Vikki Poole RD

Renal Dietitian for @ekhuftrenal helping those with CKD & AKI. Mum of 1 and healthy eating advocate. Graduate from @Uniofsurrey. Views are my own.

[Vikki Poole RD @rd_poole]

Catching up on all things Kidney this week at @bda_kidney week and AGM #kidneydietitiansweek

[Vikki Poole RD @rd_poole]

@gemma_520103 @LPTnhs @lizelle100 Congratulations Gemma, can't think of anyone better to take that challenge on.

[Vikki Poole RD @rd_poole]

Great training session today at the Critical Care Study Day by @BDACriticalCare in the @BDA_Dietitians HQ. Thank you to the team and lovely to meet the many very talented and experienced ITU dietitians from across the UK. #WeAreDietetics

[Vikki Poole RD @rd_poole]

@deepaRD Hope it went well @deepaRD 👍

[Vikki Poole RD @rd_poole]

Happy #dietitiansweek. #wearedietetics @ekhuftrenal part of @EKHUFT where we assist patients living with renal disease manage their diet #dw2023

[Ward 38 @ward38_freeman]

One of our amazing patients gifted us this, a Lego dialysis machine he designed with hand made instructions too! Phenomenal brain power to come up with this! #dialysis #transplant #renal #kidney

[Vikki Poole RD @rd_poole]

@ward38_freeman Wow, amazing 👏👏👏

[Vikki Poole RD @rd_poole]

@UHCW_RenalDiet Love this 😂

[Vikki Poole RD @rd_poole]

@AlisonCulkin @simongabe @BDA_PENG I guess it depends on if he's training for another Iron-man.

[Vikki Poole RD @rd_poole]

@Dotti_RD @SSHINE_Students This looks like a great document, can't wait to read it (thinking of an employer/employee situation).

[Vikki Poole RD @rd_poole]

@AlisonCulkin @BDA_Dietitians @BDA_PENG Love Dr Mike's teaching 😍

[Vikki Poole RD @rd_poole]

@Leicnut 🤢🤮

[Vikki Poole RD @rd_poole]

@KWebbNurse @Leicnut NG is best for short term feeding, to get someone over an acute episode of poor oral intake. Longer than this and if poor oral intake likely to be prolonged gastrostomy maybe considered. Gastrostomy may not be suitable eg GI anatomy is skewed and surgery may not be appropriate.

[Vikki Poole RD @rd_poole]

@Leicnut @KWebbNurse There's a risk in everything really, that's why it's part of our clinical judgement to weigh up the risks and benefits of oral, enteral or parenteral nutrition on a case by case basis. No two patients are alike.

[Vikki Poole RD @rd_poole]

@Leicnut @KWebbNurse Absolutely an essential part of nutrition support when a patient is unable to meet nutritional requirements. Just in my experience those with poor cognition need to be closely monitored. Had an LD pt with mittens, bridle and 24 hrs 1:1 carers and she still managed to get an NG.

[Vikki Poole RD @rd_poole]

@Leicnut 🙄

[Vikki Poole RD @rd_poole]

@KWebbNurse @Leicnut Yes I have to admit I'm not a fan as also as a graduate had a patient dislodge there NG and filled there lungs with feed so only recommend when needs must and am very conscious nursing staff closely monitor tube position and pt.

[Vikki Poole RD @rd_poole]

@Leicnut It certainly does save lives and so undervalued in a lot of clinical settings.

[Vikki Poole RD @rd_poole]

@Leicnut within a couple of days pt sitting up in bed recovering well. The pt was in a heavier body so I think the fact that she was malnourished was overlooked. It was at that very moment I realised I had chosen the right career and how important nutrition is in the clinical setting. 3

[Vikki Poole RD @rd_poole]

@Leicnut she had diarrhoea and severe damage to her pressure areas. I'd just graduated and knew there was something I was missing so spoke with a HPB dietitian. We started the pt on a semi elemental feed and asked for a faecal elastase test. Turns out our suspicions were correct PEI, (2)