The Department of Nutrition
May 30,2022 Update
Introduction
The Department of Nutrition helps patients to heal by understanding the nutritional status of inpatients and providing appropriate nutritional management and meals. We also do nutritional counseling (tutoring and group guidance) for those who need it as part of their treatment. The work of the Department of Nutrition is roughly divided into the business of clinical nutrition management and the business of food service management.
Clinical Nutrition Management
- Support for admissions and discharges
- Nutritional Guidance Services
- Personal guidance (general, diabetes, kidney disease, surgery, etc.)
Group guidance (diabetes classes, kidney disease classes, new father/mother classes, Karugamo gatherings, IBD classes)
* Nutritional guidance is conducted according to the doctor's instructions. Please consult with a doctor if you want this. - Nutrition management (jointly conducted by many professions)
- Registered dietitian ward responsibility system
- Participants in team health care
- Nutrition Support Team (NST), Respiratory Support Team (RST), palliative care team, bedsore rounds, Medical team for metabolic diseases (MMT), foot care team, diabetes educational hospitalization, Blood Purification Center conference, Department of Pulmonary Medicine conference
Personal nutritional guidance
Diet treatment is part of the therapy. Therefore, there is guidance from a registered dietitian based on the doctor's instructions.
○ Appointments
Individual nutritional guidance is by appointment. We do not accept any nutritional counseling over the phone.
Please consult with a doctor if you want this.
○ Guidance days and time: Monday - Saturday (excluding holidays) 20 to 30 minutes per person
| AM | 9:00 | 9:30 | 10:00 | 11:00 | 11:30 |
|---|---|---|---|---|---|
| PM | 14:00 | 14:30 | 15:00 |
○ Location: There is a nutritional guidance room on the 2nd floor in the outpatient F-corner.
Personal nutritional guidance count
| Guidance Disease Name | Total Number of Guidance (Cases) |
Guidance Disease Name | Total Number of Guidance (Cases) |
|---|---|---|---|
| Diabetes | 1,210 | After digestive tract surgery | 278 |
| Diabetes dialysis prevention | 99 | Inflammatory bowel disease | 20 |
| Kidney disease | 537 | Biliary/pancreatic disease | 14 |
| Dialysis | 620 | Liver disease | 47 |
| Abnormal lipid disease | 114 | Cancer | 907 |
| Adipositas | 118 | Malnourishment | 15 |
| Heart disease | 138 | Swallowing | 9 |
| High blood pressure | 201 | Other | 70 |
Group Nutritional Guidance
[Diabetes Classes]
We work together with physicians, nurses, pharmacists, clinical laboratory technologists and physical therapists to help patients with diabetes.
| Target | Outpatients/inpatients and families (other hospital patients and families are welcome) |
|---|---|
| Reservations | Not necessary |
| Date and Time | 1st-4th Tuesdays (the second week for dietary therapy) 10:00 - 11:30 |
| Location | 5th Floor Small Auditorium or Seminar Room 1 |
| Other | There is no charge for participation. |
Diabetes classes
[Hospitalization for diabetes education (first week group guidance)]
| Target | 8th Floor West Ward,inpatients |
|---|---|
| Reservations | Needs to be requested by the physician in charge |
| Date and Time | Every other Thursday 10:00 - 11:00 |
| Location | 8th Floor West Ward |
Group Nutritional Guidance
[Kidney Disease Class]
| Target | Anyone who is worried about kidney function can participate. In addition, even those who have not received treatment in our hospital can participate, so please let us know at the time of application. |
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| Reservations (how to apply) |
Please fill out the application form at the Department of Nephrology and Hypertension outpatient reception. If you are hospitalized in this hospital, please contact the West Ward Nurses station on the 7th floor. Also, please fill out the application form separately at the second kidney disease class if you wish to participate in the meal experience. |
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| Time | 10:00 - 12:00 (doors open 9:45) | ||||||||||||
| Location | 5th Floor Small Auditorium | ||||||||||||
| Cost | 1,600 yen (tax included) We will collect this the first time you attend as the fee for participation and the text. Also, if you would like to participate in the meal experience after the third kidney disease class, we will collect a meal fee of 800 yen (tax included) at the second kidney disease class. |
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| Inquiries | Tel. 049-228-3603 (Department of Nephrology and Hypertension outpatient reception) | ||||||||||||
| Agenda and Content |
This class is held on the third Saturday of every month (No classes in January, August, and December). It is a series of three times, and you can participate from any time.
