
ADULT CONSULTATIONS
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HOME ENTERAL TUBE FEEDING
Fredrica has over 20 years of clinical experience managing clients with a wide variety of feeding tubes. Her clients have a range of health conditions including brain injuries, neurological conditions, cancer and stroke. She is competent
with changing balloon gastrostomy tubes. She ensures her clients are meeting their nutritional requirements and are aware on the care and management of their feeding tubes.
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If you are looking for a bespoke workshop on the care and management of different feeding tubes and managing stoma sites, then Fredrica can provide half or full-day sessions. These workshops would suit:
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care agency staff/support workers
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health care professionals in private nursing home
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Please contact Fredrica to discuss your specific training needs.
TRAINING

NUTRITION SUPPORT-UNDERNUTRITION
Undernutrition (malnutrition) can have a serious impact on health. Undernutrition occurs when a person is not getting enough nutrients and this may be due to a number of reasons including loss of appetite, unable to digest and absorb nutrients adequately Some of the health conditions that can lead to undernutrition include:
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long term health conditions including - some cancers, chronic obstructive pulmonary disease (COPD), Crohn's disease, Ulcerative colitis
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swallowing difficulties
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If you require advice with gaining or maintaining your weight, then Fredrica can provide structured meal plans incorporating high calorie & protein foods and drinks.

HEALTHY HEART
Cardiovascular disease is one of the major causes of death in the UK. A healthy diet and lifestyle can help reduce your risk of developing heart disease. Making lifestyle changes can help maintain and keep your heart healthy.

DIABETES & HEALTHY EATING
Healthy eating plays an important role in the management of diabetes. There are 2 types of diabetes: Type 1 and 2.
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Uncontrolled blood glucose levels for long periods can lead to health issues. Fredrica can support clients to help them control the blood glucose levels through healthy eating plans.

GUT HEALTH
A healthy gut (digestive system) is very important for our overall general health and well-being. The gut helps with the digestion and absorption of nutrients from the food and drink we consume. If your gut is not working efficiently ,this generally can lead to health issues and can have an impact on your mental health, mood, and a number of digestive disorders.
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IBS - Irritable Bowel Syndrome
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IBD - Inflammatory bowel Disease- Crohn's disease & Ulcerative Colitis
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Coeliac Disease

IRRITABLE BOWEL SYNDROME - IBS
If you suffer from IBS- Fredrica can advice and guide you to give you a better understanding on how to manage your diet and lifestyle which can help alleviate the symptoms of Irritable bowel syndrome.

MANAGEMENT OF CROHN'S DISEASE ULCERATIVE COLITIS
Fredrica can provide advice and guidance through diet manipulation; food elimination, food reintroduction and elemental diet which can help relieve or improve symptoms and reduce your risk of flare up episodes.

MANAGEMENT OF COELIAC DISEASE
Coeliac disease is a common digestive condition whereby the small bowel becomes inflamed which leads to individuals not being able to absorb nutrients adequately. Coeliac disease is caused by a reaction to gluten which is a protein found in grains including wheat, barley and rye. A gluten-free diet is therefore important in the management of coeliac disease.
Fredrica can support individuals who are newly diagnosed and for those, we are already living with this condition through having a better understanding of a gluten-free diet, recipe ideas and guidance on eating out.

WEIGHT MANAGEMENT
Fredrica can support individuals or groups with their weight loss and health goals. Sessions can be tailored to your needs and can include:
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Body weight, height, waist circumference, measurements
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Blood pressure monitoring
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Assessment and monitoring of nutritional intake via food, mood and activity diary
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Healthy eating/menu plans, portion control, healthy cooking and recipes
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Food labelling
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Cooking demonstrations
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Motivational support, mentoring