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PCS Champions. Psst. Pass it on – uncovering secrets!. August 15, 2012. 3. 4. 1. 2. 8. 6. 5. 7. 9. 10. 11. 12. 13. 14. 15. 16. “Measurements are not to provide numbers but insight.” - Ingrid Bucher. Where have they been? (health history) Where are they now?
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PCS Champions Psst. Pass it on – uncovering secrets! August 15, 2012
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“Measurements are not to provide numbers but insight.”-Ingrid Bucher • Where have they been? • (health history) • Where are they now? • (length, weight, hemoglobin, diet) • Where are they going? • (behavior change)
In the story of life… Tomorrow’s page is blank. What can we do to make the story better for Arizona families?
What are the elements Of Nutrition Assessment?
A is for Anthropometrics Open ended questions matter! How do they feel about weight changes?
What secrets hide in the “A” part of assessment? • If we skip open-ended questions, what could we miss? Can’t do “D” without it!
B is for Biochemical Can’t do “D” without it! What have you heard about anemia?
C is for Clinical • Healthcare visits? • Doctor concerns? • Conditions that affect growth, health? Can’t do “D” without it
E is for Environmental Don’t forget about me!
Boom! Tool+ ABCDE+WIC Codes Their Hopes Conversation Behavior change!
Participants • Hopes and dreams! • Feelings! • And Hidden Concerns, too!
WIC Counselors Which resources and referrals will I share?
Case Study • Secret Sue has an 6 week old infant, Tony. • He was born full term. He is 6 weeks old today. His birthweight was 8 pounds and 2 ounces. He’s following a healthy track and his length/weight today look good.
Secret Sue has an 6 week old infant, Tony. He was born full term. He is 6 weeks old today. His birthweight was 8 pounds and 2 ounces. He’s following a healthy track and his length/weight today look good. What questions would you ask mom? C A B
Questions? Dietary – all the marbles! Pick a texture that best describes how you feel about feeding Tony. D
Conversational Assessment • Invite • Follow up probe • Bridge
What do you say? • Any WIC Codes? • Poll: yes vs. no • What concerns? • 411.5 Feeding foods to an infant that could be contaminated with harmful microorganisms or toxins. • 411.2 Routinely using nursing bottles or cups improperly • 411.7 Routinely limiting the frequency of nursing of the exclusively breastfed infant when breastmilk is the sole source of nutrients • What behavior change possibilities?
Complete Assessment? • Solids foods/Beverages • Plan/What/how/when • Food Safety • Vitamins • Breastfeeding • How often/typical feeding • Formula oz/day • Bottle Preparation • Bottle use
Documentation • TGIF • Half sheet guide • I – what do we need for Anthony?
Other Concerns • ABC, then the invite before D • Workarounds when? • Checking charts first • Multiple participants
Case Study • Quiet Connie is 22 weeks pregnant. She has gained 19 pounds today and had a normal prepregnancy weight.
Quiet Connie is 22 weeks pregnant. She has gained 19 pounds today and had a normal prepregnancy weight. What questions would you ask? C A B
Questions? Dietary – the good stuff! Pick a face that says something about how you feel about your weight gain during this pregnancy. D
Conversational Assessment • Invite • Follow up probe • Bridge
What do you say? • Any WIC Codes? • Poll: yes vs. no • What concerns? • 427.5 Pregnant woman ingesting foods that could be contaminated with harmful microorganisms • 133 High maternal weight gain • 363 Pre-Diabetes • What behavior change possibilities?
Complete Assessment? Complete Assessment? • Beverage/Water • Appetite • Likes/Aversions/Cravings • Prenatal Vitamins • Food Safety • Breastfeeding • Questions/Feelings • Milk Consumption and Type • Eating patterns
Documentation • TGIF • Half sheet guide • I – what do we need for Connie?