<html> <head> <meta charset="UTF-8"/> <meta name="tikaGenerated" content="true"/> <meta name="date" content="2017-11-16T03:40:37Z"/> <meta name="creator" content="Reade, Brianna"/> <meta name="xmp:CreatorTool" content="Microsoft® Word 2010"/> <meta name="meta:author" content="Reade, Brianna"/> <meta name="meta:creation-date" content="2017-11-16T03:40:37Z"/> <meta name="created" content="Thu Nov 16 14:10:37 ACDT 2017"/> <meta name="dc:creator" content="Reade, Brianna"/> <meta name="xmpTPg:NPages" content="2"/> <meta name="Creation-Date" content="2017-11-16T03:40:37Z"/> <meta name="dcterms:created" content="2017-11-16T03:40:37Z"/> <meta name="Last-Modified" content="2017-11-16T03:40:37Z"/> <meta name="dcterms:modified" content="2017-11-16T03:40:37Z"/> <meta name="Last-Save-Date" content="2017-11-16T03:40:37Z"/> <meta name="meta:save-date" content="2017-11-16T03:40:37Z"/> <meta name="Author" content="Reade, Brianna"/> <meta name="producer" content="Microsoft® Word 2010"/> <meta name="modified" content="2017-11-16T03:40:37Z"/> <meta name="Content-Type" content="application/pdf"/> </head> <body> <pre> Flinders Medical Centre Liver Failure Program Nutrition Action Plan FOR PEOPLE WITH CIRRHOSIS A CHRONIC LIVER DISEASE, GOOD NUTRITION IS AN IMPORTANT PART OF YOUR TOTAL CARE. MODERATE TO SEVERE MALNUTRITION IS COMMON IN PEOPLE WITH CIRRHOSIS Symptoms of malnutrition: > weight loss > pale skin > hair loss > muscle wasting > mental confusion Malnutrition may also cause: > weight loss > pale skin > hair loss > muscle wasting > mental confusion PROTEIN IS A CRITICAL NUTRIENT FOR PEOPLE WITH CIRRHOSIS Protein is needed for: Growth, development, repair and maintenance of body tissues. As liver function worsens, so does its ability to make protein. The body then uses muscle protein to function and this results in muscle wasting and weakness. Other vitamins & minerals are also at risk: Vitamins A, D, E K, B Group and iron. EATING ADDITIONAL NUTRIENTS IS NOT EASY, ESPECIALLY IF YOUR APPETITE IS POOR Suggestions to improve your eating > Small frequent meals (4 7 times a day) if it is difficult to eat normal meal sizes > Eat nourishing snacks between meals > Drink nourishing fluids > Limit low kilojoule (diet) foods and drinks > Eat high protein and energy foods > Keep snacks prepared ( more likely to eat if food is readily available) > Serve small portions of a variety of foods > Cold foods can be more appealing > Try Favourite foods > Easy to eat foods (ice-cream, custards) If nausea is a problem: > Avoid skipping meals (an empty stomach can worsen nausea) > Eat & drink slowly suck on barley sugar or mints > Rest in an upright position after eating > Wear loose clothing > Get plenty of fresh air > Avoid highly spiced, oversweet, fatty or fried foods > Avoid cooking smells > Sip fluids frequently > Avoid overfilling the stomach > Limit or avoid caffeine > Cold carbonated drinks may help > Include high carbohydrate foods e.g. biscuits, cereal, toast with honey For more information Liver Failure Program Flinders Medical Centre Telephone: (08) 8204 6989 www.flinders.sa.gov.au If you do not speak English, request an interpreter from SA Health and the department will make every effort to provide you with an interpreter in your language. Department for Health and Ageing, Government of South Australia. All rights reserved. http://www.ausgoal.gov.au/creative-commons Version Date from Date to Amendment 1.0 April 2009 May 2015 Template changes 2.0 Nov 2017 Nov 2019 Reviewed Nov 2017 nil changes </pre> </body> </html>