ch 21 and 22 Nutrition

gatekeepers for dietary risk

requires physiological,
anthropometric, and biochemical analyses to
determine actual nutritional status
Includes health, social and dental hx, clinical evaluation,
dietary intake evaluation and biochemical analysis

involves assessing reported
dietary intake in comparison to an accepted
standard

types of communication

process designed to elicit needed information from the patient

requires the use of appropriate approaches to facilitate patient learning

involves both interviewing and teaching; however, there is always an issue
or problem to resolve

Directiveness: An Appropriate Clinician-Centered Approach

a. More appropriate approach for health promotion guidance; client is the only one in a
position to make changes
b. Referred to as patient-centeredness and focuses on the client with the health care
professional as a facilitator
C. Understanding Clients’ Food Habits – need to understand “why” people eat the way
they do

developed to help explain general preventive health
behavior; it states that people’s beliefs about health determine their readiness to take action

Stages of change

no intention to change in which stage

patient considers the change and is aware of reasons supporting
change

For Those Clients Ambivalent About or Not Ready for Change

The Nuts and Bolts of Successful Communication