ch 21 and 22 Nutrition


gatekeepers for dietary risk


dental team


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


nutritional assessment


involves assessing reported
dietary intake in comparison to an accepted
standard


Diet assessment


types of communication


Interviewingteachingguidance


process designed to elicit needed information from the patient


interviewing


requires the use of appropriate approaches to facilitate patient learning


teaching


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


guidance


Directiveness: An Appropriate Clinician-Centered Approach


a. Values the more-knowing (counselor) over the less-knowing (client) b. Client is told what to do c. Ineffective � does not produce the best results


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


Nondirectiveness: Client-Centered


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


The health belief model


Stages of change


precontemplativecontemplativepreperationactionmaintenance


no intention to change in which stage


precontemplation


patient considers the change and is aware of reasons supporting
change


contemplative


For Those Clients Ambivalent About or Not Ready for Change


motivational interviewing


The Nuts and Bolts of Successful Communication


SettingThe Attitude of the Dental Professional