Ch 1 and 2: Scope of Practice Flashcards
Profile of a Certified Nutrition Coach
Motivator
Nutrition Architect
Communicator
Guide
Authenticator
Educator
Protector
- Builds strong relationships with clients
- Leverage nutrition education to increase success, reduce turnover, and maximize adherence
Motivator
- Develop customized, evidence-based nutrition guidance for clients
- Provide actionable, proven methods for clients to reach their nutrition goals
Nutrition Architect
- Engage in successful interactions with clients
- Perform Consultations and Coaching sessions with clients face-to-face and online
Communicator
- Host Seminars and Events
- Provide helpful recommendations for clients to navigate real-world nutritional challenges
Guide
- Separate Nutrition Fact from Fiction
Authenticator
- Evaluate clients’ dietary patterns and behaviors using tools and assessments
- Provide nutritional education to clients
Educator
- Provide safe, comprehensive, empowering and professional nutrition programs
- Work within the scope of practice
Protector
As a nutrition coach you will do the following:
Have an actionable, proven method for helping clients reach their personal health and wellness goals with your professional guidance.
Leverage nutrition education to increase client success, reduce turnover, and maximize adherence.
Work with face-to-face or online clients.
The actions, procedures and processes a professional is allowed to undertake in keeping with a professional’s credential or license
Scope of Practice
Professionals that provide nutrition advice
MDs, Certified Diabetes Educators (CDE), ARNP, PAs and PharmDs
Credentialing arm of the Academy of Nutrition and Dietetics for the purpose of establishing and enforcing certification standards for registered dieticians and other licensed nutrition professionals and issues credentials to those who successfully meet said standards The CDR also provides a professional code of ethics and recertification standards.
Commission on Dietetic Registration (CDR)
A licensed healthcare professional or certified allied health professional who works with those who have Diabetes
- 1000 contact hours in diabetes education is required for certification
Certified Diabetes Educator (CDE)
Typically provided on the state or Federal Level, Common prerequisites include formal education/training, supervised contact hours and passing a standardized test
Licensing
Grated to a person who has completed an educational course and a standardized test and/or practical.
Certification
Generic term for someone who provide nutrition counseling, Certification and Licensing parameters are vague
Nutritionist
Nutrition Coach CANNOT:
Provide specific meal plans and daily menus.
Prescribe specific supplements or recommend vitamins and/or mineral dosages.
Suggest drastic caloric restriction.
Promote fasting, detoxification, or other extreme nutritional practices.
Prescribe diets that omit or severely restrict certain food groups.
In anyway, go against recommendations of licensed healthcare professionals.
Provide detailed nutritional plans for athletes who participate in extreme training programs (i.e., Ironman triathletes or ultra-marathoners).
Prescribe dietary plans for those with chronic health conditions (i.e., diabetes or heart disease).
Provide nutrition therapy to treat or prevent disease.
Provide exercise prescriptions or detailed programming (unless already certified as a personal trainer).
A Nutrition Coach CAN:
Evaluate current eating plans and provide general guidance.
Recommend the client discuss supplement use with their personal registered dietitian nutritionist, physician, or pharmacist.
Promote caloric guidelines outlined by the USDA’s MyPlate, the United Kingdom’s Eatwell Guide, or other acceptable entities.
Recommend gradual dietary modifications and consistent dietary practices.
Discuss the importance of a balanced intake of macronutrients.
Refer back to the client’s personal healthcare provider when necessary.
Offer nutritional guidelines for anyone wanting to participate in typical athletic pursuits (i.e., masters swimming or a 10K run).
Provide guidance for healthy populations.
Offer advice on eating behaviors and/or macronutrients that are known to reduce the risk of disease or slow disease progression.
Offer exercise and physical activity guidelines.
