“Eating is not the same as eating” is so clear Navia Duyos, nutritionist at the Fontiñas health center since last Decemberwhich highlights that there are many rumors and false myths about a fundamental area both for the prevention of certain diseases and for helping to avoid the aggravation of their effects.
Prescription, control and monitoring
···Among the benefits of nutritionists in the field of primary care in the area of health in Compostela, is contemplated meeting the demand for consultations related to nutrition, obesity and metabolic pathologies, as well as pre- and post-surgical follow-up of patients undergoing bariatric surgery, in collaboration with other members of the Endocrinology and Nutrition service, or the care and monitoring of patients with various types of nutritional disorders, including eating disorders. The prescription, control and follow-up of patients with home and outpatient artificial nutrition, and specific education on the use of tubes or perfusion pumps for enteral or parental nutrition are also included.
Just three months after starting his service at the Compostela outpatient clinic, The nutritionist saw how the demand for benefits increased due to the excellent receptionboth by patients and by medical, nursing and midwifery personnel.
Member of a pilot project at Galician level in which a total of 16 nutritionists from the health area of Santiago and Barbanza participate, he highlighted in conversation with this newspaper that from children from eight years old to people over eighty seek advice.
his job “In most cases, it focuses on giving patients the necessary guidance so that they can lose weight, but we also serve people with diseases such as hypercholesterolemia, kidney failure or diabetes, as well as allergies or food intolerances”these last pathologies about which he explains that “are being observed more and more in children and adolescents”.
It should be remembered that obesity is a major problem due to the risk it entails of developing other diseases and because, often, “obese people are carriers of other associated diseases”.
It defends the presence of its specialty in health centres, in an initiative “Pioneer in Galicia because I think something similar has only been launched before in Catalonia”since “not everyone has conditions to resort to a paid consultation”, despite being essential for many patients, he adds, and gives as an example some of the challenges he has had to face in these three months of activity that of “scheduling food for someone with few resources in collaboration with Cozinha Económica, giving it some guidelines on what should be done with that user”.
His work covers a wide spectrum in which what is sought is “to be a help, an impetus for primary care in the care and prevention of many diseases that are the order of the day and that overload the system”, emphasizes Montserrat. deputy director of Nursing in the health area of Santiago and Barbanza.
stresses that This initiative to introduce a nutritionist in outpatient clinics is part of a pilot project promoted by the Ministry of Health throughout Galicia with 94 professionals, “with which the entire Galician population has a reference nutritionist”, and which is currently contemplated with a duration of one year, and will be seen later if it continues.
understand that “The consultation activity is very important because today we have a lot of information, but we are not trained, and it is fundamental that a professional, who has knowledge of the subject, helps to distinguish what is true from what is false in nutritional matters”.
Montserrat Souto points out that “when you have simple obesity, it is important to prevent the development of associated diseases later on, and Navia Duyos adds that “many patients come into the office saying that they know what to do and how, and that they are putting it into practice, but not it works for them, and then when you talk to them, they realize they had no idea what they were supposed to do.”
Nutritionist since 2017 and initially dedicated to the research area, she guarantees that “The transition to the consultation has been very rewarding, a very positive experience, and we are also in contact with our colleagues, organizing clinical sessions for primary care teams to broaden their knowledge, or giving group lectures for diabetic patients or with breast cancer”, as he points out that many of the treatments against certain types of tumors interfere with the appetite of patients. And he explains that another of the strands in those who are also acting is with people with dementia, whose “family members turn to us because their allegations are giving up eating and what is done is to facilitate them a protein enrichment in one that includes all the nutrients What they need”.