COVID-19 –> information and vaccination centre
Nutrition is an essential part in the treatment of many diseases. Our nutrition care team offers you the best possible support in the field of clinical nutrition.
People with diseases must pay particular attention to what they eat. If you have nutritional problems, our dieticians will recommend a diet to accompany your therapy - tailored to your clinical picture. The spectrum ranges from food intolerances to swallowing disorders to nutrition after surgery, for example when part of the intestine has been removed.
An important goal of our clinical work is the early, targeted recording and consistent treatment of patients with malnutrition. In order to detect existing or imminent under- or malnutrition, we screen all in-patients according to a recognized method.
Certain clinical pictures require artificial nutrition in the form of infusion therapy (parenteral) or tube feeding (enteral). These forms of therapy can lead to serious complications if they are not handled properly.
Our specially trained dieticians provide support in the practical implementation of clinical nutrition and ensure that care is provided in accordance with guidelines. We train patients and their relatives in the use of the various types of tube and infusion forms and are the central point of contact with regard to nutritional therapy, discharge management and complications.
Our team of experts consists of three dieticians and two doctors with advanced training in nutritional medicine under the direction of Prof. Frieling. It is available to all inpatients at the Helios hospital Krefeld with advice and support.
All nutrition therapies are coordinated and carried out together with doctors, nurses and therapists. In order to provide our patients with state-of-the-art care, our dieticians take part in regular advanced and further training courses at the German Association of Dieticians (VDD).
A distinction is made between two forms of artificial feeding:
Parenteral nutrition (infusion therapy), in which the various food components are administered directly into the bloodstream as an infusion solution, bypassing the gastrointestinal tract
Enteral nutrition (tube feeding), in which a balanced liquid diet is administered via a stomach tube (the digestive tract is included)
Establishment of nutritional regimes for enteral and parenterally fed patients
Training of patients and their relatives with PEG, Jet-PEG, PEJ, Pexact probe, Gastrotube, Button or naso-intestinal probe
Tube dressing change
Interdisciplinary complication management
H2 breath test diagnostics to exclude lactose, fructose malabsorption, sorbitol malabsorption, incorrect bacterial colonisation of the small intestine, unspecific malabsorption, determination of the oro-caecal transit time or assessment of the integrity of the small intestinal mucosa: independent performance, assessment and preparation of a report.
Regular participation in certification courses in the field of enteral nutrition at the expert association for dieticians (VDD)
Performance of the certificate course enteral nutrition of the professional association, VDD e.V.
Theoretical and practical instruction of dietary students to independently carry out dietary consultations as well as subsequent reflection and preparation of consultation contents
Hospitation offer for dieticians, students and doctors
Instruction of trainees and interns in theoretical and practical aspects of enteral nutrition therapy
Teaching activity in the Nursing Education Centre, teaching institution for dieticians
Lecturing activities national/international (patient seminars, VHS, professional association, congresses, self-help groups)
Scientific work: Articles in medical journals, book author