Discuss & justify the current dietetic intervention to induce remission in acute crohn’s patients. Your answer should address the methods

  1. Gordon Black, a 48 year old man, has been referred to you after recently presenting to his GP. The following information is available to you at the point of referral:
Height: 1m 76cm, Weight: 92kg,

FH: Father who died at the age of 55 years following an MI, Grandfather died at 45 years old following an MI. Two cousins have been diagnosed with angina.

BP: 130/80mmHg

O/E small tendon xanthomas on knuckles of his hands

SH: Divorced, lives alone; works as a foreman at a builder’s yard; nonsmoker; ETOH intake 4-5 pints most Fridays and Saturdays.

Medications: Recently commenced on simvastatin 40mg od by his GP

Fasting blood results: Total Cholesterol 10.5mmol/L, LDL: 8.7mmol/L,

TG: 1.0mmol/L, HDL: 1.3mmol/L

Normal renal, liver and thyroid function

24 hour recall:


Two slices of white toast, butter & jam, cup of tea with full fat milk and 1 teaspoon of sugar.


Bacon roll & a cup of tea (as above) Lunch:

Bought rolls x 2 from shop close to work, (fillings include: ham and coleslaw; cheese and pickle; tuna, sweet corn and mayonnaise), bag of crisps and can of fizzy juice. Occasionally an apple.


A cup of tea (as above) and mars bar Evening:

Most evenings ready-made meal eg lasagne, spaghetti bolognaise, pizza, beef stroganoff and rice. Once or twice a week (normally at weekends) has a carry out eg Chinese, Indian.

Glass of squash or a beer

Bedtime: Nil

With reference to the BDA Nutrition Care Process, discuss and clinically reason your approach to the dietetic management of this patient.  (100%)


  1. In the context of cancer:
    1. Discuss the common causes & consequences of undernutrition. (60%)
    2. Discuss the process & purpose of nutritional screening. (40%)


  1. With reference to current guidelines & evidence discuss:
    1. The key elements of dietetic intervention in chronic pancreatitis (60%)
    2. The role & limitations of food fortification (enrichment) in the

management of dysphagia     (40%)


  1. a) Discuss & justify the current dietetic intervention to induce remission in acute crohn’s patients. Your answer should address the methods

           to induce remission along with the reintroduction of foods after bowel

rest.     (80%)


  1. b) Briefly outline the role of diet after remission has been achieved (20%)



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