YOUTH & FAMILIES AGRICULTURE HEALTH ECONOMY ENVIRONMENT ENERGY COMMUNITIES

Integrating Nutrition Into OT PracticePresented by Gina Ord, MS, OTR/L

Health & Nutrition Assistant Professor WSU Extension, Yakima County

Presentation Objectives

• Evaluate a client’s food habits and dietary status from a nutritional perspective

• Learn current USDA guidelines and how they can be applied to various populations

• Implement occupation-based interventions to help clients achieve better eating habits

• Think outside the box!

- Undergrad degree and OT school

- First 3 years as a traveler in WA, CO and CA at inpatient rehab, inpatient acute, skilled nursing facilities

- Next 3 years working for community hospital in Yakima: home health, outpatient orthopedics and chronic pain, pediatric sensory

- There was yoga teacher training and a studio somewhere in there

OT Career “Outside the Box”

July 2011 – October 2013

• Health Education in Rural Zambia

July 2011 – October 2013

• Maternal/child health, malaria prevention, HIV education and prevention

Community-Based OT

“Master’s degree in human nutrition, public health, education, or closely related field with experience with diverse, low income, and underserved audiences”

YOUTH & FAMILIES AGRICULTURE HEALTH ECONOMY ENVIRONMENT ENERGY COMMUNITIES

WHAT IS EXTENSION?

• County Map

• Agricultural Productivity and Food Security

• Childhood Obesity

• Climate Change

• Community and Economic Development

• Food Safety

• Natural Resource Stewardship

• Sustainable Energy

• Youth and Family Development

WSU Extension Planned Program Areas

Is nutrition in the OT scope of practice?

Health Management and Maintenance

• Listed in 2014 OT Practice Freamework as an IADL

OT’s are encouraged to think about Health and Wellness from Evaluation to Outcomes

What if the patient is seeing a dietician?

Group Activity 1

• Observation and assessment for food habits and dietary status:

• Choose a note taker!

• Answer parts A and B for your group’s selected case study

America’s Growing Waistline

From USDA 2010 Guidelines . . .

In WA state in 2012, 10% of 10th graders were obese and in 2011 27% of adults were obese according to the WA Department of Health.

Link Between Obesity and Disability

Screen Shot of Guidelines

Emphasizes 3 Major Goals for Americans:

• Balance calories with physical activity to manage weight

• Consume more of certain foods and nutrients such as fruits, vegetables, whole grains, fat-free and low-fat dairy products, and seafood

• Consume fewer foods with sodium (salt), saturated fats, trans fats, cholesterol, added sugars, and refined grains

Ways to Promote Calorie Balance

• Monitor food and beverage intake, physical activity, and body weight  

• Decrease portion sizes  • When eating out, make better

choices  • Limit screen time

Chapter 5: Building Healthy Eating Patterns

• Limit calorie intake to the amount needed to attain or maintain a healthy weight.

• Consume foods from all food groups in nutrient-dense forms and in recommended amounts.

• Reduce intake of solid fats• Replace solid fats with oils• Reduce intake of added sugars• Reduce intake of refined grains and replace some

refined grains with whole grains

Chapter 5: Building Healthy Eating Patterns

• Reduce intake of sodium.• If consumed, limit alcohol intake to moderate levels.• Increase intake of vegetables and fruits.• Increase intake of whole grains.• Increase intake of milk and milk products and

replace whole milk and full-fat milk products with fat-free or low-fat choices to reduce solid fat intake.

• Increase seafood intake by replacing some meat or poultry with seafood.

Interactive Activity—Screen Shot of My Plate

Physical Activity Guidelines for Americans (2008)

• For substantial health benefits, adults should do at least 150 minutes (2 hours and 30 minutes) a week of moderate-intensity, or 75 minutes (1 hour and 15 minutes) a week of vigorous-intensity aerobic physical activityor an equivalent combination of moderate- and vigorous- intensity aerobic activity.

• Aerobic activity should be performed in episodes of at least 10 minutes, and preferably, it should be spread throughout the week.

• Adults should also do muscle-strengthening activities that are moderate or high intensity and involve all major muscle groups on 2 or more days a week, as these activities provide additional health benefits.

PA Implications for Disability

• The health benefits of physical activity occur for people with disabilities.

• The benefits of physical activity far outweigh the possibility of averse outcomes.

• When older adults cannot do 150 minutes of moderate-intensity aerobic activity a week because of chronic conditions, they should be as physically active as their abilities and conditions allow.

Hunger is Real

• According to a USDA 2012 survey on household food security found 14.6% of households food insecure and 5.7% hungry

• WA ranks 15th in hunger• Link between poverty and

obesity becoming validated by research

Food Safety: Things to Consider

• Person(s) handling food should have a food workers card

• Avoid cross-contamination of raw meats and uncooked items

• Use proper handwashing/gloves

• Keep hot foods hot and cold foods cold

– the danger zone is between 40°and 140°

Contact info: gina.ord@wsu.edu

Group Activity 2

• Activity Analysis Results and Interventions:

• Choose a note taker!

• Answer parts C and D for your group’s selected case study