The Nutrition Assessment Nutrition Goals Nutrition Plans Helpful - PDF document

4/2/2015 Michelle Futrell, MS, RD, LDN Nutrition Consultant School Health Unit Children & Youth Branch Woman’s and Children’s Health Section NC Division of Public Health Michelle.futrell@dhhs.nc.gov (919) 707-5669 � The Nutrition Assessment � Nutrition Goals � Nutrition Plans � Helpful PES Statements Even in the fifth grade little Michelle always wanted to grow up and be a nutritionist. To ensure Michelle’s optimal health her parents made sure to model healthy eating habits by serving the family a variety of healthy foods and snacks at the family meals. Everyday her mother would make a nutritious breakfast of low fat milk, whole grain cereal a boiled egg and fresh fruit. The family rarely eats out and never eats at a fast food restaurant. Little Michelle reads all of the food labels when shopping with her Mom and never wastes an opportunity to encourage her friends to read the labels too and make healthy choices from the many vending machines throughout the school. At the start of the school year Michelle joined the school soft ball team and now attends the team’s 2hr practice daily. Outside of school work her screen time is about an hour a day. During a recent doctor’s visit Michelle’s BMI for Age assessed her to be at the 75th %tile for her gender and age. Her mother informed the doctor’s nurse that Michelle has a healthy appetite, no food allergies and averages between 8-9 hours of sleep every night. In reviewing Michelle’s 24 hour recall with the nurse her mom noted how Michelle has 3- 4 servings a day of calcium rich foods along with lots of fresh fruits and vegetables and 6-8 glasses of water every day. 1

4/2/2015 � Type 2 diabetes � Dyslipidemia � High blood pressure � Determination of BMI-for-Age � Skinfold Thickness � Waist Circumference 2

4/2/2015 � Overall Health History � Family Health History � Vital Signs � Laboratory Assessment � Sweetened Beverage Consumption � Fruit Juice Consumption � Fruit & Veggie Consumption � Skipping Meals & Snacking habits � Energy Dense Food Consumption � Portion Sizes � . Bright Futures, Etc. � Physical Activity � Type � Frequency � Duration � Level � Sedentary Behavior 3

4/2/2015 � Readiness to change � Pre-contemplation � Contemplation � Preparation � Action � Maintenance � Environmental concerns � Family concerns � Patient concerns Case Studies 4

4/2/2015 Problem Identified Red Flags Etiology Cause/or contributing risk factors Sign/Symptom Defining characteristics Problem > related to (Etiology) > as evidenced by (Signs/Symptoms) Example : � Obesity related to excess weight gain evidenced by BMI for age > 95%tile Recommendations: � Plan A � Plan B � Plan C 5

4/2/2015 Questions? 6