Nutrition for the whole family: Our Dietitians answer your frequently asked questions

Camilla Yang • July 16, 2024

Nourishing our bodies by eating a nutritious diet is one of many things we can do to live happy and healthy lives. Our passionate and food loving team of Dietitians are highly trained in the dietetics space and provide tailored dietary advice and support care plans for each client of all ages across Australia to ensure that they have a good relationship with food no matter their age or disability.



We sat down with Jane, one of our Dietitians based in Melbourne to answer frequently asked questions they often get from clients and their families about nutrition and how to promote healthy eating habits for our children.

Important nutritional needs at different life stages

 

What are some key nutrients that are important for each stage of life, from childhood to old age?


Jane: There are many key nutrients that people should focus on getting enough off at different stages of life.


  • Iron – Iron is an important nutrient, especially for young children. Iron is important for growth and development as it helps move oxygen around the body.
  • Protein – Protein is important for all stages of life but is particularly important for older adults. Protein in older adults helps with maintaining muscle mass and strength. Having an adequate protein intake later in life has shown to reduce the risk of falls, improve quality of life and assists with maintaining independence.  
  • Calcium – It is important to have an adequate calcium intake throughout your life. Calcium helps build and maintain strong bones through childhood and adolescence. It also helps build healthy teeth. Calcium also plays an important role in many other parts of the body such as muscles, nerves and blood. 
  • Fat – It is important to have an adequate amount of ‘healthy’ fats in your diet at all stages of your life. Fat plays an important role in providing the body with energy and provides essential fatty acids which your body is not able to produce so needs to get them from the food you eat. It also helps with producing important hormones in your body. Including the right amounts of ‘healthy’ fats in your diet has been shown to decrease your risk of certain diseases such as coronary heart disease, obesity and diabetes.


What are the benefits of a balanced diet for overall health and well-being?


Jane: From a young age, it is important to have a balanced diet to promote health and well-being. Following a healthy diet ensures that the body receives essential vitamins and minerals necessary for growth and development and reduces the risk of developing chronic diseases such as type 2 diabetes and heart disease. In the short-term, a healthy and balanced diet can contribute to improving energy levels and your mood and reduce the risk of developing an infection or illness. Ultimately, prioritising a balanced diet from an early age is essential for both immediate health benefits and long-term disease prevention.


Promoting healthy eating habits


What are some tips for encouraging children to eat a variety of fruits and vegetables?


Jane: Be a good role model! Setting a good example is key to getting children to eat vegetables. It is also beneficial to be persistent and patient. It is important to keep offering your child vegetables even if they initially refuse to eat vegetables. Another good strategy is to get your child involved with food preparation and cooking meals with vegetables. Children are more likely to want to eat the meal if they have helped prepare it.  


How can families navigate the challenges of eating out while maintaining a nutritious diet?


Jane: Families can still eat out while maintaining a healthy diet. To curb the challenges of ordering the unhealthy option on the menu, families can:

  • Order a meal with vegetables included, such as a stir fry or chicken or fish with a side salad or vegetables.
  • Order a side of vegetables to have with the main meal if the meal doesn’t already have vegetables included.
  • Encourage water as a drink over soft drink and fruit juices.
  • Look for grilled, steamed, boiled and baked options as they are generally healthier meal options over foods that are fried.


However, if you only occasionally eat out and it isn’t a regular event, it is fine to let your child have the less healthy option such as fried chicken with chips, especially if you eat healthy options at home most of the time!


What are some easy strategies people can try to reduce their intake of sugar and processed foods?


Jane: There are many simple strategies people can implement to reduce their sugar and processed foods intake including:


  • Prepare in advance. Set out time to go food shopping and get ingredients to prepare healthy family meals and snacks for the week ahead.
  • Have healthy snacks available in your home and on hand when you are out so you are not tempted to reach for processed food or food high in sugar. Good healthy snack options are fruit and plain yoghurt or cheese with crackers.
  • Limit intake of sweetened drinks, such as soft drinks, fruit juices and cordial, which can be a big contributor to high sugar intake in children. Water is best!
  • Instead of adding sugar to cooking, look for other ways to add flavour such as from spices like cinnamon or ginger.


What are some nutritious and easy-to-prepare meals that the whole family can enjoy?


Jane: Eating healthy as a family doesn’t need to be time consuming. Look for meals that include a lean protein source, lots of vegetables and a healthy carbohydrate option, such as pasta. Healthy meal options may include stir fries, spaghetti bolognaise with added vegetables or a side salad, tuna pasta bake with added vegetables, fish, chicken or beef tacos with lots of vegetables.  


