middlemore Hospital or Manukau Surgery Centre you may be seen by a dietitian. Your medical team or nurse will refer you to a dietitian if they feel you will benefit from a dietitian’s specialised input. A dietitian would assess and recommend a nutritional treatment to meet your needs. This would also include education for you while on the ward and at home.

The dietitians provide services to: 

  • Medical, Orthopaediac and Surgical wards
  • The National Burns Centre
  • Assessment Treatment and Rehabilitation and Older People's Health
  • Paediatrics
  • Community 

 

Outpatients

The dietitians assess and treat clients with nutrition related disorders in a number of locations such as Manukau SuperClinic, Botany SuperClinic, Māngere Health Centre, Ōtara and Pukekohe.

Dietitians provide nutritional support to clients, their family, whānau and caregivers by:

  • explaining the role of food in disease management
  • helping clients to make choices about foods which suit them and their lifestyle.

What to expect?
Your doctor or medical team may refer you to a dietitian.  You may be offered a group education session or a clinic appointment, depending on your medical condition. You are encouraged to invite carers, family or whānau to your group session or clinic appointment with the dietitian. Interpreters are available; please let us know if you require an interpreter.

What Will The Dietitian Do?

  • explain their role and ask for your consent to provide dietetic assessment and education.

Assessment:

  • the dietitian will read your medical notes and check your blood results
  • measure your height and weight or waist circumference
  • ask questions about your meal pattern, food choices and lifestyle. This will allow the dietitian to give you information that will fit in with your life.

Education:

  • work with you and your family/whānau to help you to plan nutrition and lifestyle changes
  • explain any recommendations made and why they are needed
  • provide written information or pictures to take away.

Support:

  • provide follow-up appointments as required
  • reassess your medical and nutrition status, food choices and changes made
  • with your consent, we may refer you to other services as you require (for instance – Diabetes Nurses)
  • talk to you and your family/whānau about other groups and health professionals that can provide ongoing support when you no longer need to be seen by the dietitian.

What Do You Need to Do?
Work together with the dietitian by:

  • telling us as much as you can about the foods you choose and the amounts that you eat and drink
  • asking about things that you don’t understand
  • trying the changes that are suggested by the dietitian
  • telling us about how the changes are going and if you are managing them
  • telling us if you have difficulty understanding the written and/or spoken information.

Referral Expectations

Please see the attached framework for all referrals for CMH Dietitians.

Hours

8:00 AM to 4:30 PM.

Mon – Fri 8:00 AM – 4:30 PM

Services

Weight Loss

Individual education Please ask your healthcare professional to refer you to the CMH Outpatient Dietitian clinics if you are overweight and also have one or more of the following conditions: Cardiac (risk > 15%, or existing CVD or heart failure) Requiring weight loss prior to surgery (not bariatric surgery) Age <25 years Severe learning disability Requires English language interpreter If you require support for weight loss, healthy eating advice and/or physical activity and DO NOT have one of the conditions list above, please ask your healthcare professional to refer you to Green Prescription for support.

Individual education

Please ask your healthcare professional to refer you to the CMH Outpatient Dietitian clinics if you are overweight and also have one or more of the following conditions:

  • Cardiac (risk > 15%, or existing CVD or heart failure)
  • Requiring weight loss prior to surgery (not bariatric surgery)
  • Age <25 years
  • Severe learning disability
  • Requires English language interpreter

If you require support for weight loss, healthy eating advice and/or physical activity and DO NOT have one of the conditions list above, please ask your healthcare professional to refer you to Green Prescription for support.

Gastroenterology / Allergy / Surgery / Weight Gain

If you are referred to the dietitian for a gastroenterology (digestive system) problem, allergy, after surgery or because you need to gain weight, you will be seen individually by the dietitian in clinic or via a group session. Your first appointment will take 45-60 minutes and if you require a follow-up appointment this will be for 30 minutes.

If you are referred to the dietitian for a gastroenterology (digestive system) problem, allergy, after surgery or because you need to gain weight, you will be seen individually by the dietitian in clinic or via a group session. 

Your first appointment will take 45-60 minutes and if you require a follow-up appointment this will be for 30 minutes.

