Lecture 23 Flashcards
Individual Nutrition Assessment
Nutritional assessment-the most important part!
Why?
-The more information you gather the more you are able to help your client
-Informs your diagnosis
-Informs your intervention
-Allows you to work out what you will monitor and evaluate
What skills does a practitioner need
- open ended questions
- reflection skills
- building trust and rapport
- active listening
- reflective paraphrasing
- clarification
- validation
- gather correct data
what qualities does the practitioner need
- empathetic
- non judgemental
- awareness of own bias
- analytical - problem solving
- accept feedback and self reflect
what is effective communication of the patient centred care approach
- exploring clients history, needs, values and environment
- while promoting active client participation
- via shared decision making and lifestyle education
communication with the client should be
articulate
accessible/understandable
emotionally balanced
professional
clients are more likely to respond and give you honest answers if they know …
why you are asking a question
Asking questions that the clients knows why you are asking them helps ….
Build trust with the client and affirms that you have the knowledge and know-how to help them
Active listening is a key aspect of
Effective consults and increases the likelihood that the patient knows you are listening to them
active listening involves :
- paying attention
- listening demonstratively
- providing feedback
- responding appropriately
- deferring judgement
Being non-judgemental
Labelling food good or bad, healthy or unhealthy…..
Remember we come ….
Labelling food good or bad, healthy or unhealthy, immediately places judgement upon these foods and those who eat them (use words like nutritious instead)
Remember we come from a place of privilege when it comes to nutrition knowledge
Bias awareness
What is it??
The conscious recognition and understanding of biases that we have, including the ones we might have at a subconscious level
Not everyone has the same …
Try and embrace ….
Not everyone has the same upbringing and thinks the same as you
Try to embrace diverse perspectives
what should you ask in self reflection
did you ask all the questions you needed to ask in the assessment ?
could you have explained a concept or structured the interview better?
why is it important to establish aims of the consultation
first opportunity for the client to tell you about their problem so active listening is required
so you can come back at the end of the consult to make sure you have met the clients aims
what are the 5 domains of assessment
anthropometric measurements
biochemical data
clinical
diet
extras
Anthropometry
-Height, weight, length
-BMI
-Percentile weight and height growth charts
-Body composition
-Skinfolds
-DXA and BIA machines, BOD POD
To weigh or not weigh?
Is it necessary?
shift towards more of a focus on body positivity or being healthy at every size
can cause unnecessary stigma or trigger body image issues
Anthropometric assessment
Questions that can be asked?
Weight history - weight and waist circumference over time
- Have they noticed clothes getting tighter or looser?
-Does the client use food to control weight or shape?
Biochemical
- the objective data that has come from their lab or medical tests
- Can ask the client to check their medical files
-Note dates of tests, any abnormal-ties and if they have been re-tested
what are common blood tests for nutritional assessment
- complete blood count
- vitamins and minerals
- lipids
- Hba1c
- thyroid
- coeliac testing
- inflammation
- electrolytes
what are the common medical imaging tests for nutritional assessment
- colonoscopy / endoscopy / gastroscopy
- biopsy
- X-ray / ultrasound
- barium swallow
- bone density scan (DXA)
what are common stool tests
- bacteria, fungi, viruses or parasites in GI tract
- blood