Addressing common nutritional challenges

 

What are the best ways to address common nutritional deficiencies seen in the elderly?


Jane: Older adults are at risk of becoming malnourished which means they do not have the proper amount of nutrients such as protein, vitamins and minerals and will often have unplanned weight loss and muscle wastage. For older adults who have poor nutrition, they tend to become sick more often and take longer to recover from illnesses.


Ways for older people to sustain a healthy diet is to optimise nutrient rich foods that are high in energy and protein. Energy found in food assists with maintaining weight and protein helps with maintaining muscle mass. Additionally, supplement drinks can provide additional nutrients for older adults when they are not able to consume enough food or meet their energy and protein requirements through eating.

for older adults who do not have a big or good appetite having smaller meals more frequently is encouraged with snacks between meals. This can be thought of as six small meals throughout the day and can be easier than managing a few bigger meals per day. Prioritise nourishing fluids, for example having milk over water to increase the overall energy and protein intake for the day.


What are some tips on overcoming picky eating in children?


Jane: Overcoming picky eating in children can be challenging, but with patience and consistency, it is possible to encourage healthier eating habits. One key strategy is to be persistent in offering healthy food options. Even if a child initially refuses a certain food, continue to present it in different forms and at various meals. Sometimes, it can take multiple exposures to a new food before a child becomes comfortable with it.


Another effective approach is to involve your child in the food preparation process. Allowing them to participate in activities such as washing vegetables, mixing ingredients, or even choosing a new fruit or vegetable to try at the grocery store can spark their interest in the food they are helping to prepare. This hands-on involvement can make them more excited to taste and enjoy the food they helped create.


Role modelling healthy eating behaviours is also very important for children to follow at a young age. Children often mimic the habits of their parents and caregivers, so demonstrating a positive attitude towards healthy eating can influence their own attitudes and preferences. Eating a variety of nutritious foods and showing enthusiasm for trying new foods can encourage your child to follow suit.

 

How Dietitians work with other Allied Healthcare Professionals

 

How can Speech therapy and Dietetics work together to manage swallowing difficulties in clients?


Jane: Speech Pathologists may need to recommend a client has thickened fluids to reduce the risk of aspiration. Dietitians can work with the Speech Pathologist to recommend thickened fluids that the client enjoys ensuring they are not at risk of dehydration.  

The Dietitian can also make recommendations for the appropriate food that a client or resident can consume based on the Speech Pathologist’s plan. The Dietitian can ensure the food is nutritious and appealing and provide practical strategies to ensure the food is safe for the client to consume.


What role does dietetics play in supporting physiotherapy and occupational therapy?


Jane: Dietitians play an important part in the client’s physiotherapy and occupational therapy sessions by supporting the client in getting the right nutritional diet. Nutrition is very important for people in the recovery and rehabilitation process, and it is important for older adults to avoid undernutrition and sarcopenia (the breakdown of muscle) during the recovery process. Usually, one of the main issues with older adults is eating enough nourishing foods and this is even more of an issue during the recovery process.


Adequate intake of protein and energy throughout the day helps ensure muscles are provided with the right nutrition to be able to recover and re-build and prevents further undesirable breakdown. So it is important for the Dietitian to work with the Physiotherapist and Occupational Therapist as resistance training exercises have also been shown to help reduce muscle loss and increase muscle strength.


What does a dietetics sessions look like in the home care and residential aged care services space?


Jane: A Dietetic session will look like:


  • The dietitian will take a detailed medical history, including taking information on the clients past medical history, blood test results and medications.
  • Information on the persons current food and fluid intake will be recorded, along with information on their likes and dislikes or any current nutrition supplement drinks they may currently be taking.
  • A nutritional diagnosis and goal will then be created in line with the client’s needs and expected outcomes.
  • A personalised plan with food-first interventions will then be created with the client to help them reach their goals and optimise their health through nutrition.


Our Dietitians work across the Home Care, Residential Aged Care, and NDIS space and are also accessible via telehealth. If you are interested in working with our Dietitians who are based all over Australia, complete our referral forms which can be found here.

