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Contact Details

  Street address:
Level 11, KGV Building
Missenden Road
CAMPERDOWN NSW 2050
 
Postal address:
Post Office Box M30
Missenden Road NSW 2050

Phone: (02) 9515-6111
Fax: (02) 9515-9610

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Nutrition and Dietetics

Our Research

Good nutrition is important for health and well-being, as well as in the treatment and management of many acute and chronic illnesses. In the hospital setting Dietitians assess the nutritional requirements of patients, plan appropriate nutrition interventions and provide education and counselling for patients, families and carers. Dietitians are also involved in nutrition and health education programs, working in public health, working with mental health services, assisting with health planning, setting nutritional standards, and developing and implementing nutrition care policies.

Our nutrition research encompasses many of the areas in which Dieticians work. We are actively involved in clinical nutrition research and in translating such research to best-practice standards. Staff are involved in research looking at service and workforce design. A broad range of research strategies are used to improve the delivery of nutrition care services in Sydney Local Health District.

Key Achievements

Research Activity - Ethics Applications

Dietitian -Sharon Carey
 - Intestinal Failure Consensus Research using Delphi Methodology (LNR/16/RPAH/581 & LNRSSA/16/RPAH/669)).
 - Weight and See: Clinical team visualisation of eMR data to improve identification and management of patients at risk of poor nutrition outcomes.
 - Jejunal verses oral nutrition support for one month after discharge from hospital following oesophagectomy or total gastrectomy - a randomized controlled trial.
 - Home parenteral nutrition patient preferences study using Time Trade Off Methodology.
 - Nutritional Practices and Considerations of Upper Gastrointestinal Surgeons performing Total Gastrectomy and Ivor Lewis Oesophagectomy Procedures
 - Paediatric Nutrition Review - Medical record audit of Inpatient paediatric admissions for nutrition need.
 - e-Dietitian for e-Nutrition: Feasibility of an ICT-Enabled Model of Care to Support Implementation of Evidence-Based Nutrition Care Pathways for People Undergoing Treatment for Upper Gastrointestinal (UGI) Cancers.

Dietitian - Suzie Ferrie
 - TARGET study
 - Parenteral trace elements study

Dietitian - Mars Kim
 - Protein supplementation for COPD pilot study
 - Nutritional status in patients with Interstitial Lung Disease

Dietitians - Kia Roberts, Angela Thompson, Cheryl Brownlow
A menu for patients developed by patients - a review of the menu and meal environment using patient and staff feedback to guide development of a tailored menu for patients admitted to the mental health service in SLHD.

Dietitians - Sheena Singh, Nicola Riley
Fasting practices of Gastro medical and surgical, General Surgery and Orthopaedic surgical wards.

Dietitians - Lynelle Thompson, Cheryl Brownlow
Nutrition Profile of patient's attending Concord multidisciplinary team Parkinson's Disease clinic.

Dietitian - Rosalind Moxham
Case Studies from HIV Community Services.

Dietitians - Deanna Jenkins, Nicole Wiles
The Effectiveness of Dietetic Interventions in Improving the nutritional status of Home and Community Care (HACC) Clients living in the Community

Current Studies and number of participants recruited in 2016

Dietitian - Sharon Carey 
Jejunal verses oral nutrition support for one month after discharge from hospital following oesophagectomy or total gastrectomy - a randomized controlled trial - 8 participants.

Dietitian - Suzie Ferrie
 - TARGET study - 84 participants.
 - Nutritional indicators in ICU - not a study involving participant recruitment.

Dietitian - Georgia Hardy
e-Dietitian for e-Nutrition: Feasibility of an ICT-enabled model of care to support implementation of evidenced-based nutrition care pathways for people undergoing treatment for upper gastrointestinal (UGI) cancers - awaiting ethics approval.

Dietitian - Joanne Heyman
Frailty study in adults with cirrhosis - 29 participants.

Dietitian - Mars Kim
 - Protein supplementation for COPD pilot study - 23 participants 
 - Nutritional status in patients with Interstitial Lung Disease - awaiting ethics approval.

Dietitian - Sophie Lane
Pre-operative Immunonutrition in patients undergoing pelvic exenteration surgery for cancer - 50 participants.

Dietitian - Caroline Nichols 
Vitamin D status in the adult burn population at Concord Hospital - 115 participants.

Dietitians - Kia Roberts, Angela Thompson, Cheryl Brownlow
A menu for patients developed by patients - a review of the menu and meal environment using patient and staff feedback to guide development of a tailored menu for patients admitted to the mental health service in SLHD - 139 participants.

Dietitians - Sheena Singh, Nicola Riley
Fasting practices of Gastro medical & surgical, General Surgery & Orthopaedic surgical wards - 164 participants.

