{"id":647,"date":"2025-12-18T13:22:00","date_gmt":"2025-12-18T13:22:00","guid":{"rendered":"https:\/\/services.nhslothian.scot\/nutrition-and-dietetics\/?page_id=647"},"modified":"2025-12-18T13:39:01","modified_gmt":"2025-12-18T13:39:01","slug":"adult-acute-team","status":"publish","type":"page","link":"https:\/\/services.nhslothian.scot\/dietetics\/adult-acute-team\/","title":{"rendered":"Adult Acute Team"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>What we do<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Acute dietitians advise and support the medical team to help manage patients\u2019 medical conditions and to ensure they meet their nutritional requirements. We work closely with catering services to ensure that the meals provided meet the specific nutritional, cultural and religious needs. In some cases where the oral intake remains poor or is not expected to improve, we may implement specialised forms of artificial tube feeding.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We are a team of 35 dietitians, 4 dietetic assistants and 2 administrative staff providing adult inpatient and outpatient services to 3 main hospitals across NHS Lothian: the Royal Infirmary of Edinburgh, the Western General Hospital, and St John\u2019s Hospital.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The specialities we provide dietetic services to include:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><div class=\"wpcp-wp-lightbox-host wpcp-advanced-image-lightbox-icon-hover\"><a class=\"wpcp-wp-lightbox-image-link\" href=\"https:\/\/services.nhslothian.scot\/dietetics\/wp-content\/uploads\/sites\/144\/2025\/12\/RIE-Acute-Specialitites-Green-Box-diagram-V2.jpg\" data-wpcp-wp-lb-image=\"1\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"647\" src=\"https:\/\/services.nhslothian.scot\/dietetics\/wp-content\/uploads\/sites\/144\/2025\/12\/RIE-Acute-Specialitites-Green-Box-diagram-V2-1024x647.jpg\" alt=\"RIE Acute Specialitites Green Box diagram V2\" class=\"wp-image-790\" srcset=\"https:\/\/services.nhslothian.scot\/dietetics\/wp-content\/uploads\/sites\/144\/2025\/12\/RIE-Acute-Specialitites-Green-Box-diagram-V2-1024x647.jpg 1024w, https:\/\/services.nhslothian.scot\/dietetics\/wp-content\/uploads\/sites\/144\/2025\/12\/RIE-Acute-Specialitites-Green-Box-diagram-V2-300x190.jpg 300w, https:\/\/services.nhslothian.scot\/dietetics\/wp-content\/uploads\/sites\/144\/2025\/12\/RIE-Acute-Specialitites-Green-Box-diagram-V2-768x485.jpg 768w, https:\/\/services.nhslothian.scot\/dietetics\/wp-content\/uploads\/sites\/144\/2025\/12\/RIE-Acute-Specialitites-Green-Box-diagram-V2.jpg 1440w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><a href=\"https:\/\/services.nhslothian.scot\/dietetics\/wp-content\/uploads\/sites\/144\/2025\/12\/RIE-Acute-Specialitites-Green-Box-diagram-V2.jpg\" data-fancybox=\"wpcp-wp-img-790\" class=\"wpcp-lightbox-trigger wpcp-advanced-image-lightbox-icon wpcp-position-top-right wpcp-advanced-image-lightbox-icon-hover wpcp-global-lightbox-icon wpcp-lightbox-icon--global wpcp-lb-icon-style-default\" data-wpcp-lb-icon-source=\"global\" aria-label=\"Open image in lightbox\" data-thumb-src=\"https:\/\/services.nhslothian.scot\/dietetics\/wp-content\/uploads\/sites\/144\/2025\/12\/RIE-Acute-Specialitites-Green-Box-diagram-V2-300x190.jpg\" data-wpcp-lb-single=\"1\"><span class=\"wpcp-icon-container\"><svg viewBox=\"0 0 20 20\"><path d=\"M17.6585 16.025L14.2437 12.6198C15.1716 11.3338 15.6121 9.7613 15.4871 8.1819C15.362 6.60251 14.6795 5.11847 13.5607 3.99351C12.936 3.36206 12.1916 2.86066 11.3709 2.51845C10.5502 2.17623 9.66952 2 8.77995 2C7.89039 2 7.00969 2.17623 6.18899 2.51845C5.36829 2.86066 4.62395 3.36206 3.99919 3.99351C3.36594 4.61649 2.86312 5.35871 2.51992 6.17708C2.17673 6.99545 2 7.87365 2 8.76068C2 9.64772 2.17673 10.5259 2.51992 11.3443C2.86312 12.1627 3.36594 12.9049 3.99919 13.5279C5.11957 14.6901 6.62279 15.4103 8.23285 15.5562C9.84291 15.7022 11.4517 15.2641 12.7639 14.3224L16.1788 17.7275C16.3849 17.9034 16.6473 18 16.9186 18C17.1899 18 17.4523 17.9034 17.6585 17.7275C18.1138 17.16 18.1138 16.5925 17.6585 16.025ZM5.59278 12.0523C5.16258 11.6298 4.82094 11.1263 4.58774 10.5709C4.35455 10.0156 4.23446 9.41951 4.23446 8.81744C4.23446 8.21536 4.35455 7.6193 4.58774 7.06394C4.82094 6.50859 5.16258 6.00503 5.59278 5.58257C6.01644 5.15359 6.52144 4.81292 7.07838 4.58039C7.63532 4.34786 8.23308 4.22811 8.83687 4.22811C9.44066 4.22811 10.0384 4.34786 10.5954 4.58039C11.1523 4.81292 11.6573 5.15359 12.081 5.58257C12.5112 6.00503 12.8528 6.50859 13.086 7.06394C13.3192 7.6193 13.4393 8.21536 13.4393 8.81744C13.4393 9.41951 