By Vivir Healthcare October 13, 2024
In the aged care sector, allied healthcare professionals play a crucial role in helping facilities and providers meet their 11 quality indicator goals. Among these experts are Dietitians, whose specialised knowledge in food and nutrition can have a positive impact to the health and well-being of care recipients. At Vivir Healthcare, we recognise the importance of nutritional care where our Dietitians are dedicated to supporting aged care facilities and providers around Australia in delivering exceptional care to older adults, helping to improve health outcomes and overall quality of life. In this blog, we will explore the 11 aged care quality indicators and discuss how our Vivir Healthcare Dietitians can support all care recipients while enhancing your facility’s and service's overall performance. Aged care Quality Indicator 1: Pressure Injuries Dietitians are well placed in the prevention and nutritional management of pressure injuries by supporting and maintaining skin integrity. Pressure injuries are common in residential aged care, particularly for residents who are bed or chair bound and non-ambulant. Entirely preventable and combined with regular repositioning, pressure injuries can be prevented with optimum nutrition. Dietitians will focus on ensuring residents receive adequate protein, energy, micro nutrients such as vitamin C, E and minerals zinc and iron. These nutrients are equally important in the management of established pressure injuries. Dietitians can assist residents to increase their protein and energy intake through small dietary changes to support wound healing. Dietitians are also well placed to prescribe wound-specific supplementation. Some residents are more susceptible to pressure injuries and impaired wound healing if they have co-morbidities such as diabetes and/or chronic kidney disease. It’s important that a Dietitian is involved especially when co-morbidities are present as impaired renal function can worsen with high protein intake. A comprehensive nutrition assessment will ensure that appropriate recommendations are made for the individuals unique situation. Aged care Quality Indicator 2: Physical Restraint For residents that live with dementia and experience behavioural challenges because of the disease, at times physical restraint is used to protect themselves and others from potential harm. Residents who have poor nutrition and poor oral intake, may experience an increased rate of progression of cognitive impairment. Dietitians can assist staff and family to ensure residents nutrition requirements are met and work around challenging behaviours with food and mealtimes. Having a Dietitian involved in the care of residents with dementia may help to slow the progression of the illness and may reduce the likelihood of the need for physical restraint. Aged care Quality Indicator 3: Unplanned Weight Loss The main referral received in aged care for dietitians is for unintentional weight loss and malnutrition. Dietitians are at the forefront in prevention and management of weight loss. It is estimated that approximately 60% of residents in residential aged care are either at risk of malnutrition or are malnourished. Unplanned weight loss is a key indicator and risk factor for malnutrition. Unplanned weight loss can occur for multiple reasons in people residing in aged care homes and in the community including; complex medical conditions, hospitalisations and poor appetite to name a few. Dietitians assist to prevent and manage unplanned weight loss and malnutrition by prescribing high energy high protein diets, food-first approaches e.g. food fortification and if necessary, oral nutrition supplements. Dietitians also assist to educate and support care and kitchen staff to optimise residents' diets in the kitchen and/or at the table. Aged care Quality Indicator 4: Falls and Major Injury Most falls and major injuries, while common, are entirely preventable in aged care and in the community. Working alongside allied health professional, for example Physiotherapists , Osteopaths and Occupational Therapists , Dietitians make nutritional recommendations to compliment physical activity to promote optimal muscle mass to support strength and conditioning of skeletal muscle. Adequate nutrition, focusing on adequate protein and energy intake, through dietetic intervention combined with physical exercise can reduce the likelihood of falls and therefore subsequent major injuries such as fractures Aged care Quality Indicator 5: Medication Management Many residents in residential aged care often require nutritional supplementation as the ageing process requires increased nutrition requirements for particular nutrients. Dietitians can support and optimise nutrition intake through food first approaches which may help to reduce the reliance of expensive supplements or medications, decreasing the risk of polypharmacy. Aged care Quality Indicator 6: Activities of Daily Living  Dietitians are well placed to support residents and clients with their day-to-day activities. Supporting optimal health to maintain independence for as long as possible. With respect to food and eating, Dietitians can make personalised recommendations to clients and residents around nutritious choices when food shopping, cooking methods and mealtime support. Aged care Quality Indicator 7: Incontinence care A common issue in residential aged care and in home care clients, incontinence can be debilitating and socially isolating. In some cases, Dietitians may be able to relieve the symptoms of incontinence especially if there are dietary triggers, lack of fibre or intolerances. For those that experience incontinence, there are increased fluid losses that require replacement. Dietitians can provide guidance on appropriate fluid intake to ensure adequate hydration. Aged care Quality Indicator 8: Hospitalisation As outlined above with respect to falls and major injury prevention and therefore subsequent hospitalisation, Dietitians also play an integral role in supporting residents and clients upon