Clinical Nutrition No matter what your nutrition concern, illness, injury, or medical condition, the Horizon Health Network Clinical Nutrition team is here to help. Our dietitians work with you to offer expert advice on ways that food can help improve your overall health and wellness. In the hospital, clinical nutrition technicians help patients overcome any basic barriers to intake and assist dietitians in putting your nutrition care plan into action. You may want to see a dietitian if you want to learn more about how eating healthier can: lower the risk of many chronic diseases improve blood glucose levels lower cholesterol and triglyceride levels control high blood pressure control obesity or to help as you age prevent malnutrition help with a healthy pregnancy manage unwanted symptoms related to bowel conditions break unhealthy eating habits and create more mindful eating help with the food and eating challenges caused by stress or mental health problems help manage eating disorders Healthy Links Canadian Cancer Society Information regarding prevention and treatment of cancer, research and support services for people fighting cancer Canadian Celiac Association Valuable information on nutrition and celiac disease Diabetes Canada Valuable information and resources for educators and public regarding diabetes management Canadian Obesity Network Resources and news about obesity in Canada for health care professionals Canadian Society of Intestinal Research Resources and updates regarding gastrointestinal diseases and disorders Dairy Farmers Of Canada It is not just about milk and contains great nutrition information. Dial-A-Dietitian This site offers reliable information about nutrition professionals Dietitians of Canada This site offers you credible information from nutrition professionals 5-10 a Day for Better Health National campaign promoting fruit and vegetable consumption among Canadians Health Canada Great website to get more information on health related issues Health Canada – Canada’s Food Guide Direct link to Eating Well with Canada’s Food Guide and related resources Heart and Stroke Foundation Valuable information on heart healthy eating and lifestyle The Kidney Foundation of Canada Education and support for those dealing with kidney disease Breastfeeding Support and Information: La Leche League Canada Valuable information and tips about breastfeeding New Brunswick Department of Health Information about health care in nutrition Osteoporosis Canada Tips for prevention and management of osteoporosis Public Health Agency of Canada – Physical Activity Guide Direct link to Canadian Physical Activity Guides (for variety of ages) Canadian Malnutrition Task Force UnlockFood.Ca – This is your go-to site for nutrition information New Brunswick Association of Dietitians FAQs What is a dietitian? Registered Dietitians (RDs) are regulated health professionals who are experts in how food and health are connected. Using the latest best practices in nutrition, they work with you to learn more about how important, enjoyable, and helpful food can be to your daily health and wellness. To learn more, visit UnlockFood.ca – What is a Dietitian?. What’s the difference between a Registered Dietitian and a Nutritionist? What’s the difference between a Registered Dietitian and a Nutritionist? A registered dietitian is a health professional with a Bachelor’s degree, specializing in food and nutrition. They also complete over 1200 hours of hands-on training as an intern in clinical, community, and administration settings. Dietitians are part of a provincially regulated profession that has Public Protection as their number one priority. The title “Registered Dietitian” is protected by law. “Nutritionist” as a title is not protected by law in all provinces so people with different levels of training and knowledge can all themselves a nutritionist. They also are not regulated in all provinces, so the Public Protection piece is missing and there may be increased risk of harm with the information given. For more information, check out Dietitians of Canada – The difference between a dietitian and nutritionist. How do I speak with a Horizon Health Network dietitian? Dietitian services can be accessed by referral from a health-care provider or by self referral. You may see them face to face, through an online virtual