Dietitians improve a person’s quality of life with a life-limiting illness through symptom control and targeted nutritional support and education that reflects what is important to them.
Dietitians are trained in nutrition assessments which may involve assessing a person’s nutritional status, dietary intake and food preference, along with identification of nutrition related symptoms and other problems which may impact a person’s ability to eat. Dietitians also offer nutrition support through the provision of dietary counselling, and development of personalised meal plans. [1,2]
The Dietitian Scope of Practice is available on the Dietitians Australia (DA) website.
Dietitians may have roles of advanced or extended scope of practice which reflect a level of expertise within or beyond the established contemporary scope of practice. 
Palliative care provides a support system for people living with a life-limiting condition to live as actively as possible, with dignity, for as long as possible. It is active and supportive care that seeks to maximise quality of life.  It is useful well before death and not limited to care of the dying. 
In helping people with palliative care needs, a dietitian: [5-9]
Dietitians may work in palliative care as only part of their role or have a palliative care caseload with a specialist role. This may be as a member of a multidisciplinary team or a sole practitioner.
Dietitians Association of Australia (DAA) have published the Role Statement for Accredited Practising Dietitians practising in the area of Oncology (206kb pdf). 
The RACGP aged care clinical guide (Silver Book 2019) recognises the role of allied health professionals in team care arrangements for a proactive person-centred approach to palliative care.  Palliative Care Australia also recognises the importance of access to information and support from a diverse range of allied health services for patients, families and carers. 
The role of allied health in palliative care is to provide the person with as much therapy time as possible. The goal of allied health in palliative care is around maintaining and improving functional ability. There may be a blurring of roles across allied health professions in palliative care more than in other care contexts.
Allied Health workers provide care in all practice settings. For further information on the specific area of practice go to Practice Settings.
Useful evidence-based information and resources on rehabilitative palliative care are available from Hospice UK.
Although dietitians are familiar with evidence and evidence-based practice through their training and continuing professional development (CPD), keeping up to date can be time-consuming.
CareSearch provides the tools to help find and use evidence. This includes PubMed searches on a multitude of topics and sections dedicated to Searching for Evidence and Using Evidence in Practice.
For support in applying evidence in practice, check out the Journal Club Basics page on CareSearch which provides information on the benefits of and practical pointers in setting up or joining a journal club.
The International Centre for Allied Health Evidence at University of South Australia has a number of resources to support translation of evidence into practice.
Guidelines specific to dietitians and palliative care in Australia have not been published, however, the Palliative Care Service Development Guidelines 2018 (340kb pdf) provides an overview of dietitians (as part of allied health) in specialist palliative care. 
Guidelines for the role of dietitians in the nutritional management of cancer have been developed:
Dietitians have an important role in supporting patients, carers and their families with information. The CareSearch Resources for Patients, Carers and Families provides links to useful information including fact sheets and printable resources Dietitians can download and share.
The National Palliative Care Strategy 2018 lists as a priority the ability of medical, nursing and allied health graduates to identify and address people’s palliative care needs (Priority 2.1, p15).  This is also highlighted for the acute sector in the Guiding Principles of the National Consensus Statement: essential elements for safe and high-quality end-of-life care which also recognises the importance of the role of an interdisciplinary team. 
CareSearch lists a collection of Palliative Care eLearning resources for allied health for independent learning.
Visit the palliAGED Practice Centre
Watch The Palliative Care Bridge video on Nutrition and Palliative Care
Read the CareSearch Allied Health blogs
Last updated 03 September 2021