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

Diet assessment

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. 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


no intention to change in which stage


patient considers the change and is aware of reasons supporting


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