Creation of posts of Dieticians in Railway Hospitals on Indian Railways
NFIR
National Federation of Indian Railwaymen
3, CHELMSFORD ROAD, NEW DELHI – 110055
Affiliated to :
Indian National Trade Union Congress (INTUC)
International Transport Workers’ Federation (ITF)
No. II/44/Part I
Dated: 05/11/2015
The Secretary (E),
Railway Board,
New Delhi
Dear Sir,
Sub: Creation of posts of Dieticians in Railway Hospitals on Indian Railways-reg.
For
quite sometime, the Federation has been receivmg grievances from the
Railway employees over non-availability of Dieticians in various Railway
Hospitals at Zonal/Divisional level, causing hardships to the employees
(serving/retired) but is also affecting adversely the quality of
medical treatment in absence of proper dietary advice. In the present
day environment there is necessity of a dietician in the Railway
Hospitals where there are more than 25 beds and about 1,000 patients
(Railway employees and their families plus RELHS beneficiaries).
Federation
further desires to state that the Dieticians are qualified
professionals with skills to provide expert nutrition and dietary advice
to the patients for improvement and up keep of health. The Federation
places below the duties and responsibilities which are expected of a
Dietician to improve nutrition care:-
• Creation of an institutional culturev
• Redefining clinician’s role by inclusion of nutritional care of patients,
• Recognize and diagnose all malnourished patients and also those at risk,
• Rapidly implementing comprehensive nutrition intervention and continued monitoring,
• Communication of nutritional care plans,
• Developing a comprehensive discharge, nutritional care and education plan.
ROLE OF DIETICIAN IN PATIENT’S RECOVERY:-
Clinical
Dieticians monitor, assess, and optimize nutrition status based on the
patient’s medical condition and/or nutrition adequacy.
They confer
with physicians and other health care professionals to coordinate
medical and nutritional needs, and they make recommendations for tube
and intravenous feedings and/or dietary supplements.
Clinical
Dieticians counsel and educate patients how to make nutritionally sound
food choices to speed up the recovery process, prevent disease and
maintain good health.
Dieticians provide food and nutrition
information, and support people to improve their health. They provide
advice on nutrition-related matters and modify diets to help manage
conditions such as diabetes, heart diseases (atheroscelerosis, angina,
coronary heart disease, • stroke ,hypertension), liver diseases(Fatty
liver disease, alcoholic liver disease, liver cirrhosis, hepatitis
A,B,C), lung diseases(Asthma ,chronic obstructive Pulmonary Disease,
Pneumonia, tuberculosis), overweight and obesity, constipation, cancer,
food allergies, Anaemia and food intolerance, any type of cancer cases.
The following is the number of Central, Divisional, Sub-Divisional & Production Unit
Hospitals on the Indian Railways:-
(i) Central Hospitals = 64
(ii) Divisional Hospitals = 112
(iii) Sub-Divisional/PU Hospitals = 55
Total = 231
Federation
is sad to note that there are only 24 posts of Dieticians in about 22
Railway Hospitals” on Indian Railways. This proves that the posts of
Dieticians have not been provided adequately in each Railway Hospital
despite the fact that these Hospitals have more beds. It is needless to
point out that in the Hospitals where there is Dietician, the ratio of
Dietician to patient is 1:300-500 which itself is quite alarming and
needs deployment of more staff of this category.
It is to be
appreciated that ‘Diet and Nutrition’ is immensely helping in the
treatment of diseases like Hypertension, dyslipidemia, diabetes,
hepatitis and nephritis, hyperuremia and saves considerable amount
towards the cost of medicine and the allied treatment.
NFIR,
therefore, requests the Railway Board to accord approval for creation of
posts of Dieticians in Railway Hospitals to ensure proper Health Care
to the Railway employees and the RELHS beneficiaries. Federation may
please kept advised of action taken in the matter.
Yours faithfully
sd/-
(Dr. M. Raghavaiah)
General Secretary
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