General Flashcards

0
Q

What day are assessments done?

A

Wednesday

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What can maintenance be viewed as?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What color files are maintenance files?

A

Yellow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What changes are made during week 2 of stabilization?

A

A milk group will be added.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Is sugarless gum allowed on the programs?

A

Yes, one stick per day.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Reasons for constipation are:

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How are deviations noted in the patient charts?

A

In red ink.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What water amounts are required for a water flush?

A

88/96/88/80

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

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

A

Water flush only, no omits.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
What are some reasons for fluid retention?
``` 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
What are some solutions for fluid retention?
``` Decrease sodium intake Increase water consumption Use release Parsley tea Apple cider vinegar ```
26
What are some reasons for deviations?
``` Social functions Family influence Eating out with family Business lunch Cravings Boredom Emotional stress Daily household situations Compulsive eating ```
27
What are the solutions for deviations?
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
What are possible side effects of being on the program?
- 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
What is written in red on the daily charts?
``` 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
Name 10 items off of 'guide to better losses:'
``` 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
What are some mistakes that can cause slow weight loss?
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
What is the purpose of re-start?
It is to get your body back into a fat burning state and prepare it for an additional weight loss.
33
What is the 7-day break?
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
When should the 7-day break diet to be given?
Week 6 through 9 Week 13 through 15 Week 19 through 21 Week 25 through 27 Plans 1 & 2 only
35
What are the 6 problem-solving steps?
``` Identify the problem Validate the problem Obtain solutions from client Reinforce solutions Alternative solution Gain agreement - 4 things to do ```
36
How often is BP taken?
Once per week on every client Every visit on medical clients in the blue chart Daily during prep and first week on plan
37
What forms, in the chart, must have signatures?
``` DEM sheets Service guarantee Contract Quote Success tracker Credit card authorization Receipt Medical history Treatment card ```
38
What is written in red ink on medical charts?
``` Medications Allergies Denies Explain medical history yes answers Medical history yes answers ```
39
If the client is taking medications we need to know the following:
``` What the medication is The dosage How often Side effects How long they will take the medication What the medication is for ```
40
What are prep modifications for teenagers each 12 through 17?
Add 8 ounces skim milk | Add 1 ounce hard white cheese
41
What are prep modifications for people needing to lose more than 100 pounds?
Add 8 ounces skim milk | Add 1 ounce hard white cheese
42
What are prep modifications for those that have a citrus sensitivity?
Exchange one orange for 1/4 cantaloupe
43
What are the prep modifications for those 65 years or older?
Add 6 ounces skim milk
44
What are the prep modifications for those that are hypoglycemic?
Space proteins 2 to 3 hours apart Add one orange daily
45
What are the prep modifications for those that are diuretic?
1/2 cup cooked vegetable with evening meal Add one orange daily
46
What are prep modifications for those with ulcers or G.I. disturbances?
Steam all vegetables
47
What are prep modifications for those with caffeine dependency specifically for coffee?
Alternate regular with decaffeinated one half +1/2 Slowly decrease caffeine intake to 2 cups daily Solution add one orange daily
48
What are the prep modifications for those clients that drink 5 to 6 cups of caffeine, in the form of soda, daily?
Day 1 & 2 of prep: 1 Diet Coke and 2 clear diet sodas Day 3 of prep: 2 diet clear sodas
49
What are prep modifications for clients that drink 7-9 cups of caffeine, in the form of soda, daily?
Day 1 & 2 of prep: 2 diet cokes & 2 diet clear sodas Day 3 of prep: 1 Diet Coke & 2 diet clear sodas
50
What are the six factors we consider when determining someone's nutritional plan?
``` Age Sex Degree of obesity (weight) Medical condition (health) Exercise level Medications taken ```
51
Which clients have a slower weight-loss average of 2 to 3 pounds per week?
``` 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
What is postorial hypotension?
Excessive loss of fluid and sodium due to dieting.
53
What are symptoms of postorial hypotension?
Lightheaded Change in posture Weak Dizzy
54
How do you treat postorial hypotension?
Add carbs and add sodium.
55
What information is compiled on the call sheet?
``` Initials of the person taking the call Name Telephone number Date booked Time booked Source Time Previous methods ```
56
What does green highlighter mean?
Sold