Dietitians - Lynelle Thompson, Cheryl Brownlow
Nutrition Profile of patient's attending Concord multidisciplinary team Parkinson's disease clinic - 82 participants.

Dietitian - Cindy Tan
 - Cancer Nutrition and Exercise rehabilitation program (CaNE) for patients with advanced cancer at risk of cancer cachexia syndrome - a phase II feasibility study -5 participants.
 - Survivorship service evaluation study - 100 participants.

Dietitian - Helen Vidot 
Taurine and muscle cramps study - 1 participant.

Dietitian - Angela Langton 
Food Insecurity for people living with HIV in Sydney. A cross sectional observational study - 162 participants.

Dietitians:
Food intolerance in adults with chronic urticaria, angioedema, functional bowel disorders, headache and migraine, chronic fatigue,

Dietitian- W Stuart-Smith:
Elimination Diet/Low FODMAP Diet crossover study

Dietitian- Phoebe Starling:
Food intolerance in children with functional bowel disorders

Dietitian- Chloe Liang and Phoebe Starling:
Food allergy in children and their families

Dietitian – Chloe Liang:
Influences of heredity, environment and a maternal dietary modification on food sensitisation.

Dietitians- G Williams, 2017, C Pentecost, 2016:
Quality of life, coping strategies, psychological factors, personality and food intolerance

Dietitian - Sparkes E, 2017; Ho J, 2017; Tsui A, 2016; Bessell E, 2016; Tripodi E, 2016; Pilla R, 2016:
Diet quality and nutritional adequacy before and on elimination diet

Dietitian – Annabel Clancy:
Eosinophilic Oesophagitis and diet

Dietitian – Kim Faulkner-Hogg:
Coeliac disease and diet

Translation of Research into Clinical Practice

Dietitian - Julie Christie
Culturally appropriate, pictorial resources developed for use on iPads are currently used for providing dietary education on a HEHP diet for patients from Chinese and Korean backgrounds.

Dietitian - Suzie Ferrie
Previous results on monitoring participants for my protein study are now being used to develop bedside nutritional monitoring tool for patients in ICU.

Dietitian - Kia Roberts
We are in the process of making menu and food service changes to the mental health food services based on our study of the menu and meal environment.

Dietitian - Lynelle Thompson
Results were used to review clinical documentation transition from paper-based to electronic and to target high prevalence issues as topics for group education session discussions. Also with dissemination of project results, the clinic team has implemented a regular QI/Research meeting & are planning interdisciplinary studies.

Dietitians - Deanna Jenkins, Nicole Wiles
Results will be used to evaluate the effectiveness of nutrition interventions in terms of changes in MNA total score, quality of life and functionality in free living HACC clients. It is also important to identify barriers to implementing nutrition interventions and measure the level of client/carer satisfaction of the HACC dietetic service. This will assist with improving the quality of the HACC dietetic service.

 

Awards/Medals

National:

2017: Clancy A - Allied Health Professional Assembly Scholarship AAAAI Travel Award recipient

State:

2016: Clancy A - Health Impact Research Cluster (HIRC) higher degree research student showcase 2nd prize


Research Staff

  • Sharon Carey
  • Suzie Ferrie
  • Mars Kim
  • Kia Roberts
  • Angela Thompson
  • Cheryl Brownlow
  • Sheena Singh
  • Nicola Riley
  • Lynelle Thompson
  • Rosalind Moxham
  • Deanna Jenkins
  • Nicole Wiles
  • Georgia Hardy
  • Joanne Heyman
  • Sophie Lane
  • Caroline Nichols
  • Cindy Tan
  • Helen Vidot
  • Angela Langton
  • Dr Anne Swain
  • Dr Kim Faulkner-Hogg
  • Sharon Trueman
  • Brooke McKinnon
  • Chloe Liang
  • Kirsty Le Ray
  • Carling Chan
  • Neelam Pun
  • Annabel Clancy
  • Phoebe Starling

Higher Degree Students:

PhD:

  • Dr Suzie Ferrie was admitted to the degree of PhD in April 2016 by the Faculty of Science, University of Sydney.
  • Annabel Clancy
  • Wendy Stuart Smith

Masters:
 

  • Josie Ho, Masters of Nutrition and Dietetics, University of Sydney
  • Emalie Sparkes, Masters of Nutrition and Dietetics, University of Sydney
  • Georgina Williams, Masters of Nutrition and Dietetics, University of Wollongong


