nutritional counseling how to ensure...
TRANSCRIPT
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Nutritional Counseling How to Ensure Change
Mariam Khan, RDN MSc Food & Nutrition
Online Nutrition Consultant
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• Nutrition counseling is an ongoing process in which a registered dietitian, works with an individual to assess the usual dietary intake and identify areas where CHANGE is needed, and help in making it possible.
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Target Lifestyle Change
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Stages of Change
Precontemplation
(not ready)
Contemplation
(getting ready)
Preparation (ready) Action Maintenance
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Prerequisites of Change • Lets brainstorm
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Change is HARD • Often its not because of oLack of Information oLaziness oDenial oLack of Resources oOppositional personality
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Change is HARD
Ambivalence Lack of motivation
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How can Nutritional Counselor help?
Partnership
Acceptance
Compassion
Evocation
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How to Evoke Motivation?
Consequences •Positive Consequences •Negative Consequences
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Competence Can you do
it?
• Time • Knowledge • Training
Will it work?
• Physical limitations •Mental limitations
Is it
worth it?
• Check the end product
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Choices •Share control •Accept
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Community •Asking for help •Human connection
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Motivational Interviewing • An effective way of communication to bring about CHANGE
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Food choices
Addiction therapy
Behavioral change
Weight loss
Physical activity
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OARS
Open Questions
Are you in pain? Don’t you want to do exercise?
How many times do you consume
junk foods?
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OARS
Affirmations
Awards Attempts Achievements Accomplishments
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OARS
Reflections
Understand the client
Repeat his thinking & feelings in plain statements
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OARS
Summary
Absorb information Relay back
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AVOID
Assessing Telling
Power Labeling
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• Lets summarize the process of nutritional counseling
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FOUR Processes
Engaging Focusing Evoking Planning
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Lets help them to change