13.3192 10.0156 13.086 10.5709C12.8528 11.1263 12.5112 11.6298 12.081 12.0523C11.6573 12.4813 11.1523 12.822 10.5954 13.0545C10.0384 13.287 9.44066 13.4068 8.83687 13.4068C8.23308 13.4068 7.63532 13.287 7.07838 13.0545C6.52144 12.822 6.01644 12.4813 5.59278 12.0523Z\" \/><\/svg><\/span><\/a><\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Dietetics Services: Bariatric Surgery, Diabetes and the Regional Eating Disorder Unit are also supported by specialist hospital dietitians<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What to expect<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">During illness or injury our nutritional requirements can change significantly requiring dietary changes. Appetite and dietary intake can be quite poor which can lead to weight loss and can impact the time it takes to recover.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">On admission to hospital, your nutritional status will be assessed using the \u2018Malnutrition Universal Screening Tool\u2019 (MUST) and you will be referred to the acute dietetic team if you are at risk of malnutrition or malnourished. You may also need dietetic input if you require specific dietary advice for your clinical condition. Referrals can be made by nurses, doctors, or other healthcare professionals.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We aim to provide a nutritional assessment within 3 working days. If you are already prescribed oral nutritional supplements by your GP or community dietitian these will be continued during your admission, and you will be referred to the acute dietetic team.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At assessment we will explore your current\/past dietary habits and ask about any weight changes. We will work closely with you to create a specific nutritional plan to help you achieve your nutritional goals and support you to make the necessary dietary and lifestyle changes to help treat or prevent disease.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">During your admission, you may require oral nutritional supplements which should only be used when under the care of a Dietitian. Not everyone requires these when they go home but if you need these to continue your dietitian will arrange a prescription via your GP and you will be followed up by the community dietetic team.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Contact details<\/strong>:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">RIE dietetic team \u2013 0131 242 1958<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">WGH dietetic team \u2013 0131 537 1815<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">SJH dietetic team \u2013 0131 537 1815<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Helpful Resources can be found here: <a href=\"https:\/\/www.bapen.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.bapen.org.uk\/<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong><em>Renal (Kidney) Dietetic Team<\/em><\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The Renal Dietitians are based at the Royal Infirmary of Edinburgh, but take care of both inpatients, renal clinic outpatients and those on dialysis across Lothian at the Western General Hospital and St John\u2019s Hospital. We also see people attending the Edinburgh Transplant Centre. We may offer a telephone or video clinic appointment as well as reviewing people face-to-face.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Why do I need to see a Renal Dietitian?<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">When the kidneys do not work properly, problems may occur including a build-up of blood mineral levels of potassium and phosphate, fluid overload and loss of appetite. Renal Dietitians can help you understand how different foods affect your kidneys and provide guidance on maintaining a balanced diet that supports kidney health.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We can advise on food and drink choices to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Help lower potassium and phosphate levels if required.<\/li>\n\n\n\n<li>Reduce salt and fluid to help prevent fluid overload.<\/li>\n\n\n\n<li>Help increase energy (calorie) intake following a period of poor appetite (build-up diet).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Renal Dietitians can also support people who are working towards a healthy weight, especially for those who need a transplant.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>What will happen when I see the Renal Dietitian?