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Chapter 16 Nutritional counceling

Terms in this set (34)

The following actions will create trust in patients
1. Show interest are the same
2. Demonstrate concern for others
3. Deliver on promises
4. Be consistent and honest
5. Communicate well
State laws and licensure regulations restrict the source of nutritional advice for _____ ______ conditions to be the domain of a registered ______
general medical, dietician
Dental nutritional counseling purpose is to _____ or ____ dental disease and should be the goal in discussing food and diet changes with the patient
prevent, minimize
Is becoming involved in a patients weight loss or recommending a diet for a specific medical condition beyond the scope of practice for a dental hygienist
yes, leave it for RD or RDN
Figure out where your patient is on the 5 point scale
precontemplation, contemplation, preparation, action, and maintanence
Groups who would benefit from nutritional counceling
elderly, teens, single and independents, adults who diet, patients with change in dental health, infants/toddlers
The elderly are at high risk of dental caries because of
salivary gland hypofuction
Because time equals money in the dental practice the clinician may want to provide nutritional counseling during an appointment scheduled for another
compensated procedure
Do not confuse an insurance company's lack of compensation with lack of
importance
Procedures included in the data collection phase are
1. Medical/dental history
2. Vitals
3. Intraoral/extraoral
4. Gingival exam
5. Perio charting
6. Dental chart
7. Radiographs
8. Nutritional counceling
If it is determined that a patient can benefit from nutritional counseling and gives consent to participate the next step is to gather information about eating habits fro, a diet ____
diary
Different types of diaries to chose from
-24 hour recall
-3 day food record
-7 day food diary
-Computerized diet assessment
What works best id desiring a quick inquiry of a patients eating habits. Ask them to list all food consumed in the time period including serving size and time of day. Ask id it is a typical sample, if not ask why
24 hour recall
Key questions
1. Do you drink either regular or diet soda or sweet tea?
2. Do you regularly drink fruit juice or sports drinks?
3. Do you suck on breath mints or hard candy?
4. Do you snack during the day, if yes how often?
5. Are the snacks sticky or sweet?
6. Do you snack while watching tv studying videogames?
7. Do you eat a lot of citrus?
8. How many times a day do you brush and floss?
Use a highlighter to emphasize all ____-____ foods eaten during meals or snacks
sugar-ladem
A second colored highlighter cam be used to indicate foods high in ____ or ____ ___
saturated, trans fats
The ___ or ____ ___ ____ ___ are for a more in-depth study and should include at least 1 day of the weekend
3 or 7 day diet diaries
The _____ ___ _____ is more general than dental related but is good for analyzing the nutrient content of food
computerized diet assessment
Sometimes poor food choices are made for reasons other than lack of
education
Other reasons for poor food choices
-jobs
-living alone
-income
-single parent
-students
-connivence
-taste
Two types of counseling techniques
direct and nondirect
The ____ ___ is when you are the dictator and the patient plays a passive role. This is the most ineffective method because it is human nature to put up a defense when being told what to do
direct approach
With the ______ _____ the patient is in control and the clinicians role is that of the facilitator. This is also referred to as the patient-centered technique. Change is more apt to happen with this technique
nondirect approach
A few tips to make the counseling session more effective
-No judgment
-Listen and engage
-Use open body language
-Encourage
-Sandwich criticism with positives
-Avoid finger pointing
-turn off or down radio or background noise
Be sure to display educational visual aids to help personalize and emphasize your counseling session like:
radiographs, oral photos, oral ed visuals
It is best to counsel your patient in a place that does not invoke ___ feeling
anxious
Which is better: sitting in dental chair or at a table or counter?
table/counter
Seat patient at, below, or above eye level?
at
After diet diary is returned and you have reviewed it ask yourself these questions:
1. Did patients meet serving suggestions for food groups in MyPlate?
2. Did the patient follow all points of the dietary guidelines chosen for them?
3. Did patient minimize the minutes of acid attack?
4. Did the patient include one crunchy food per meal?
5. Did the patient include foods rich in nutrients that keep the periodontium healthy?
When diet changes are inficated
-keep it simple
-make small changes
-offer no more than 2 suggs at a time
-let patient chose 2 things to work on
When offering suggestions consider the following
-consistent with current habits, cultural influence, and regional preferences
-consider foods in season
-consider costs
-make suggs for healthy restaurant meals
-suggest changes to reduce cariogenic potential
When the patients nutritional counseling needs are beyond the scope of your practice, a _____ _____ would be in their best interest
nutritional refferal
Make sure patients understand the relationship of their food choices and your concerns about their ___ ___
oral disease
Reasons to recommend a patient visit their doctor for nutritional counseling/ advice
-improving heart health
-suspected diabetes
-dysphagia
-eating disorders
-malnutrition
-osteoporosis
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