|
Kidney disease class
◇Hospital meal experience, meal content after the third class (only for those who wish)
Low protein diet for kidney disease (1 day energy 1,800kcal, protein 40g, salt 6g): 1 meal 800 yen (tax included)
- Sample menu
- Rice
- Deep fried mackerel
- Transparent vermicelli with dressing
- Daikon radish salad with vinegar
- High calorie gelatin
- * The menu will change daily.
[New father/mother class (pregnancy/nutrition series)]
| Target | Pregnant women regularly seeing a doctor at our hospital |
|---|---|
| Reservations | Reservations must be made in perinatal maternity outpatient. |
| Date and Time | 2nd Saturday of every month: 13:30 - 15:30 (doors open at 13:00) * Please confirm the schedule details with perinatal maternity outpatient reception. |
| Location | Center for Maternal-Fetal and Neonatal Medicine, South Bldg., Conference Room 1 |
| Content | The pregnancy nutrition series is held with a maternity doctor, a nurse, a midwife, and a registered dietitian. We are going to have a fun class with pregnant women and families while incorporating the hints and topics from the registered dietitian on how to obtain the nutrients necessary for the pregnancy period. ◇Examples of a meal questionnaire and response 
|
New father/mother class
[Karugamo gatherings]
| Target | About 12 pairs of parents and children from two months after childbirth to crawling age |
|---|---|
| Reservations | A reservation must be made in perinatal maternity outpatient. |
| Date and Time | Every 3rd Monday from 13:00 * Please confirm the schedule details with perinatal maternity outpatient reception. |
| Location | Center for Maternal-Fetal and Neonatal Medicine, South Bldg., Conference Room 1 |
| Cost | 1 time 2,200 Yen (including tax) |
| Content |
Each month, either a pediatrician, a nurse, a clinical psychologist or a registered dietitian will be in charge. In the months where the registered dietitian is in charge, they will be talking about "how to feed baby food." This is a class where you can relax with your baby and listen to the conversation. |
Karugamo gatherings
Regional support
▲ Kawagoe City Health Festival, Diabetes Free Consultation Meeting
Staff introduction
Hospital direct management registered dietitians, 15 people
Breakdown: 1 Department head, 1 Section manager, 2 Subsection chief and 11 others (1 person internal/NST dedicated)
- [Acquired qualifications]
-
- Pathology Nutrition Certified Registered Dietitians, 5 people
- Nutritional Support Team Professional Therapists, 3 people
- NST Coordinators, 2 people
- Japan Diabetes Care Instructors, 3 people
- Kidney Disease Care Instructors, 2 people
- Saitama Prefecture Hepatitis Coordinators, 5 people
- Certified Specialist of Registered Dietitian for Cancer, 1 person
- Nutrition Management Export, 1 person
- Circulation heart failure educator of japan, 1 person
- Food Service Outsourcing Company
-
- Registered dietitian, nutritionist, chef, cooking aid, and general positions, 70 people
- Staff
- 15 full-time registered dietitians, 4 part-time registered dietitians
-
- 元島 洋子 Motojima Youko (Section Chief)
- 横田 稚子 Yokota Wakako (Subsection Chief)
- 菊地 宏尚 Kikuchi Hirotaka (Subsection Chief)
- 大西 未歩 Oonisi Miho
- 篠田 瑞江 Shinoda Mizue
- 松本 佑実 Matsumoto Yumi
- 大室 美紀 Omuro Miki
- 須田 紗耶香 Suda Sayaka
- 髙井 彩乃 Takai Ayano (Karugamo-no-ie)
- 新井 春那 Arai Haruna
- 星 緩季 Hoshi Hiroki
- 西田 かおり Nishida Kaori
- 川窪 さつき Kawakubo Satsuki
- 車田 知夏 Kurumada Chinatsu
- 堀口 夏紀 Horiguchi Natsuki
- 松﨑 綾子 Matsuzaki Ryouko
- 太田 佳月 Ota Kaduki
- 加藤 千晶 Katou Chiaki
- 矢澤 和恵 Yazawa Kazue
- 中村 明菜 Nakamura Akina
外来担当医表
| The Department of Nutrition | ||||||
| 月曜日 Monday |
火曜日 Tuesday |
水曜日 Wednesday |
木曜日 Thursday |
金曜日 Friday |
土曜日 Saturday |
|
Food Service Management
Summary
- Menu creation
- Ingredient aggregation, ordering, food delivery
- Cooking and serving (serving food and picking up food trays)
- Dishwashing/disinfection
- Preference survey
- Conference on school lunches
- Inspection documents, menu confirmation, meal count management
- Kitchen equipment and hygiene management, etc.
