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Gluten%20Free%20Diet

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Gluten Free Diet Accommodating the Gluten Free Diet in The PCH Setting One of the most common inherited diseases 1:133 Chronic autoimmune intestinal disorder ... – PowerPoint PPT presentation

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Title: Gluten%20Free%20Diet


1
Gluten Free Diet
Accommodating the Gluten Free Diet in The PCH
Setting
2
What is Celiac Disease
  • One of the most common inherited diseases
    1133
  • Chronic autoimmune intestinal disorder
  • Presentation of celiac disease is related to
    genetic, environmental and immunological factors
  • Can occur at any age
  • May be triggered by a gastrointestinal or viral
    infection, severe stress, surgery or pregnancy
  • Immunologic reaction to gluten
  • The absorptive surface of the small intestine
    becomes damaged

3
What Does the Intestinal Villi look like?
  • The progression of damage to the villi

4
Effects of Celiac Disease
  • Results in malabsorption
  • Iron, calcium and folate
  • Carbohydrate especially lactose
  • Vitamins A, D, E, K
  • Protein
  • Vitamin and mineral deficiencies resulting in
  • Anemia
  • Osteoporosis
  • Neurological disorders ataxia, seizures and
    neuropathy
  • Increased risk of developing other autoimmune
    disorders
  • Thyroid disease
  • Type I diabetes
  • Gastrointestinal cancers

5
Symptoms
  • Abdominal pain, bloating and gas
  • Indigestion/reflux
  • Nausea and vomiting
  • Diarrhea, constipation
  • Lactose intolerance
  • Weight loss note that CD can also occur in
    obese individuals
  • Chronic fatigue and weakness
  • Bone and joint pain
  • Easy bruising of the skin
  • Edema of hands and feet
  • Migraine headaches
  • Depression
  • Mouth ulcers

6
Diagnosis
  • Is difficult
  • Misdiagnosis occurs
  • Allergies
  • Anemia
  • Crohns Diease
  • Diverticular Disease
  • Chronic fatigue syndrome
  • Irritable bowel syndrome
  • Lactose intolerance
  • Fibromyalgia
  • Stress/depression/
  • emotional disturbances
  • Testing Antibody test, Small Intestinal Biopsy

7
Treatment
  • Diet, diet, diet for life
  • Grain Group most affected
  • Dairy, fruits, vegetables and protein group food
    groups have minimal changes
  • Emphasis on whole foods, not processed or
    modified
  • Many naturally gluten-free foods

8
Treatment Strict Gluten Free Diet for Life
  • Avoid wheat, barley and rye
  • Avoid oats
  • Hidden ingredients
  • Sauces
  • Marinades
  • Gravies
  • Salad dressings
  • Soups
  • Prepared meats hamburger patties, deli meats,
    hot dogs
  • Candy
  • Flavoured coffees and teas

9
Barriers and Solutions
  • Cross Contamination
  • Guidelines to manage same
  • Cost and Variety
  • RDF Emergency Pack
  • Supplier sources
  • Staff Knowledge
  • Educational resources
  • Diet adequacy
  • Individualized nutrition care plan
  • Lack of preparation for residents
  • Inform sites of potential residents on gluten
    free diets

10
Questions
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