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S4L Employee Training > General > Flashcards

General Flashcards

0
Q

What day are assessments done?

A

Wednesday

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1
Q

What is in the book for clients?

A 
Nutritional plan instructions
Food list
Sample menu
Recipes
Nutrient product form
Personal control guides
Sack lunches
Dosage instructions
Course of treatment
My weight goals and results
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2
Q

Assess chart and client for the following:

A 
Weight-loss 1.5 pounds by Wednesday
Payments owed
Supplements needed
Vitamins needed for 4 weeks
Herbal balance
Renewal weeks
Blood-pressures
Plateau breakers
7-day break
Cookbook for variety
Nature's tea (cleansing)
Exercise level
Measurements taken monthly
Visits to center
Guide to better losses
Variety being used
Diary used daily
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3
Q

If a client gains 3-6 pounds what do we do?

A
  • Have ct weigh in daily until their weight is maintained
  • Have cts bring in their food diary
  • You may restrict foods put client on stabilization for 1 week if needed
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4
Q

What can maintenance be viewed as?

A

Maintenance is the clients insurance policy against ever having to fight a weight problem again.

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5
Q

What color files are maintenance files?

A

Yellow

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6
Q

How do we handle it if a weight gain occurs during stabilization?

A

If a weight gain occurs during stabilization find the problem and redo that week over again free of charge.

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7
Q

What changes are made during week 1 of stabilization?

A

Primarily proteins are increased across the plans.

Proteins-3 serv; Vege-4 serv; Fruit-3 serv; Starch-3 serv

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8
Q

What changes are made during week 2 of stabilization?

A

A milk group will be added.

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9
Q

What changes are made during week 3 of stabilization?

A

Starch servings may now be any of your choice only taken, 1 per meal.
Add 100 to 150 cal of fat daily.

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10
Q

What changes are made during week 4 of stabilization?

A

Another serving from the milk group is allowed if desired.

Up to 200 cal now allowed from the fat group.

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11
Q

What changes are made during week 5 of stabilization?

A

Follow suggested menu plan for wk 4. Option: may add 2 choices per week from the misc group.

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12
Q

What changes are made during week 6 of stabilization?

A

Determine maximum caloric allowance, based on your physical characteristics, age, sex, & activity. This will help you calculate the total maintenance weight.

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13
Q

What are the 6 reasons for renewals?

A 
Deviated program
Hasn't reached goal
Gain commitment
Reinforce goal weight
Paint the picture (clothes, special occasion, X factor) 
Quote on paper
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14
Q

What are some of the benefits of water for weight loss?

A 
Suppresses the appetite naturally
Helps the body metabolize stored fat
Kidney function 
Treatment for fluid retention
Maintains proper muscle tone
Helps prevent sagging skin
Helps rid the body of waste
Can help relieve constipation
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15
Q

Clients need to drink 10 glasses of water daily in order to:

A 
Reduce swelling & water retention
Help burn up fats & carbohydrates
Help provide more energy
Help with the removal of waste products
Avoid constipation
Not feel hungry
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16
Q

Is sugarless gum allowed on the programs?

A

Yes, one stick per day.

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17
Q

Reasons for constipation are:

A

Insufficient fluid intake
Insufficient fiber intake
Laxative or caffeine dependency
Pre-existing bowel, intestine or colon problems

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18
Q

How are deviations noted in the patient charts?

A

In red ink.

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19
Q

What water amounts are required for a water flush?

A

88/96/88/80

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20
Q

How do you handle a deviation after week 3 on the program?

A

Have the client omit 1 fruit & 1 starch for 2 days, water flush add fresh lemon to all the water.

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21
Q

How do you handle a deviation prior to week 3 on the program?

A

Water flush only, no omits.

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22
Q

What are some solutions to constipation?

A

1/2 fresh lemon, 8 oz warm water before bed same thing the next morning.
Cleansing tea before bed. If the cleansing tea is not effective by the following morning, prepare another teabag the following morning.
Increase fluids especially water 11 glasses instead of 10
Metamucil
Etc.

23
Q

What are reasons for fatigue during the program?

A

Not eating all of the food allowed on the program
Not spacing food throughout the day
Not taking their vitamin as prescribed
Not taking the correct dosage of appetite suppressant
Not using 2 boosts per day
Not eating all their fruits or vegetables

24
Q

What are some reasons for fluid retention?

A 
Excessive sodium intake
Inadequate fluid consumption
Imbalance of hormones during menses
Large carbohydrate intake
Infection
Sunburn
Tension
Weather changes
Loss of sleep
Use of certain drugs
25
Q

What are some solutions for fluid retention?

A 
Decrease sodium intake
Increase water consumption
Use release
Parsley tea
Apple cider vinegar
26
Q

What are some reasons for deviations?

A 
Social functions
Family influence
Eating out with family
Business lunch
Cravings
Boredom
Emotional stress
Daily household situations
Compulsive eating
27
Q

What are the solutions for deviations?

A

First find out what the client deviated with. Problem solve & give suggestions what they can do next time
Extra protein or vegetables require no modifications needed on the program
Renewal warning is given & documented in clients file
Additional carbohydrates. Omit 1 fruit & 1 starch for 2 days & do a water flush
Client must come into the center daily when program is modified

28
Q

What are possible side effects of being on the program?