platform, or by phone call. Is there a cost involved? No. Any visit involving a Horizon dietitian is covered by Medicare. How do I make an appointment? For the Saint John and Miramichi Areas, Clinical Nutrition services will contact you for an appointment after the care referral has been received and prioritized. If you would like to refer yourself, please contact the Clinical Nutrition department. (The phone contact information is below). For Moncton and Fredericton/Upper River Valley, you will call the Open Access Booking Line and will receive a date and time for your appointment at that time. If the program is not part of Open Access Booking, you will be directed on how to proceed. How long is the waiting list? Appointments are given by priority based on the reason to be seen, so the wait time to see a dietitian varies by service and location. Contact the local clinical nutrition department for more information. How long does an appointment take? Usually 30 to 60 minutes, depending on the reasons you are seeing the dietitian. What will happen at my appointment? Unless it’s a group session or class, you can expect that the appointment will be completely about you. It’s a safe place where you can explain your concerns, goals, typical day, and how nutrition works into it. Since there is no one nutrition care plan that suits everyone, the dietitian will not provide a ‘boxed’ diet plan. They will listen to what you say and offer suggestions that are customized to what you feel you need and are willing to do. Nutrition care is meant to take what you enjoy about food, and work it into your day in a way that will improve your health. The dietitian will give you the education and tools you may need to make any changes that you feel ready to make – no pressure. If, at the end of the discussion, you want to have a follow-up visit, you can arrange that based on your needs and schedule. How do I find trustworthy nutrition information online? Just because something is online doesn’t mean that it’s the best. Please be careful when reading and accepting nutrition advice online. Some may be fine, and some may cause harm. Check out this trustworthy source for more information: How to find food and nutrition information you can trust – Unlock Food How do I recognize a fad diet? Healthy eating, should be simple, include all food groups, and be enjoyable. If you have concerns about fad diets, here’s an article that can help you decide what’s useful and what can cause harm: Get the Facts on Fad Diets – Unlock Food Holiday Health Summer Holidays During your summer vacation you’ll most likely be enjoying a barbecue or two. Ensuring the safety of our food can be challenging this time of year because of the hot summer weather and we often cook outdoors during picnics, barbecues or on camping trips. For tips on keeping your family safe this summer visit the Government of Canada’s Healthy Canadians website. Valentine’s Day Valentine’s day is often celebrated with gifts that might not be very healthy options, such as chocolate or candy. To make this special occasion a little healthier try one of these ideas instead: send a Valentine’s day card send a singing telegram bake homemade healthy cookies send a fruit basket or flowers give gift certificates send your loved one for a massage write a love poem make a CD of love songs give a stuffed animal In keeping with the colour of love here are a few healthy Valentine’s day treat ideas to share with the ones you love: fresh strawberries (any red berry will do) and low fat whipped Cool Whip® red Jell-O® with low fat Cool Whip® red peppers in your salad (place them in a heart shape) red jam on toast, crackers, etc. red Fruit to Go® red juices Chocolate If you’re really set on giving chocolate then opt for dark chocolate. Dark chocolate,also known as “bittersweet” or “semisweet” chocolate, contains a high percentage (70%) of cocoa solids, and little or no added sugar. Dark chocolate has a rich, intense flavour, and is found in candies and some kinds of chocolate chips used in baking. The potential health benefits of dark chocolate include having high levels of antioxidants which are also found in a variety of foods including tea, red wine, and various fruits and vegetables. These antioxidants may help decrease LDL (bad) cholesterol oxidation. Dark chocolate can also reduce the risk