Diabetes Dietitians

We aim to help you self-manage your diabetes by working with you and your family/whanau to provide you with practical and sound information about eating for diabetes. The diabetes dietitians work closely with the Counties Manukau DHB Diabetes Team (Whitiora Diabetes Services). Individual appointments with the dietitian: The Diabetes Dietitians see clients individually at Manukau SuperClinic™, Botany SuperClinic™, Mangere Health Centre (6 Waddon Place, Mangere), Otara Clinic (2/100 Alexander Crescent, Otara) and Pukekohe Hospital. Click here to find maps for these locations.

We aim to help you self-manage your diabetes by working with you and your family/whanau to provide you with practical and sound information about eating for diabetes.  The diabetes dietitians work closely with the Counties Manukau DHB Diabetes Team (Whitiora Diabetes Services).

Individual appointments with the dietitian:

The Diabetes Dietitians see clients individually at Manukau SuperClinic™, Botany SuperClinic™, Mangere Health Centre (6 Waddon Place, Mangere), Otara Clinic (2/100 Alexander Crescent, Otara) and Pukekohe Hospital.  Click here to find maps for these locations.

Renal Dietitians

If you have kidney disease you may be referred to a Renal Dietitian who works as part of the Renal Team. The food you eat can play an important role in keeping you healthy when you have kidney disease. The Renal Dietitian has expert knowledge on food for people with kidney disease. There is not one renal diet for everyone. The dietitian will assess your needs and give information specific to you. This may change with time as your disease progresses. The dietitian sees clients at Manukau SuperClinic™ , Mangere Health Centre, Otara Clinic or occasionally at Middlemore Hospital. For more information on Renal Services click here.

If you have kidney disease you may be referred to a Renal Dietitian who works as part of the Renal Team.  The food you eat can play an important role in keeping you healthy when you have kidney disease.  The Renal Dietitian has expert knowledge on food for people with kidney disease. 

There is not one renal diet for everyone.  The dietitian will assess your needs and give information specific to you. This may change with time as your disease progresses.

The dietitian sees clients at Manukau SuperClinic™ , Mangere Health Centre, Otara Clinic or occasionally at Middlemore Hospital.  For more information on Renal Services click here.

Spinal Unit Dietitian

The Spinal Dietitian works at the Auckland Spinal Rehabilitation Unit providing both inpatient and outpatient services. People with spinal injuries have specific nutritional needs. The Spinal Dietitian provides service to the Spinal Ward. Spinal patients are referred to the Spinal Dietitian by the consultant at the Spinal Unit.

The Spinal Dietitian works at the Auckland Spinal Rehabilitation Unit providing both inpatient and outpatient services.

People with spinal injuries have specific nutritional needs. The Spinal Dietitian provides service to the Spinal Ward. Spinal patients are referred to the Spinal Dietitian by the consultant at the Spinal Unit.

Community Dietitians

Community Dietitians are key members of the Community Health Team, a community-based healthcare service covering the large Counties Manukau Region. An important focus of the HHC Team is to provide education to empower people to lead healthier lives and support them to continue to live in their own homes. Locations There are community-based sites located at Howick (Botany), Mangere, Papakura and Pukekohe. The service is available to people in their own home or at a clinic facility, and care is provided based on an assessment of need. Service Provided The Community Dietitian works closely with the client and their family / whanau in their own home (in the case of housebound individuals) or at outpatient clinic settings. The nutrition care process includes nutrition assessment, goal setting, planning a nutrition care plan and ongoing nutrition monitoring. Referrals Referrals are accepted from General Practitioners (GPs) and other health professionals, provided that the individual has consented to the referral

   

Community Dietitians are key members of the Community Health Team, a community-based healthcare service covering the large Counties Manukau Region. An important focus of the HHC Team is to provide education to empower people to lead healthier lives and support them to continue to live in their own homes.

Locations
There are community-based sites located at Howick (Botany), Mangere, Papakura and Pukekohe. The service is available to people in their own home or at a clinic facility, and care is provided based on an assessment of need.