Food count management
Meal serving time
Breakfast is served from 7 am to 8 am, lunch is from 11:30 to 12:30, and dinner is after 18:00.
Characteristics of meals in our hospital
We offer meals in consideration of the age, gender and body type, and provide meals according to the guidelines for each disease state.
Our menu cycles tailored to the four seasons.
The tableware is earthenware (melamine for children) and heat insulating tableware is used.
Types of meals (approx. 120 types)
| By life stage | Provide the proper nutritional amounts for their age. |
| Energy adjusted meals | Calories are adjusted, such as for diabetes and obesity |
| Protein adjusted meals | Kidney disease/liver disease, etc. |
| Lipid adjusted meals | Pancreatic diseases, etc. |
| Sodium adjusted meals | Heart disease, hypertension, etc. |
| Swallowing problem meals | For those who have difficulty swallowing |
| Tubal feeding | For those who have difficulty with oral intake |
| Infant formula | Infants |
Number of meals
The number of meals per mealtime is about 730 meals. We provide patients with 800,000 meals a year.
| Name of type of meal | Number of meals (mealtime) |
Name of type of meal | Number of meals (mealtime) |
|---|---|---|---|
| General adult food and regular meals | 351,328 | Pre digestive tract surgery and postoperative meals | 488 |
| General adult food and soft meals | 52,552 | Advanced obesity meals | 515 |
| Infant/child food and regular meals | 9,017 | Abnormal lipid meals | 5,569 |
| Infant/child food and soft meals | 2,650 | Gout meals | 235 |
| Kidney disease meals | 51,657 | Anemia meals | 523 |
| Heart disease meals | 28,748 | Enema test meals | 200 |
| Gestational hypertension syndrome meals | 28,526 | Swallowing problem meals | 27,740 |
| Cholecystitis/gallbladder meals | 7,265 | Liquid food/concentrated liquid meals | 49,237 |
| Liver disease meals | 8,344 | Milk formula | 70,118 |
| Diabetes meals | 45,327 | Health exam (Ningen dock) meals | 367 |
| Gestational diabetes meals | 4,428 | Paid special meals | 604 |
| Crohn's disease/ulcerative colitis meals | 1,851 | Special postpartum meals | 913 |
| Gastric and duodenal ulcer meals | 18,800 | Other | 2,428 |
Introduction of hospital event menu examples,
| May | Children's Day |
| June | Hospital opening memorial day |
| July | Tanabata (Star festival), Doyo ushi no hi (Midsummer day of the ox) |
| August | Doyo ushi no hi (Midsummer day of the ox) |
| September | Respect for senior citizens day |
| October | Autumnal equinox, Halloween |
| November | Culture Day |
| December | Winter solstice, Christmas, New year's eve |
| January | New year's day, Nanakusa-gayu (rice porridge with seven herbs), Coming of age day |
| February | Setsubun (End of winter), Valentine's Day |
| March | Girl's day, Vernal equinox |
Hospital opening memorial day
Tanabata
Doyo no ushi no hi (Midsummer day of the ox)
Christmas
Original menu
◇Paid event meals
Doyo no ushi no hi (Midsummer day of the ox): Unagi-don (bowl of eel and rice)
Additional cost: About 1000 yen
◇Yamabuki gozen (Special postpartum meals)
◇Paid special meals
◇Easy to eat meals (meals for those with poor appetites)