A
  • Less frequent bowel movements due to the lack of bulk being consumed
  • Feeling of lightheadedness
  • Varying degrees of fatigue may occur the first few days as one adapts to this new metabolic state
  • Irregular menstrual periods may occur
  • Leg cramps and headaches are rare
  • Migraine like headaches, shakiness and irritability are symptoms associated with caffeine withdrawal
29
Q

What is written in red on the daily charts?

A 
Deviations 
7-day break
Omits
Renewal warning
New medications
Illness
Changes in diet
Any pertinent information
Weekly weight loss
Accumulative weight loss
Re-prep
Plateau breaker
Blood pressure
30
Q

Name 10 items off of ‘guide to better losses:’

A 
Following correct plan number
Measuring MLS
Taking Slim4Life vitamins daily
Variety in food selection
Eating dinner meal too late
Limit artificial sweeteners to 3 pkt daily
Check seasonings being used
Having regular bowel movements
Tasting while cooking
Gums, mints or juices
Check restriction on red meats
Check for clothes variation in weight
31
Q

What are some mistakes that can cause slow weight loss?

A

Not sleeping well or under stress
Guessing weights on entrées and vegetables
Bowel movements are less frequent
Make sure clients are using variety in their program
Water must be 10 8 ounce glasses of water daily
Watch relation of red meat tuna and cottage cheese to notice how often there must be a day in between

32
Q

What is the purpose of re-start?

A

It is to get your body back into a fat burning state and prepare it for an additional weight loss.

33
Q

What is the 7-day break?

A

It is a 5 day psychological and metabolic break followed by a 2 day restart cleansing diet and is a very important part of your weight-loss program.

34
Q

When should the 7-day break diet to be given?

A

Week 6 through 9
Week 13 through 15
Week 19 through 21
Week 25 through 27

Plans 1 & 2 only

35
Q

What are the 6 problem-solving steps?

A 
Identify the problem
Validate the problem
Obtain solutions from client
Reinforce solutions
Alternative solution
Gain agreement - 4 things to do
36
Q

How often is BP taken?

A

Once per week on every client
Every visit on medical clients in the blue chart
Daily during prep and first week on plan

37
Q

What forms, in the chart, must have signatures?

A 
DEM sheets
Service guarantee
Contract
Quote
Success tracker
Credit card authorization
Receipt
Medical history
Treatment card
38
Q

What is written in red ink on medical charts?

A 
Medications
Allergies
Denies
Explain medical history yes answers
Medical history yes answers
39
Q

If the client is taking medications we need to know the following:

A 
What the medication is
The dosage
How often
Side effects
How long they will take the medication
What the medication is for
40
Q

What are prep modifications for teenagers each 12 through 17?

A

Add 8 ounces skim milk

Add 1 ounce hard white cheese

41
Q

What are prep modifications for people needing to lose more than 100 pounds?

A

Add 8 ounces skim milk

Add 1 ounce hard white cheese

42
Q

What are prep modifications for those that have a citrus sensitivity?

A

Exchange one orange for 1/4 cantaloupe

43
Q

What are the prep modifications for those 65 years or older?

A

Add 6 ounces skim milk

44
Q

What are the prep modifications for those that are hypoglycemic?

A

Space proteins 2 to 3 hours apart

Add one orange daily

45
Q

What are the prep modifications for those that are diuretic?

A

1/2 cup cooked vegetable with evening meal

Add one orange daily

46
Q

What are prep modifications for those with ulcers or G.I. disturbances?

A

Steam all vegetables

47
Q

What are prep modifications for those with caffeine dependency specifically for coffee?

A

Alternate regular with decaffeinated one half +1/2

Slowly decrease caffeine intake to 2 cups daily

Solution add one orange daily

48
Q

What are the prep modifications for those clients that drink 5 to 6 cups of caffeine, in the form of soda, daily?

A

Day 1 & 2 of prep: 1 Diet Coke and 2 clear diet sodas

Day 3 of prep: 2 diet clear sodas

49
Q

What are prep modifications for clients that drink 7-9 cups of caffeine, in the form of soda, daily?

A

Day 1 & 2 of prep: 2 diet cokes & 2 diet clear sodas

Day 3 of prep: 1 Diet Coke & 2 diet clear sodas

50
Q

What are the six factors we consider when determining someone’s nutritional plan?

A 
Age
Sex
Degree of obesity (weight)
Medical condition (health)
Exercise level
Medications taken
51
Q

Which clients have a slower weight-loss average of 2 to 3 pounds per week?

A 
Children age 8 to 11
Teenagers ages 12 to 17
Seniors
Breast-feeding moms
Diabetics both (oral & insulin)
Vegetarian
Medical (cardiac & kidney patients)
Women taking hormone replacement therapy or thyroid medications
52
Q

What is postorial hypotension?

A

Excessive loss of fluid and sodium due to dieting.

53
Q

What are symptoms of postorial hypotension?

A

Lightheaded
Change in posture
Weak
Dizzy

54
Q

How do you treat postorial hypotension?

A

Add carbs and add sodium.

55
Q

What information is compiled on the call sheet?

A 
Initials of the person taking the call
Name
Telephone number 
Date booked 
Time booked 
Source 
Time 
Previous methods
56
Q

What does green highlighter mean?

A

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S4L Employee Training (5 decks)

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