NSC 325L- Medical Nutrition Therapy Lab
Activity Sheet 7: Counseling
25 Points
Name: ____________________________________
- After reviewing D2L content for this week review each of the following effective and ineffective counseling techniques. Describe some of the MI strategies the counseling applied to improve success with this patient. (5 points)
- Ineffective MD: https://www.youtube.com/watch?v=80XyNE89eCs
- Effective MD: https://www.youtube.com/watch?v=URiKA7CKtfc
- Ineffective PharmD: https://www.youtube.com/watch?v=dmmvAR6K1TQ
- Effective PharmD: https://www.youtube.com/watch?v=5UU63mfNnD4
- Choose 3 motivation interview approaches you are most interested in trying and describe the approach and how it would be applied in practice. Helpful resource: https://mollykellogg.com/counseling-tips/ (5 points)
- For the following broad goals write an action oriented SMART Goal (5 points)
| Anticipated result | Broad goal | SMART GOAL |
| Lower BP | Reduce sodium intake <2300 mg per day | Pt will substitute lemon and pepper for salt while seasoning food at dinner. |
| Lower BP | Increase fruit and vegetable intake | |
| Decrease cholesterol | Increase fiber intake to 25 g/day | |
| Decrease cancer risk | Increase fruit and vegetable intake | |
| Maintain bone health | Increase Ca to 1000 mg per day | |
| Lower BP | Increase physical activity | |
| Reduce insulin resistance | Promote weight loss |
Nutrition Interview:
For this assignment practice conducting a nutrition interview with a family member, classmate or friend, then answer the following questions at the end of the instructions.
Nutrition interview or diet history is an account of a person’s eating habits, preferences, and other factors influences food choices. It relies on client memory and cooperation and skill of interviewer. The nutrition interview identifies nutrition problems, screens for malnutrition, contributes to assessment of nutritional status, informs goals, provides baseline data, and helps to develop patient rapport. The nutrition interview consists of an opening, exploration, and closing statement.
Opening:
- Greet and introducing yourself
- Address client
- Explain why you are there and nature of consult OR
- Ask client to explain purpose of visit
- Establish rapport
- Discuss purpose and obtain consent
Exploration
- Gather information (interview and NFPE)
- Explore problems, feelings, thoughts
- Continue to build rapport
Closing
- Express appreciation
- Review purpose/summarize/end interview
- Ask for questions/comments
- Plan follow up; contact
Some information commonly collected during interview is included below. Although you do not want to read directly from a list of question during the interview it is important to give careful thought to the questions/topics you would like to review with your client.
Height-
Weight-
Usual Wt- (If change in weight – When? How long ago? Perceived etiology?)
Food preferences/allergies-
Previous/current diet restrictions or intolerances-
Previous nutrition counseling-
Nutrition history- Appetite, any difficulty eating-
GI symptoms – nausea, vomiting, diarrhea, constipation, early satiety-
Chewing/swallowing difficulties-
Taste/smell changes-
Meal planning:
Who plans and prepares meals at home?
Who does the grocery shopping?
Access to food?
Supplement use-
Physical activity habits-
Diet recall or typical intake: Asks client to explain the types and amounts of foods and beverages typically consumed in one day. Starting with first food/beverage of day.
(Intake of food/beverages, timing, location, portions, food preparation, between meal snacks, condiments, alcoholic beverages, alternative nutrition therapies or supplements)
Self-Reflection (10 points)
- How effective was the atmosphere? Rapport?
- How effective was your opening?
- How effective were your questions in obtaining the information you needed? What would you do differently? What information did you miss?
- How effective were your responses? How non-judgmental and empathetic were you?
- How effective was your closing?
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