supporting clients to change Flashcards
importance of client consultation
- build a rapport with your client, to put them at ease and gain their trust
- make a client feel more valued as a customer
- find out about their lifestyle, interests and barriers
- give an insight into their current health and fitness level and areas for improvement
- find out what they like to achieve and learn their expectations, aspirations and fears
- give you an opportunity to promote the benefits of your services
- agree a plan of action with the client which may include time, cost, location, etc
- identify any clients requiring medical clearance to participate
- assessing the client’s readiness to change
- set, agree and record SMARTER goals
client information collected includes but is not limited to
age gender medical status body weight + composition body circumference barriers to participation aspirations, expectations, goals dietary strengths and weaknesses current exercise/ physical activity levels previous exercise/ physical activity levels exercise preferences nutritional preferences dietary profile/food diary
confidentiality
fitness professionals handling information are legally, morally and ethically obliged to ensure that this information is stored safely and remains confidential.
all info must be stored securely for min of 7 years - after which UK law permits it to be destroyed.
the freedom of information act also entitles any individual whose information is stored by a company to view it at anytime.
client referrals
may need to include other people or agencies when dispensing nutritional advice. becomes particularly true when client is suffering from particular health condition or they need specialist knowledge. includes but not limited to: - diabetes - pregnancy - coeliac disease - cancer - arthritis - asthma - heart disease and strokes - crohn's disease - malabsorption syndrome
common referral professionals
GP Registered Dietitian Physiotherapist GP referral instructor Diabetic care team/nurse
if client does not need specialised dietary interventions these organisations will be able to signpost you or your client to a suitably qualified dietician
- British Nutrition Foundation
- British Dietic Association
- Scientific Advisory Committee for Nutrition
- Food Standards Agency
- Department of Health
- Nutrition Society
- The World Health Organisation
- British Heart Foundation
- National Health Service
- Anorexia and Bulimia Care
some goal-setting guidelines
- always record goals, as this will increase the client’s focus and motivation and allow them to review their progress
- should always be written in a positive way
- should be reviewed and evaluated regularly with client
- involve them in goal setting process and ensure they empower and motivate them
- goals should be set so that the primary focus is the short term
- try to ensure client has access to social support from friends and family during the attainment of their goal
the readiness to change model (cyclical/spiral pattern)
- pre-contemplation
- contemplation
- preparation
- action = client is meeting the recommended guidelines for exercise and activity on a consistent basis but has not maintained the new behaviour for 3 months.
- maintenance = client is able to consistently repeat the behaviour for up to 6 months.
~ termination
~ relapse
cyclical process because even with successful behaviour change, people will likely move back and forth between stages for some time, experiencing one or more periods of relapse to earlier stages, before moving forward again
short term goals
- achieved within a matter of weeks
- typically relate to the modification of a client’s behaviour
medium term goals
- achieved between one and two months
- typically incorporate both behavioural and key milestones of long term goal
long term goals
- achieved outside a 6 month period
- often related to a specific outcome
- should represent the client’s ultimate motivation
- ‘outcome goals’
SMARTER goals
SPECIFIC MEASUREABLE ACHIEVEABLE/AGREED REALISTIC TIMED ENJOYABLE REWARDING