Publications and Presentations

Publication Details:
  1. Lambert E, Carey S. Practice guideline recommendations on perioperative fasting - a systematic review. Journal of Parenteral and Enteral Nutrition, 2016, 40(8): 1158-1165.
  2. Ferrie S, Allman-Farinelli M, Daley M, Smith K. Protein requirements in the critically ill: a randomised controlled trial using parenteral nutrition. Journal of Parenteral and Enteral Nutrition, 2016, 40(6):795-805.
  3. Reid DB, Chapple LS, O'Connor SN, Bellomo R, Buhr H, Chapman MJ, Davies AR, Eastwood GM, Ferrie S, Lange K, McIntyre J, Needham DM, Peake SL, Rai S, Ridley EJ, Rodgers H and Deane AM. The effect of augmenting early nutritional energy delivery on quality of life and employment status one year after ICU admission. Anaesthesia and Intensive Care Journal 2016, 44(3):406-412.
  4. Hew J, Solon-Biet SM, McMahon AC, Ruohonen K, Raubenheimer D, Ballard WO, Le Couteur DG, Nicholls C, Li Z, Maitz PKM, Wang Y, Simpson SJ. The effects of dietary macronutrient balance on skin structure in aging male and female mice. PLoS ONE 11(11) Nov2016. doi:10.1371/journal.pone.0166175
  5. Ma Li X, Bulsara Max K, Tan Sim Y, Vardy J. Body weight management in overweight and obese breast cancer survivors. Cochrane Database of Systematic Reviews [Internet]. 2016; (3). http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD012110/abstract
  6. Malalasekera A, Tan CSY, Phan V, Yip PY, Vardy J, Clarke S, et al. Eastern Cooperative Oncology Group score: Agreement between non-small-cell lung cancer patients and their oncologists and clinical implications. Cancer Treatment Communications. 2016, 5:17-21
  7. Vidot H, Teevan K, Carey S, Strasser S, Shackel, N. A prospective audit of pre-procedural fasting practices on a transplant ward: when fasting becomes starving. Journal of Clinical Nursing, 2016, 25(5-6), 829-835.
  8. Clancy A, Beck E, Swain A, Loblay R (2016). Quality of life in patients with eosinophilic oesophagitis: A systematic review and clinical experience. 31st National Dietitians Association of Australia Conference, Melbourne, Australia. [Oral presentation].
  9. Clancy A, Swain A, Soutter V, Loblay R (2016). Patient reported symptom triggers in eosinophilic oesophagitis: what do they mean? International Congress of Dietetics, Granada, Spain. [Oral presentation].
  10. Clancy A, Swain A, Beck, E, Loblay R (2017). Eosinophilic Esophagitis (EoE) Management. AAAAI Annual Meeting, Atlanta, Georgia, USA. [Oral presentation].

Presentations:

National and International:

  1. Christy J, Roberts K, Tan C. Does the use of culturally appropriate, pictorial resources on mobile technology devices enhance the provision of dietary education for patients accessing Nutrition and Dietetics services at Concord Hospital? Dietitians Association of Australia National Conference, Melbourne, May 2016. Poster presentation.
  2. Conchin S. Implementing complex healthcare interventions: protected mealtimes as a case study example, Dietitians Association of Australia National Conference, Melbourne, May 2016. Oral presentation.
  3. Ferrie S. Should we worry more about protein than energy in ICU? Baxter Intensive Care seminar, 2016. Invited speaker.
  4. Ferrie S. Bedside nutrition assessment methods - the use of ultrasound and bio impedance. Advanced Clinical Nutrition Course, Australasian Society of Parenteral and Enteral Nutrition, Sydney, June 2016. Invited speaker.
  5. Heyman J. Bedside nutrition assessment methods - the use of indirect calorimetry and hand grip strength. Advanced Clinical Nutrition Course, Australasian Society of Parenteral and Enteral Nutrition, Sydney, June 2016. Invited speaker.
  6. Mathers L, Findlay M, Carey S. Assessing the value surgical and medical clinicians place on nutrition when managing patients with oesophageal cancer. Annual General Meeting of Multinational Association of Supportive Care in Cancer, Adelaide, June 2016. Poster presentation.
  7. McMaster C, Hart S. The Eating Disorder Healthy Eating Guide - a comprehensive nutritional intervention tool for eating disorder clinicians to use with their patients. Australian & New Zealand Academy of Eating Disorders Conference, Christchurch, New Zealand, August 2016, Oral presentation.
  8. Nicholls C, Riley N, Crosbie A, Maitz PK. Vitamin D status in the adult burn population at Concord Hospital. Annual Scientific Meeting of Australian and New Zealand Burns Association, Auckland, New Zealand, October 2016. Poster presentation.
  9. Tan C, Turner J, Butler S, Kerin-Ayres K, Deguchi C,, Malalasekera A, Dhillon H, Vardy J. Physical and psychological health status of breast cancer survivors following primary adjuvant treatment. Clinical Oncology Society of Australia ASM, November 2016. Poster presentation.
  10. Vidot H. Assessment of sarcopenia in patients with chronic liver disease on the liver transplant waiting list. Australian Gastroenterological Society Meeting, Adelaide, October 2016. Oral presentation.
  11. Vidot, H. The role of nutritional intervention in patients with chronic liver disease awaiting transplantation. Australian Gastroenterological Society Meeting, Adelaide, October 2016. Poster presentation.
  12. Vidot Helen. Vitamin D deficiency and hepatic encephalopathy in patients with chronic liver disease. Australian Gastroenterological Society Meeting, Adelaide, October 2016. Poster presentation.
  13. Vidot H. Aggressive nutrition intervention can reduce ascites in patients with cirrhosis and refractory ascites: a case series report. Nutrition in Liver Disease Conference European Association for the Study of the Liver, Ljubljana, Slovenia, November 2016. Poster presentation.
  14. Vidot H. Assessment of sarcopenia in patients with chronic liver disease on the liver transplant waiting list. Nutrition in Liver Disease Conference European Association for the Study of the Liver, Ljubljana, Slovenia, November 2016. Poster presentation.
  15. Vidot H. The role of nutritional intervention in patients with chronic liver disease awaiting transplantation. Nutrition in Liver Disease Conference European Association for the Study of the Liver, Ljubljana, Slovenia, November 2016. Poster presentation.
  16. Vidot H. Vitamin D deficiency and hepatic encephalopathy in patients with chronic liver disease. Nutrition in Liver Disease Conference European Association for the Study of the Liver, Ljubljana, Slovenia, November 2016. Poster presentation.