Scope of Nutrition Coaches Components
- Nutrition Guidance
- Behavior Change and Motivation
Common Sources for information on Nutritional Guidelines
USDA (United States Department of Agriculture)
National Health Service (NHS) UK
Mediterranean Pyramid
Scope of the Nutrition Process
Assess, Educate, Implement
Written Questionnaires (Health History Questionnaire), Verbal Interview and Body Composition Assessment (Rule out Chronic Disease that is not in the Scope of Practice
Assess
Examples of Assessments in Questionnaires
Client nutritional goals
Personal stumbling blocks
Food aversions, preferences, known allergies, etc.
Hydration
Food triggers
Exercise habits
Daily activity patterns
Nutrition Coach Physical Assessment
Height
Weight
Body composition
Anthropometric measures of girth (arm, neck, chest, waist, hip, thigh, and calf)
Food Journals
Formal Assessment of Client Diet 3 - 5 Days (My Fitness Pal)
General advice on what constitutes a healthy diet according to current scientific evidence
Educate
Nutrition Education should be:
- Highly Relevant
- Based on Prior Experience
- Practical
- Perceived to be important
Dietary Strategies and Tactics. Nutrition Plans
Implement
When to refer an Athlete to a Specialist
Unexplained decline in performance, unexplained Fatigue, A change in health status (chronic pain or discomfort)
Reasons to refer a nutrition client
Pregnant or lactating, Disordered Eating
Warning Signs of Disordered Eating
Drastic Weight Loss, forced vomiting, use of laxatives
Quick Assessment of an Eating Disorder
SCOFF Questionnaire (5 basic questions)
Questions in the SCOFF Questionnaire
- Do you make yourself SICK because you feel uncomfortably full?
- Do you worry that you have lost CONTROL over how much you eat?
- Have you recently lost more than ONE stone (14 lbs) in a 3-month period?
- Do you believe yourself to be FAT when others say you are too thin?
- Would you say that FOOD dominates your life?
What Score of the SCOFF Questionnaire suggests Anorexia Nervosa or Bulimia
2 or More
Significant Improvement with Patients with Type 2 Diabetes Mellitus (T2DM)
Loss of 5 - 10% of body weight
Signs and Symptoms of Hypoglycemia
Dizziness, Hunger, Lethargy, Sweating, Loss of Energy, Headaches and Extreme Thirst
Reason for Referral: Lack of progress toward weight loss or weight gain goals
RDN or personal physician
Reason for Referral: Decline in athletic performance
RDN who specializes in sports dietetics (CSSD credential) or personal physician
Reason for Referral: Extreme preoccupation with weight loss or weight gain
Psychiatrist, psychologist, eating disorder specialist, or RDN
Reason for Referral: Client with well-regulated chronic condition now wants to participate in athletic competition or extreme sports (i.e., a person with diabetes who wants to do an Ironman triathlon)
RDN, CSSD, or physician specialist (i.e., endocrinologist for the triathlete with diabetes)
Reason for Referral: Client with a chronic condition considering adding supplements to existing medications (i.e., herbs, homeopathy, etc.)
Personal pharmacist, physician, RDN, or alternative health practitioner (licensed by the state)
Nutrition Coach written policies and procedures
Client Information Forms, including confidentiality documents
Assessment forms, including a Health History Questionnaire and a Dietary Assessment
Evaluation forms that would include client measurement data (height, weight, BMI, anthropometric measurements, and body composition)
Basic and advanced educational handouts that are goal-specific (i.e., Hydration 101, Eating the Rainbow, Quality Snacks, etc.) provided in paper or electronic versions
List of appropriate books, magazines, or online content for the clients to read
Personal online content or regular newsletters that represent the vision and character of the business owner
List of human resources for referral: Licensed Healthcare Professionals (RDN, MD, or mental health experts) and fitness experts (personal trainer or running shoe experts)
List of community resources: healthy restaurants, healthy grocery store options, cooking classes/demonstrations, and quick-prep dinner-in-a-box solutions
Marketing assets including flyers, business cards, digital advertisements, social media pages, and websites
Scrutiny for Nutrition Articles
Reliability and Validity