of blood clots, increase blood flow in arteries and it may lower high blood pressure. The cocoa found in dark chocolate may have a beneficial effect on cholesterol levels because it consists mainly of stearic acid and oleic acid. Stearic acid is a saturated fat but unlike most saturated fatty acids, it does not raise blood cholesterol levels. Oleic acid, a monounsaturated fat, does not raise cholesterol and may even reduce it. Dark chocolate may also improve mood and pleasure by boosting serotonin and endorphin levels in the brain and contains a number of beneficial minerals including calcium, magnesium, and potassium. Have a Healthy Happy Halloween Trick or treating at Halloween traditionally involves giving and receiving candy, chocolate and various other treats. However, there are many healthy options that be can given out instead. For some great ideas please visit Healthy Halloween Treats. Health Canada also provides information for having a safe and healthy Halloween: Safe Halloween Tips Healthy Eating For the Holidays Thanksgiving, Christmas and Easter, along with many other holidays, are all times when we tend to splurge on eating. There are many ways to eat healthy over the holidays and to make better choices. For information about eating healthy during holidays, please visit the following: Health Canada Holiday Food Safety Let’s Talk Turkey Alcohol and Nutrition – Unlock Food General Holiday Safety Tips Healthy Eating for all ages Parents’ Influence on Children’s Eating Habits Raising our Healthy Kids Picky Eating: 10 Fun Tips to get kids to try new foods 10 Ways to get teens cooking Away at school and on your own – advice for the first time cook – Unlock Food When Eating and Weight are Concerns: A Glimpse at Eating Disorders – Unlock Food Nutrition Tips for Shift Workers – Unlock Food Facts on Caffeine – Unlock Food Healthy Habits to Cope with Stress – Unlock Food Video: Tips to manage your food portions – Unlock Food Your Grocery Store Checklist – Unlock Food Best Buys at the Grocery Store – Unlock Food Managing Chewing Problems – Unlock Food Older Adults Eating Well – Unlock Food Preventing Malnutrition What is malnutrition? Malnutrition can affect anyone, at any age, of any size, in any social group, and at any time. It does not discriminate. Malnutrition happens when your body hasn’t had enough nutrition over a short period of time. When this happens, your body works to get nutrition on its own, by breaking down fat and muscle to get the nutrients it needs to keep going. When this happens, you lose weight and strength. How do I know if I am at risk of malnutrition? If you feel you are at risk, ask yourself two simple questions: Have you lost weight without meaning to in the last 6 months? Have you eaten less than usual in the last week? If you answer maybe, or yes to both of these questions, you are at risk of malnutrition. Please call your local clinical nutrition department to book an appointment with a dietitian. What will the dietitian do about malnutrition? The dietitian will do a full nutritional assessment to see how advanced the malnutrition may be, through a physical exam and by asking you questions about your appetite, the foods you usually eat, and how your weight and strength have changed. Based on this information, the dietitian will make suggestions on ways that you can make every bite of food count toward improving your health and wellness and reversing malnutrition. If you are more comfortable having a dietitian speak with a family member or caregiver, that can be arranged. Contact information Area 1: 1-833-928-2070 Area 2: 1-506-648-6018 Area 3: 1-833-928-2070 Area 7: 1-506-623-3500 Dietitian Referral Forms for health care professionals Fredericton Area Miramichi Area: Clinical Outpatient / Diabetes Program Moncton Area: Ambulatory Care / Lipid-Lowering Clinic / Sackville Memorial Hospital / Albert County Health and Wellness Centre Saint John Area Contact Us Saint John Area Fredericton Area Miramichi Area Moncton Area Charlotte County Hospital 506-465-4404 Saint John Regional Hospital 506-648-6018 St. Joseph’s Community Health Centre 506-632-5537 Sussex Health Centre 506-432-3240 Boiestown Health Centre 1-833-928-2070 Chipman Health Centre 506-339-7650 Diabetes Education – Fredericton 506-452-5180 Central Miramichi Community Health Centre (Doaktown) 1-833-928-2070 