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Exam 2 Notes - Exam 2 Notes NUTRITION ASSESSMENT 1 Dietary...

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Exam 2 Notes NUTRITION ASSESSMENT 1) Dietary content- Food resource management- Do these people have enough money to buy food, Education 2) Dietary Practices and Patterns: FFQ, 24-hour food recall 3) Anthropometric measurements: Measuring various dimensions of the human body -Weight (Scale w/ non detachable weights) -Height, -BMI -Pregnant weight gain patterns 4) Relevant History: psycho-social economics 4) Lab results: Hemoglobin/Hematocrit levels 5) Clinical Evaluations: Signs and symptoms of nutritional deficiencies 2 Levels of Care: 1) Tissue Level: Integrity of body tissue- Physiological functions of body 2) Personal Level: Cultural values of food 5 Components of Assessment: 1) Involve Client 2) Explore problems with client 3) Examine Alternatives 4) Make a plan 5) Review your plan Assessment Principles: 1) Always provide positive reinforcement towards eating patterns 2) Develop unbiased non judgmental attitudes towards client 3) Find Reasons for nutritional inadequacies 4) Individualize diets 5) Use nutrition education techniques that are appropriate for their education level 6) Review recommendations with client- Have them repeat the plan 7) Elicit support from friends or relatives 8) Demonstrate enthusiasm that nutritious food is important Common Values: 1) Tradition 2) Hierarchy rank and status- Need to know where they fit in 3) Group Welfare- if you give them food stamps they give it to their children instead of themselves
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4) Very Formal 5) Some women aren’t allowed to look you in the face 6) Spiritualism 7) Some cultures will tell you anything you want to hear *Know background of different cultures* Our Values: -Directness -Materialism -Informality -Time -Change WHEN WORKING WITH DIVERSE CULTURES: -If someone doesn’t speak English, get an interpreter -Talk directly to the person, not interpreter -Ask the client how they prefer to be addressed -Allow client to choose where to sit -Avoid offensive body language -Choose a speech rate and style that is appropriate -Avoid slang and technical jargon -Use open ended questions -Determine literacy ability Caribbean Values: (Don’t use food pyramid) 1) Growth: Protein foods, Calcium foods, 2) Protection: Anti-Oxidants, Vitamins, Fruits and Vegetables 3) Energy: Carbohydrates, Grains, Fats and Oils WIC: Women Infants and Children -Dept of Agriculture -Get a WIC voucher every month -Offer pregnant women and their children nutrition information, Vouchers for food, -------Access to health care and Nutrition education -Allows only foods which are deficient in a pregnant women’s diet -Calcium: Milk, Cheese, -Protein: Eggs, Peanut Butter, Tuna Fish, -Anti-oxidants: Juices (Vit C fortified) -Whole Grains- Cereals, Breads -Baby formula and foods- should encourage breastfeeding Pros: -Children born to WIC mothers have a higher hemoglobin level -Pregnant women gain more weight
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-Low birth weight has decreased among WIC recipients CONS: -Some people use it as a scam- They’re just using the government’s money -No nutrition education, people just want their checks Types of Foods Offered: -Cereals -Juice (100%) -Cheese -Eggs -Peanut Butter
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