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Nutrition Education & Counseling Skills -- Training Module for Dietetic Students
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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