<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The Renal Dietitian will ask you about your general health and what foods and drinks you typically have. They will use this information along with your blood tests and medical information to provide you with practical and individual dietary advice to suit your needs. Written information and meal\/recipe ideas are often provided to help you follow this advice at home.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How can I be referred?<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The NHS Lothian Renal Dietitians can only accept referrals for people under the care of the NHS Lothian Kidney or Transplant teams. If you are under one of these teams and would like to see a Renal Dietitian, please ask your Renal Consultant or nurse to refer you.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Alternatively, please contact the Renal Dietitians on 0131 242 1255 and leave an answerphone message. Please include your name, date of birth and reason for enquiry.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Helpful Resources:<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/kidneycareuk.org\/get-support\/free-resources\/patient-information-booklets\/how-can-a-renal-dietitian-help-me\/\" target=\"_blank\" rel=\"noreferrer noopener\">Kidney Care UK \u2013 How can a Renal Dietitian help me?<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/kidneycareuk.org\/get-support\/healthy-diet-support\/kidney-kitchen\/\" target=\"_blank\" rel=\"noreferrer noopener\">Kidney Care UK \u2013 Kidney Kitchen webpage containing dietary information and recipes<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/eur01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.bda.uk.com%2Fresource%2Fsalt.html&amp;data=05%7C02%7CBina.Patel%40nhs.scot%7C369101a7ae3f4668337008de1d417471%7C10efe0bda0304bca809cb5e6745e499a%7C0%7C0%7C638980364111977484%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&amp;sdata=CqxmtFfu9bhlbPdpAxd2gESXktAefmpQW88MR48YH%2Bg%3D&amp;reserved=0\">The Association of UK Dietitians &#8211; Food Fact Sheet for Salt<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nhsinform.scot\/healthy-living\/12-week-weight-management-programme\/\" target=\"_blank\" rel=\"noreferrer noopener\">NHS Inform 12-week weight management programme<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nhs.uk\/live-well\/exercise\/get-running-with-couch-to-5k\/\" target=\"_blank\" rel=\"noreferrer noopener\">NHS exercise programmes<\/a><\/p>\n\n\n<div class=\"gb-container gb-container-870917bc\"><\/div>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What we do Acute dietitians advise and support the medical team to help manage patients&rsquo; medical conditions and to ensure they meet their nutritional requirements. We work closely with catering services to ensure that the meals provided meet the specific nutritional, cultural and religious needs. In some cases where the oral intake remains poor or<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_gspb_post_css":"","_searchwp_excluded":"","footnotes":""},"categories":[],"class_list":["post-647","page","type-page","status-publish","hentry"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/services.nhslothian.scot\/dietetics\/blog\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":"What we do Acute dietitians advise and support the medical team to help manage patients&rsquo; medical conditions and to ensure they meet their nutritional requirements. We work closely with catering services to ensure that the meals provided meet the specific nutritional, cultural and religious needs. In some cases where the oral intake remains poor or","_links":{"self":[{"href":"https:\/\/services.nhslothian.scot\/dietetics\/wp-json\/wp\/v2\/pages\/647","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/services.nhslothian.scot\/dietetics\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/services.nhslothian.scot\/dietetics\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/dietetics\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/dietetics\/wp-json\/wp\/v2\/comments?post=647"}],"version-history":[{"count":19,"href":"https:\/\/services.nhslothian.scot\/dietetics\/wp-json\/wp\/v2\/pages\/647\/revisions"}],"predecessor-version":[{"id":806,"href":"https:\/\/services.nhslothian.scot\/dietetics\/wp-json\/wp\/v2\/pages\/647\/revisions\/806"}],"wp:attachment":[{"href":"https:\/\/services.nhslothian.scot\/dietetics\/wp-json\/wp\/v2\/media?parent=647"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/services.nhslothian.scot\/dietetics\/wp-json\/wp\/v2\/categories?post=647"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}