return home from hospital. In most cases, weight loss is an undesirable consequence of a hospital admission. Residents and/or clients that are hospitalised and are undernourished are at an increased risk of infection, wounds, increased length of stay and increased risk of death. Dietitians can help to correct and stabilise unplanned weight loss and hospital acquired malnutrition and wounds with targeted nutrition support through individualised nutrition assessments. Discharge plans often recommend dietetic input upon return home for those residents and/or clients identified with weight loss and or malnutrition during their hospitalisation. Aged care Quality Indicator 9: Workforce Dietitians make up the important network of allied health professionals that are underutilised in aged care. As outlined above, Dietitians can provide support and value addressing each quality indicator to support positive health outcomes for residents and clients. Dietitians support multiple staff across the aged care setting to enable them to build the capacity of their clients and residents. Vivir Healthcare boasts an experienced, passionate team of Dietitians across Australia, ready and eager to play a role in the care of elderly Australians. Aged care Quality Indicator 10: Consumer Experience Food is an important source of enjoyment for residents and consumers in their day to day lives. Dietitians are uniquely placed to bridge communication between staff, residents and clients to improve the overall dining and mealtime experience. Vivir Healthcare Dietitians regularly complete mealtime assessments and menu reviews in aged care to ensure compliance, enjoyment and nutritional adequacy. Food and eating is an integral part of life and it is up to everyone to enable the consumer experience and choice to be at the centre of their care. Aged care Quality Indicator 11: Quality of Life. As above, it has been addressed how Dietitians can enhance the consumer experience, particularly when it comes to food and mealtimes. Inevitably, there are times when nutrition focuses shift away from corrective and intensive interventions as illustrated under the above quality indicators to individualised, scalable recommendations to preserve and optimise quality of life. Dietitians are often called upon for weight loss the context of progression toward end-of-life care. Some residents and clients may require a palliative approach if they are living with a life limiting illness. Dietitians can ensure that foods and fluids provided align with the residents or client preferences going through this life stage. As with wound care and wound prevention, adequate nutrition is integral to supporting skin integrity to prevent the development of new pressure injuries or sores. Dietitians will make recommendations accordingly and apply dietary strategies to prevent further skin deterioration and improve overall quality of life.
By Matthew Williams - Physiotherapist October 8, 2024
“Have you been doing your exercises?” I wonder if you’ve been asked that question before. Perhaps it was posed to you by a health professional, it may have been posed to you by an inquisitive family member or it may be a question that you’ve posed to yourself? In my role as a physio , I spend a lot of my week doing exercise with clients. Some sessions are focused on strength, some sessions are more targeted towards aerobic fitness, and other times we work on balance, range of motion or any number of other important metrics of physical health. I have clients whose sessions are completed sitting down in a chair and clients who walk for kilometres. I have clients who do hours of exercise every day, and clients who find it hard to get motivated. But in those wonderfully diverse experiences, one consistent theme is the focus and promotion of resistance training. The role of resistance training in maintaining good physical and psychological health has long been testified to. And so, my goal in this article is not to tread over old ground or to walk a well-worn path - though we all need to walk it from time to time. I want this article to present the same message but from a different angle. I want to get practical. I want to give you three thoughts that I try to prioritise when implementing resistance training with clients: The human body has potential. Focus on strength and power. The positive feedback loop. Let’s dive in! The Human Body Has Potential. The human body has so much potential. Whether you’re 50 or 90. Whether you meet the step goals on your apple watch everyday or have never done a day of exercise in your life. You have potential. Research shows demonstrable improvements in quality of life, depression and muscle strength through the performance of resistance exercises. It shows improvement in functional activities like climbing stairs, getting out of a chair, getting dressed and catching the bus. It shows improvements in physical and psychological well-being. It shows improvements in pain. Loss of muscle mass is a gradual process that, on average, begins after age 30 and accelerates after age 60 (Chang et al., 2019). We call this sarcopenia. This diagram shows the negative pathways that can result from sarcopenia and a loss of muscle mass (Hunter et al., 2004).
elderly lady falling on the floor
By Vivir Healthcare September 22, 2024
In Australia’s ageing population, falls prevention for elderly people cannot be overlooked. According to the most current 2023 Australian Government statistics, falls contribute to 43% of injuries leading to hospitalisation, making falls the top cause of injury related hospitalisations in Australia, with people aged 65 years and over being the most affected. As the impact of a fall can lead to loss of independence, confidence and impact overall well-being, understanding the role that Physiotherapists and Occupational Therapists play in supporting people implement fall prevention strategies to prevent future fall incidents, and engaging in their expertise, can help improve the quality of life for you or your elderly loved one.
More Posts
Share by: