Pages: 42

No chapter abstract available.

Pages: 3

This chapter introduces the SHARE acronym, a framework for structuring a nutrition counseling session.

Pages: 8

“Start with a blank sheet” is an open-ended approach to the nutrition assessment that encourages a conversation-style interaction between provider and patient rather than a structured questionnaire-style assessment. This chapter emphasizes the importance of prioritizing the information most pertinent to the reason for referral and trusting that the patient will tell you what they need. Also included are practice tips on how to break the ice to help the patient feel comfortable in sharing their story. Ultimately, the goal of the assessment is to find out what the patient wants to know as well as what they need to know—which are not always the same things.

Pages: 14

“Hear and understand” goes beyond active listening and emphasizes the importance of cultivating empathy, compassion, and the patient–provider relationship. This chapter also discusses implicit bias and practice tips on how to recognize and address the underlying assumptions that may affect quality of care.

Pages: 7

A comprehensive, person-centered nutrition assessment allows the dietitian to target the nutrition intervention. While treatment guidelines and research may explain the pathophysiology of the patient’s condition, the individual’s complete medical history, lifestyle, knowledge, preferences, and barriers provide the best available evidence in identifying the patient’s needs. The dietitian’s expertise in nutrition, education, and lifestyle counseling come together to develop an individualized treatment plan that will be attainable, acceptable, and ultimately effective for improving the patient’s outcomes.

Pages: 8

This chapter provides a brief review of health behavior theory and change strategies, including goal setting, problem solving, and action planning. This chapter also discusses counseling strategies, including patient-centered care, shared decision making, and empowerment. These approaches recognize that autonomy and self-efficacy are key factors in motivating and maintaining change.

Pages: 23

No chapter abstract available.

Pages: 2

This chapter introduces common patient experiences that impact their nutrition behaviors and motivation for lifestyle change.

Pages: 3

This chapter introduces the concept of “Everyday Eating Routines – a different EER.” It emphasizes the importance of identifying and addressing individual eating behaviors in addition to—if not in lieu of—estimating energy requirements and providing meal plans. This chapter also discusses various lifestyle factors and knowledge barriers that affect eating behavior.

Pages: 16

This chapter describes common eating patterns such as night snacking, skipping meals, squeezing calories, emotional eating, restrictive dieting, grazing, and frequent dining out, as well as their nutritional implications. This chapter briefly discusses popular diet trends. A note about screening and treatment for eating disorders is also included.

Pages: 110

No chapter abstract available.

Pages: 3

This chapter lists the most common reasons for referral to a dietitian: diabetes, weight management, cardiovascular disease and hypertension, kidney disease, and disease prevention. The low FODMAP diet is increasingly recommended as well. This chapter discusses the importance of utilizing dietitians in medical nutrition therapy for improved outcomes and greater patient satisfaction.

Pages: 22

This chapter discusses key assessment questions, FAQs, and key educational points for type 2 diabetes and prediabetes. This chapter also cites relevant studies, practice guidelines, and meal planning websites.

Pages: 28

This chapter discusses key assessment questions, FAQs, and key educational points for lipid management, hypertension, and overall prevention of cardiovascular events. This chapter also cites relevant studies, practice guidelines, and meal planning websites.

Pages: 15

This chapter discusses key assessment questions, FAQs, and key educational points for chronic kidney disease. This chapter also cites relevant studies, practice guidelines, and meal planning websites.

Pages: 14

This chapter discusses key assessment questions, FAQs, and key educational points for IBS and the low FODMAP diet. This chapter also cites relevant studies, practice guidelines, and meal planning tools.

Pages: 26

This chapter discusses the controversial topic of weight management, from disease risk to discrimination and health disparity to the body positivity movement. This chapter recognizes that weight loss support continues to be a common referral as well as a common request by patients. Therefore, this chapter discusses key assessment questions, FAQs, key educational points, and evidenced-based lifestyle -change strategies. This chapter also cites relevant studies, practice guidelines, and patient resources and tools.

Pages: 35

No chapter abstract available.

Pages: 13

This chapter defines health literacy and related factors such as socioeconomic, cultural, cognitive, physical, or other barriers. This chapter also discusses various learning styles and teaching modes, with tips on how to design effective health education materials and lower attrition rates.

Pages: 6

This chapter defines cultural competence and discusses strategies for inclusion. It also emphasizes the risk of implicit bias and reinforces the advantages of person-centered care.

Pages: 9

This chapter discusses the rapid transition to virtual care during the COVID-19 pandemic and lessons learned. The concepts of patient-centered care, empathy, compassion, implicit bias, and the provider-patient relationships are reviewed in the context of telehealth, with strategies for providing high quality care through video or phone.

Pages: 5

This final chapter discusses the action planning portion of the nutrition counseling session. It reinforces the importance of shared decision-making, emphasizing that ultimately the patient’s personal goals will determine their behaviors and outcomes. This chapter also highlights the educational tools that are included with this book, including presentation slides, handouts, and counseling worksheets.