PCS Champions

Psst. Pass it on – uncovering secrets!

August 15, 2012

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“Measurements are not to provide numbers but insight.” -Ingrid Bucher

• Where have they been?(health history)

• Where are they now?(length, weight, hemoglobin, diet)

• Where are they going?(behavior change)

Tomorrow’s page is blank. What can we do to make the story better for Arizona families?

A is for Anthropometrics

Open ended questions matter! How do they feel about weight changes?

What secrets hide in the “A” part of assessment?

• If we skip open-ended questions, what could we miss?

B is for Biochemical

What have you heard about anemia?

C is for Clinical

• Healthcare visits?• Doctor concerns?• Conditions that affect

growth, health?

Let’s talk Dietary!

E is for EnvironmentalDon’t forget about me!

Boom!

Tool+ ABCDE+WIC CodesTheir Hopes

Conversation

Behavior change!

Participants

Hopes and dreams!Feelings!

• And Hidden Concerns, too!

WIC Counselors

Which resources and referrals will I share?

Case Study

• Secret Sue has an 6 week old infant, Tony.• He was born full term. He is 6 weeks old today.

His birthweight was 8 pounds and 2 ounces. He’s following a healthy track and his length/weight today look good.

Secret Sue has an 6 week old infant, Tony.He was born full term. He is 6 weeks old today. His birthweight was 8 pounds and 2 ounces. He’s following a healthy track and his length/weight today look good.

What questions would you ask mom?

A B C

Questions?Pick a texture that best describes how you feel about feeding Tony.

Dietary – all the marbles!

D

Conversational Assessment

• Invite• Follow up probe• Bridge

What do you say?• Any WIC Codes?

– Poll: yes vs. no

• What concerns?a) 411.5 Feeding foods to an infant that could be contaminated with

harmful microorganisms or toxins.b) 411.2 Routinely using nursing bottles or cups improperlyc) 411.7 Routinely limiting the frequency of nursing of the exclusively

breastfed infant when breastmilk is the sole source of nutrients

• What behavior change possibilities?

Bureau of Nutrition and Physical Activity

Health and Wellness for all Arizonans

Complete Assessment?

Documentation• TGIF• Half sheet guide

• I – what do we need for Anthony?

Other Concerns

• ABC, then the invite before D• Workarounds when?• Checking charts first• Multiple participants

Case Study• Quiet Connie is 22 weeks pregnant. She has

gained 19 pounds today and had a normal prepregnancy weight.

Quiet Connie is 22 weeks pregnant. She has gained 19 pounds today and had a normal prepregnancy weight.

What questions would you ask?

A B C

Questions?Pick a face that says something about how you feel about your weight gain during this pregnancy.

Dietary – the good stuff!

D

Conversational Assessment

• Invite• Follow up probe• Bridge

What do you say?• Any WIC Codes?

– Poll: yes vs. no

• What concerns?a) 427.5 Pregnant woman ingesting foods that could be contaminated

with harmful microorganismsb) 133 High maternal weight gainc) 363 Pre-Diabetes

• What behavior change possibilities?

Complete Assessment?Complete Assessment?Beverage/WaterAppetiteLikes/Aversions/CravingsPrenatal VitaminsFood SafetyBreastfeedingQuestions/FeelingsMilk Consumption and TypeEating patterns

Documentation• TGIF• Half sheet guide

• I – what do we need for Connie?