State:

  1. Ferrie S. Enteral and parenteral nutrition. Dietitians Association of Australia, Nutrition Support for Beginners one-day workshop, Sydney, 2016. Invited speaker.
  2. Ferrie S. Stress metabolism, inflammation and critical care nutrition. Dubbo hospital one-day workshop, Dubbo, 2016. Invited speaker.
  3. Lai R. The role of dietitians in a multi-disciplinary IBD clinic to promote positive outcomes for patients with IBD. NSW/ACT IBD Nurses symposium, Sydney, November 2016. Invited speaker.
  4. Moxham R. Yaralla House, a comprehensive high care residential facility for people living with HIV. Social Research Conference for HIV and Viral Hepatitis, University of NSW, April 2016. Oral presentation.
  5. Roberts K, Thompson A, Lane S, Kerley W, Riley N, Kennewell S. A menu for patients developed by patients - taking on board patient feedback to develop a tailored menu for patients admitted to the Drug Health unit at Concord Hospital. ACI Patient Experience symposium, Sydney, May 2016. Short oral presentation.

District:

  1. Brownlow C. Nutritional Assessment and Risk Management for nursing staff. Sydney Local Health District Aged Health Holistic Assessment and Management workshop, Sydney, November 2016. Oral presentation.
  2. Ferrie S. Fasting. RPA Medical Grand Rounds, Camperdown 2016. Invited speaker.
  3. Ferrie S. Protein requirements in the critically ill: a randomised controlled trial. Sydney Local Health District Innovation and Research Symposium, Sydney, June 2016. Oral presentation.
  4. Langton A. A quantitative cross section study to determine the prevalence of food insecurity and its impact upon health outcomes amongst people living with HIV in Sydney. SLHD Community Health Research Forum 2016. Oral presentation.
  5. Thompson A, Williams N, Yun H. Dietitian Assistants taking patient menu selections using Mobile Menu Entry Technology. Sydney Local Health District Innovations Symposium, Sydney, June 2016. Oral presentation.

Research Grants

GRANTING BODY AWARDEES PROJECT TITLE YEARS total $$ Years
RPA Transplant Institute Vidot H The effect of short term high dose vitamin D supplementation in hepatic encephalopathy.  $20,000 2016-2017
SLHD Cancer Services Research Grant Vardy J, Tan C, Dhillon H. Implementation and evaluation of a weight management program in cancer survivors  $30,000 2015-2016
Pilot and Seed Funding from Sydney Catalyst Vardy J, Tan C, Salis A, Blinman P, Dhillon H, Turner J. Cancer Nutrition and Exercise rehabilitation program (CaNE) for patients with advanced cancer at risk of cancer cachexia syndrome – a phase II feasibility study  $45,000 2015-2016

Nutrition and Dietetics Discipline Director: Ms Suzanne Kennewell

Contact details for department

Department/Unit: Nutrition and Dietetics
Address:
RPA Hospital
Missenden Road
Camperdown NSW 2050
Telephone: (02) 9515 7861
Facsimile: (02) 9515 6133
Web: www.slhd.nsw.gov.au/research/
Email: suzanne.kennewell@health.nsw.gov.au