Service Provided
The Community Dietitian works closely with the client and their family / whanau in their own home (in the case of housebound individuals) or at outpatient clinic settings. The nutrition care process includes nutrition assessment, goal setting, planning a nutrition care plan and ongoing nutrition monitoring. 

Referrals
Referrals are accepted from General Practitioners (GPs) and other health professionals, provided that the individual has consented to the referral

Kidz First Community Paediatric Dietitians

The Kidz First Community Paediatric Dietetic service is a community based team of Dietitians providing a service to the children living in the Counties Manukau area. We are based at Kidz First Community Health in Manukau and work alongside the Kidz First Community Home Care Nurses and the Kidz First Child Development teams. Who We See Infants and children who are under the care of a Paediatrician or Consultant and require nutritional care related to the conditions below. Tube feeding Dietary fortification for poor faltering growth Anaphylatic or multiple food allergies that include major food groups or cow’s milk allergy Coeliac disease (not required to be under a Paediatrician) Multiple vitamin and mineral deficiencies (with clinical evidence) Obesity in children and infants less than 5 years of age Obesity in children aged 5-16 years with obesity related comorbidities (up to 18 years for children with a disability linked to obesity) Who We Do Not See This service does not see children who: Are not under the care of a Paediatrician (excluding coeliac disease) Are growing appropriately but have Reflux Constipation Iron deficiency Fussy or picky eaters Autism or attention deficit hyperactivity disorder (ADHD) Children with Diabetes (covered by the Auckland Regional Diabetes Service) Children are aged 5-16 years, who have obesity without any co-existing medical conditions. Where Do We See You? You may be seen in your home or in a clinic setting at Manukau Superclinic, Botany Superclinic, Pukekohe Hospital or Special Schools. Where you are seen is determined by your child’s age, dietary issue and your residential address.

The Kidz First Community Paediatric Dietetic service is a community based team of Dietitians providing a service to the children living in the Counties Manukau area. We are based at Kidz First Community Health in Manukau and work alongside the Kidz First Community Home Care Nurses and the Kidz First Child Development teams.

 
Who We See
Infants and children who are under the care of a Paediatrician or Consultant and require nutritional care related to the conditions below.
  • Tube feeding
  • Dietary fortification for poor faltering growth
  • Anaphylatic or multiple food allergies that include major food groups or cow’s milk allergy
  • Coeliac disease (not required to be under a Paediatrician)
  • Multiple vitamin and mineral deficiencies (with clinical evidence)
  • Obesity in children and infants less than 5 years of age
  • Obesity in children aged 5-16 years with obesity related comorbidities (up to 18 years for children with a disability linked to obesity)
 
Who We Do Not See
This service does not see children who:
  • Are not under the care of a Paediatrician (excluding coeliac disease)
  • Are growing appropriately but have
    •  Reflux                                                                                                          
    •  Constipation                                                                                              
    •  Iron deficiency                                                                                           
    •  Fussy or picky eaters                                                                                
    •  Autism or attention deficit hyperactivity disorder (ADHD)
  • Children with Diabetes (covered by the Auckland Regional Diabetes Service)
  • Children are aged 5-16 years, who have obesity without any co-existing medical conditions.
 
Where Do We See You?
You may be seen in your home or in a clinic setting at Manukau Superclinic, Botany Superclinic, Pukekohe Hospital or Special Schools. Where you are seen is determined by your child’s age, dietary issue and your residential address.

Contact Details

Middlemore Hospital

South Auckland

8:00 AM to 4:30 PM.

All Departments: (09) 276 0000
Patient Enquiries: (09) 276 5004

For Dietetic Enquiries, please contact:

Zara Houston
Professional Leader Dietetics

zara.houston@middlemore.co.nz
021 029 31620

Middlemore Hospital
Hospital Road
Otahuhu
Auckland

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Street Address

Middlemore Hospital
Hospital Road
Ōtāhuhu
Auckland

Postal Address

Private Bag 93311
Ōtāhuhu
Auckland 1640
New Zealand

Manukau SuperClinic™

South Auckland

8:00 AM to 4:30 PM.

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This page was last updated at 12:19PM on September 30, 2024. This information is reviewed and edited by Nutrition and Dietetics | Counties Manukau.