Nutrition Services are provided at The Alfred, Sandringham and Caulfield Hospitals.
The joint Nutrition department is comprised of 33 EFT and approximately 38 people. The department is organised into seven clinical clusters.
The Nutrition Department has had a long and valued relationship within the Alfred, with the first dietitian being employed in 1930. The department has a proud history of clinical and academic excellence.
The Nutrition Department’s shared values include providing a quality service and striving for excellence which is underpinned by respect, teamwork, integrity and openness.
Qualified dietitians provide services to all clinical areas in the hospital. Speciality areas include:
The private contractor, Spotless provides an on-site cook-fresh food service to The Alfred. The Nutrition and Dietetics Department and Food Service work together to cater for the special dietary, religious and cultural requirements of The Alfred patients. Allocated food service dietitians conduct regular audits to ensure delivery of a high quality meal service.
Teaching and Training
There is a strong relationship with both Monash University and LaTrobe University and the department is integral to clinical teaching and training of undergraduate dietitians.
The Nutrition Department offers observational work experience as to both high school and university students considering Dietetics as a career. The application process can be viewed at Alfred Health: Secondary School Work Experience Placements
The Nutrition Department also receives requests from health professionals wishing to do extended/specialist observerships. The Department will provide these in circumstances where clear learning goals have been set by the visitor, and where the Department understands these goals and feels it can provide a learning experience to meet them. There may be times when due to undergraduate or other teaching commitments, observerships cannot be offered. Applicants seeking an observership opportunity should apply in person to the Head of Department, at least 3 months in advance. The cost of observerships is $300 per day, allowing access to all in-house education sessions and other relevant meetings as determined by the Head of Department.
Research and New Innovations
The Nutrition Department provides acute and chronic disease management services. Our research focus areas include the aetiology and impact of nutritional disorders in disease and the effect nutrient intake has on body composition, functional parameters, quality of life and general well-being. Clinical nutrition research is fundamental to the practice of dietitians working in a teaching hospital treating patients with high and specialised nutritional needs. Clinical nutrition research ensures practice remains specialised and current.
Combining clinical practice with research is vital to define evidence-based practice in dietetics. Research is therefore a priority at The Alfred Nutrition Department and has resulted in significant knowledge and skill development for individuals, the department and the profession.
Current research projects
Shalit, N, King, S, Tierney, A, Miller, B, Harris, N, Hollan, A; Investigation into factors that influence dietary intake in adults with Chronic Obstructive Pulmonary Disease (COPD)
King, S, Tierney, A, Swan I: Nutritional Status in Cystic Fibrosis
McLauchlan, H, Klarica D, Viner-Smith, E, Avery, S, The Positive Change for Cancer Survivorship Project
Opie R, Tierney A; Does early nutritional intervention and ongoing antenatal dietetic support in obese pregnant women achieve weight gain targets and reduce postnatal complications in mother and child?
Ridley E, Davies AR, Nyulasi I, Nutrition therapy in adult patients requiring ECMO in Australia and New Zealand
Tierney A, Nyulasi I, Ridley E; Optimal nutrition status in obese ICU patients
King S, Nyulasi I, Avery S; Nutrition status and outcomes in adults undergoing stem cell transplants
Tierney A, King S, Helal Z, Fodmaps in CF
Publications - Journal articles
1. King S, Nyulasi I, Bailey M, Kotsimbos T. Loss of fat free mass over four years in adult cystic fibrosis is associated with high serum interleukin-6 levels but not tumour necrosis factor-alpha. Clinical Nutrition 2013; 33: 150-155.
2. Jans A, van Hees AMJ, Gjelstad IMF Sparks LM, Tierney AC, Riserus U, DrevonCA, Schrauwen P, Roche HM, Blaak EE. Impact of dietary fat quantity and quality on skeletal muscle fatty acid metabolism in subjects with the metabolic syndrome. Metabolism: Clinical & Experimental 2012; 61(11):1554-65.
3. Perez-Martinez P, Delgado-Lista J, Garcia-Rios A, Tierney AC, Gulseth HL, Williams CM, Karlstrom B, Kiec-Wilk B, Blaak EE, Helal O, Saris WH, Defoort C, Drevon CA, Lovegrove JA, Dembinska-Kiec A, Riserus U, Roche HM, Lopez-Miranda J. Insulin receptor substrate-2 gene variants in subjects with metabolic syndrome: association with plasma monounsaturated and n-3 polyunsaturated fatty acid levels and insulin resistance. Molecular Nutrition & Food Research 2012; 56(2):309-15.
4. Phillips CM, Tierney AC, Perez-Martinez P, Defoort C, Blaak EE, Gjelstad IM, Lopez-Miranda J, Kiec-Klimczak M, Malczewska-Malec M, Drevon CA, Hall W, Lovegrove JA, Karlstrom B, Risérus U, Roche HM. Obesity and Body Fat Classification in the Metabolic Syndrome: Impact on Cardiometabolic Risk Metabotype. Obesity (Silver Spring) 2012; doi: 10.1038/oby.2012.188
5. Peake SL, Chapman MJ, Davies AR, Moran JL, O’Connor S, Ridley E, Williams P, the George Institute for Global Health and the ANZICS Clinical Trials Group- Enteral nutrition in Australia and New Zealand intensive care Units: A point prevalence study of energy prescription practices. Critical Care and Resuscitation 2012; 14 (2): 148-52.
6. Ridley E, Davies A, Murch L, Nyulasi I, Tierney A, Heyland D. Excellence in nutrition therapy: Lessons from the International Nutrition Survey and the Best of the Best Awards. ICU Management 2012 Spring; 12 (1): 17-20.
7. Segal L, Opie RS, Dalziel K. Theory! The Missing Link in Understanding the Performance of Neonate/Infant Home-Visiting Programs to Prevent Child Maltreatment: A Systematic Review. Milbank Quarterly 2012; 1: 47-106.
8. LaNauze R, Collins K, Lyon S, Bailey M, Kemp W, Nyulasi I, Roberts SK. Outcomes of percutaneous endoscopic gastrostomy versus radiologically inserted gastrostomy tube insertion at a tertiary hospital. e-SPEN 2012; 7: e114 - e148.
9. Anderson JL, Edney RJ, Whelan K. Systematic review: faecal microbiota transplantation in the management of inflammatory bowel disease. Alimentary Pharmacology & Therapeutics 2012; 36(6):503-16.
10. Staudacher HM, Lomer MC, Anderson JL, Barrett JS, Muir JG, Irving PM, Whelan K. Fermentable carbohydrate restriction reduces luminal bifidobacteria and gastrointestinal symptoms in patients with irritable bowel syndrome. Journal of Nutrition 2012; 142(8):1510-8.
11. Selan M. A multidisciplinary approach to gastrostomy management in home enteral nutrition patients. Eur J Clin Nutr 2012; 66(12): 1374.
12. Jackson S. Moving the issue of renal dietitian staffing forward; An international perspective. J Renal Nutr 2012; 23 (4): 234.