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Champions and Helping Hands May 9 th , 2012

Champions and Helping Hands May 9 th , 2012. B. A. C. D. Success. Commonly Asked Questions. Time Observation Workbook/practice ADHD Notes?. What are the mysterious lands of Nutrition Assessment?. Anthropometry Land. Biochemical Land. CLINICAL. Dietary Land. Environmental Land.

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Champions and Helping Hands May 9 th , 2012

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  1. Champions and Helping HandsMay 9th, 2012

  2. B A C D

  3. Success

  4. Commonly Asked Questions • Time • Observation • Workbook/practice • ADHD • Notes?

  5. What are the mysterious lands of Nutrition Assessment?

  6. Anthropometry Land

  7. Biochemical Land

  8. CLINICAL

  9. Dietary Land

  10. Environmental Land

  11. Transitioning (Bridging) to Nutrition Education Put the results of assessment into Action

  12. Tools of the Trade

  13. Example • A- Mom was worried she was gaining to much weight. Her weight gain is right on track w/ her grid. • D – Mom mentions how much she loves sushi. She also tells you that she is thinking about BF but is not sure if she can because she has to go back to work as a teacher.

  14. When She Doesn’t Pick What we See

  15. When Things Go Off Topic

  16. Getting Back on Track

  17. Example • “I’m really trying to do right, and get back in school. I’ve been taking a ton of classes and its been kind of hard keeping up with the homework.” • “No, I don’t really have any questions about that. But, do you know where I can sign him up for Karate classes? I’ve really wanted to do that.”

  18. NOTES

  19. T

  20. G • G- Goals • What has the PARTICIPANT said? • The pre-fab goals in AIM don’t quite cut it • Remember 215…See Notes • “Mom says she will ride her exercise bike 3 times per week.” • Makes a follow up nutrition education apt easier!

  21. I

  22. F • F- Follow Up • Heads up to the next staff person • What to ask about… • Another nutrition topic? • A referral that was made? • Info about the next apt • Check height… • High Risk

  23. Example • Assessment info: You have just completed a certification on an IPN baby. • You found no A, B , C or E codes. • When you ask about D you learn that baby is mostly nursing but mom would like to fully nurse. She was worried baby wasn’t getting enough. Currently she takes about 12 oz (3, 4 oz bottles/day) of Similac Advance and the rest is breastmilk. She was keeping a bottle out for more than 2 hours.

  24. Example Continued • Nutrition Education: You offer mom information about breastfeeding and how to tell if baby is getting enough. You also ask if you can share info about formula storage. She tells you she will stop holding the formula out and that she would like to see if she can get off formula completely. • Food Package/Next Steps: She tells you she would feel more comfortable with 3 cans and would like to talk to the PC. You schedule her to come back next month for her Hgb check and give her 3 cans.

  25. T – To Be Continued… • G – • I – • F -

  26. T -  • G – Mom states she will d/c holding bottle for more than 2 hours and would like to fully BF. • I –411.5 – formula left out for > 2hrs. Mom concerned baby was not getting enough. Gives ~ 12 oz/formula/day. Mom states she would like 3 cans Similac Advance this month. • F – Ask about BF at F/U. Referred to PC.

  27. What’s to Come You may access the video at: http://azdhsmedia.com/wic/live/clerk/

  28. Questions?

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