Fredericton Downtown Community Health Centre 506-452-5900 Dr. Everett Chalmers Regional Hospital 1-833-928-2070 Harvey Health Centre 1-833-928-2070 Hotel-Dieu of St. Joseph (Perth-Andover) 1-833-928-2070 McAdam Health Centre 1-833-928-2070 Nackawic Health Centre 1-833-928-2070 Noreen-Richard Health Centre 506-474-4611 Fredericton Northside Community Health Centre 506-447-4444 Oromocto Community Health Centre 1-833-928-2070 Oromocto Public Hospital 1-833-928-2070 Queens North Community Health Centre (Minto) 1-833-928-2070 Stanley Health Centre 1-833-928-2070 Tobique Valley Community Health Centre (Plaster Rock) 506-356-6609 Upper River Valley Hospital 1-833-928-2070 Woodbridge Centre (Fredericton) 1-833-928-2070 Miramichi Regional Hospital 506-623-6124 The Moncton Hospital 1-833-944-0860 Albert County Community Health Centre 1-833-944-0860 Sackville Memorial Hospital 1-833-944-0860 Petitcodiac Health Centre 1-833-944-0860 Fredericton Area Moncton Area Saint John Area Horizon locations offering this service: Fredericton Facility Name Address Phone Woodbridge Centre (Fredericton) 180 Woodbridge Street, Fredericton, Nouveau-Brunswick, E3B 4R3 Oromocto Public Hospital 103 Winnebago St., Oromocto, Nouveau-Brunswick, E2V 1C6 506-357-4700 Dr. Everett Chalmers Regional Hospital (Fredericton) 700 Priestman St. , PO Box 9000, Fredericton, Nouveau-Brunswick, E3B 3B7 506-452-5400 Queens North Community Health Centre 1100 Pleasant Dr., Minto, Nouveau-Brunswick, E4B 2V6 506-327-7800 Nackawic Health Centre 135 Otis Dr., Unit 201(Upper Floor, Nackawic Shopping Centre) , Nackawic, Nouveau-Brunswick, E6G 1H1 506-575-6600 McAdam Health Centre 15 Saunders Rd., PO Box 311, McAdam, Nouveau-Brunswick, E6J 1K9 506-784-6300 Harvey Health Centre 2019, Rte. 3, Harvey Station, Nouveau-Brunswick, E6K 3E9 506-366-6400 Fredericton South Side Health Centre 565 Priestman St., Suite 303, Fredericton, Nouveau-Brunswick, E3B 5X8 506-474-4500 Fredericton Junction Health Centre 233 Sunbury Dr., Fredericton Junction, Nouveau-Brunswick, E5L 1S1 506-368-6501 Chipman Health Centre 9 Civic Court, Chipman, Nouveau-Brunswick, E4A 2H8 506-339-7650 Central Miramichi Community Health Centre 11 Prospect St., Doaktown, Nouveau-Brunswick, E9C 1C3 506-365-6100 Boiestown Health Centre 6154 Rte. 8, Unit 2, Boiestown, Nouveau-Brunswick, E6A 1M4 506-369-2700 Miramichi Facility Name Address Phone Miramichi Regional Hospital 500 Water St., Miramichi, Nouveau-Brunswick, E1V 3G5 506-623-3000 Neguac Health Centre 38 Otho St., Neguac, Nouveau-Brunswick, E9G 4H3 506-776-3876 Blackville Health Centre 2 Shaffer Lane, Blackville, Nouveau-Brunswick, E9B 1P4 506-843-2910 Moncton Facility Name Address Phone Sackville Memorial Hospital 8 Main St., Sackville, Nouveau-Brunswick, E4L 4A3 506-364-4100 The Moncton Hospital 135 MacBeath Ave., Moncton, Nouveau-Brunswick, E1C 6Z8 506-857-5111 Port Elgin and Region Health Centre 33 Moore Rd., PO Box 1557, Port Elgin, Nouveau-Brunswick 506-538-2140 Hillsborough Satellite Office 2807 Main St., Hillsborough, Nouveau-Brunswick, E4H 2X9 506-882-3100 Albert County Community Health Centre 8 Forestdale Rd., Riverside-Albert, Nouveau-Brunswick, E4H 3Y7 506-882-3100 Saint John Facility Name Address Phone St. Joseph's Hospital (Saint John) 130 Bayard Dr., Saint John, Nouveau-Brunswick, E2L 3L6 506-632-5555 Saint John Regional Hospital 400 University Ave., Saint John, Nouveau-Brunswick, E2L 4L2 506-648-6000 Charlotte County Hospital (St. Stephen) 4 Garden St., St. Stephen, Nouveau-Brunswick, E3L 2L9 506-465-4444 Sussex Health Centre 75 Leonard Dr., Sussex, Nouveau-Brunswick, E4E 2P7 506-432-3100 St. Joseph’s Community Health Centre 116 Coburg St., Saint John, Nouveau-Brunswick, E2L 3K1 506-632-5537 Market Place Wellness Centre (Saint John) 120 Market Place, Located in Carleton Community Centre, Saint John, Nouveau-Brunswick, E2M 0E1 506-674-4335 Fundy Health Centre 34 Hospital St., PO Box 1298, Blacks Harbour, Nouveau-Brunswick, E5H 1K2 506-456-4200 Upper River Valley Facility Name Address Phone Hotel-Dieu of St. Joseph (Perth-Andover) 10 Woodland Hill, Perth-Andover, Nouveau-Brunswick, E7H 5H5 506-273-7100 Upper River Valley Hospital (Waterville) 11300 Route 130, Waterville, Nouveau-Brunswick, E7P 0A4 506-375-5900 Tobique Valley Community Health Centre (Plaster Rock) 120 Main St., Plaster Rock, Nouveau-Brunswick, E7G 2E5 506-356-6600