Lecture 23 - Individual Nutrition Assessment Flashcards
(50 cards)
what skills does the 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
active listening involves :
- paying attention
- listening demonstratively
- providing feedback
- responding appropriately
- deferring judgement
what does paying attention look like
face the patient, maintain eye contact and avoid getting distracted or fidgeting
what does listening demonstratively look like
have an open posture and use nodding and encouragers
what does providing feedback look like
seek clarification, summaries and redirect with further questions
what does responding appropriately look like
avoiding interruptions, use a relaxed and calm tone of voice and provide open and honest responses
deferring judgement looks like
avoid assumptions, be empathetic and allow time for full responses
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
why is there a move away from weight being the focus of nutritional assessment
shift towards more of a focus on body positivity or being healthy at every size
can cause unnecessary stigma or trigger body image issues
what is biochemical data in nutritional assessment
the objective data that has come from their lab or medical tests
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
clinical findings are know as what in nutritional assessment
known as Nutrition Focused Physical Findings
clinical nutrition findings can include
objective data and subjective data
what are some examples of objective data
- oral health (dental records)
- injury, mobility history, grip strength (physiotherapy)
- blood pressure or weight history (nurse or GP)
what are examples of subjective data that the practitioner can come up with in clinical assessment
- changes in appetite
- hunger and satiety cues
- changes in body weight / composition
- body language ( body image and wellbeing)
- hydration status (urine colour)
- bloating / cramping or any other gut symptoms
bowel movements are an important aspect to ask the client, especially if they are having digestive issues : what should be asked
- how often they have. bowl movement
- stool colour
- stool consistency
- blood in stool or any changes lasting more than a few weeks
