nutr ed counsel module sep 24

Nutrition Education & Counseling Skills― Training Module

Developed by

Dairy Council of California

2010

Learner ObjectivesUpon completion of this module the learner should be able to:• Verbalize an understanding of embedding

specific nutrition information in a total diet context.

• Identify and demonstrate use of dietary patterns as nutrition education tools.

• Verbalize an understanding of multiple factors influencing clients' and consumers’ dietary decisions.

Learner Objectives

• Demonstrate client-centered counseling techniques, such as active listening.

• Define and demonstrate a guided counseling approach.

• Assess a counseling session using the Nutrition Care Process framework.

Total Diet Approach

Use the best counseling style for the situation

Directive Guided Motivational

interviewing

Dietary Patterns

Assignment 1:Listen to this Online Narrated PowerPointSimplistic Nutrition Recommendations: Unintended Consequence

www.dairycouncilofca.org/HealthProfessionals/UCcourse/index.htm

Assignment 2: Case Study―JessicaAssessment: Jessica is 16 yrs old white female She is 5’5” and 125 pounds She is a competitive swimmer and has

come to see the dietitian to improve her times

She is muscular and there is a family history of type 2 diabetes

Case Study―Version 1

Diet History reveals: o Skips breakfasto Power bar + soda

for luncho Very large dinner

While listening, use the Case Study Evaluation of an Interview handout

Case Study―Version 2

Client-centered counseling techniques?

Client problems? RD

recommendations? Factors affecting

food choices

Nutrition DiagnosisJessica’s current dietary pattern:

• skipping breakfast, inadequate lunch, large dinner

• low fruit, vegetable, and milk intake• timing and content of meals does

not adequately fuel her intense physical activity

Problem, Etiology, Signs & Symptoms Sample PES statement: Daily imbalance and inadequate

energy/ nutrient intake compared to needs related to no breakfast and poor selections at lunch and high physical activity as evidenced by lack of energy in a.m. and famished after swimming in p.m.

Chart Note Activity

The final step in Assignment #2 is to complete the chart note for this client.

When charting, the Nutrition Care Process and Model (NCPM) is an accurate documentation procedure for clinical practice.

Chart note activity form

Assignment 3: Case study―Ms. Marco Ms. Marco is a 67 year old

Latina female She has elevated LDL

cholesterol, low HDL, hypertension, and pre-diabetes.

She is married and lives with her husband.

She is 5’1”, 167 pounds Her doctor has referred her for

“low-salt, low-cholesterol, low-sugar diet instructions.”

Case Study―Version 1

Diet History reveals: o Skips luncho Snacks on candies and

salted nutso Pastry and several cups

of sweetened coffee daily

While listening, use the Case Study Evaluation of an Interview handout

Ms Marco―Scenario 2

Now listen to a second version of this counseling session

Nutrition DiagnosisMs. Marco’s current dietary pattern:

• Skipping lunch, poorly balanced dinner

• Snacks providing too many non-nutritious calories, sodium, fat and sugar

• Low fruit, vegetable and milk intake

Possible PES Statement

▪ Excessive energy , fat and sugar intake related to nutrition knowledge deficit and undesirable food choices as evidenced by recent 20# weight gain, and elevated fasting blood glucose.

Chart Note Activity

The final step in Assignment #3 is to complete the chart note for this client.

When charting, the Nutrition Care Process and Model (NCPM) is an accurate documentation procedure for clinical practice.

Chart note activity form

Summary

• Consider long-term health and wellness

• Use a food grouping system

• Encourage nutrient-dense foods from all food groups

Summary Client-centered

counseling increases the likelihood that dietary counseling will be effective

Nutrition Education Tools:

MyPyramid Menu Planner MyPyramid Food Tracking Worksheets Eat Smart. Play Hard. Healthy Lifestyle Personal Nutrition Planner

ReferencesAmerican Dietetic Association:

Nutrition and You: Trends 2008

International Food & Information Council: 2010 Food and Health Survey: Consumer Attitudes toward Food, Nutrition & Health

Dairy Council of California Health Connections Newsletter, Dietary Patterns, Spring 2007

Position of the American Dietetic Association: Total Diet Approach to Communicating Food and Nutrition Information

Miller WR. (2004) . Motivational Interviewing: preparing people for change. 2nd ed. 2002. http://motivationalinterview.org