©2006 American Dietetic Association Disorders of Lipid Metabolism Toolkit Executive Summary Client Education The Nutrition Care Manual is a publication of the American Dietetic Association. It is the preeminent Web-based source of nutrition information and is the revised version of the Manual of Clinical Dietetics, 6th edition. The Nutrition Care Manual includes the standardized Nutrition Care Process and client education. The Nutrition Care Process encompasses Nutrition Assessment, Nutrition Diagnosis, Nutrition Intervention and Nutrition Monitoring and Evaluation tools. The client education materials are suited to a wide audience and are adaptable to any facility. These educational materials are intended to be a take home reference for the client after Medical Nutrition Therapy, but can be used by the registered dietitian as a guide for structuring a Medical Nutrition Therapy program. The client education section of the Nutrition Care Manual is comprehensive in its offerings. Disease specific educational materials include US and metric versions as well as basic survival skills and detailed handouts in both regular and large print. The survival skills handouts are intended to give general directions until the client can see a registered dietitian (RD) or dietetic technician, registered (DTR). The detailed client education materials require individualization by a dietitian after completing a nutrition assessment and determining the nutrition diagnosis. Much of the client education materials found in the Nutrition Care Manual have been derived from information found in the ADA Evidence Analysis Library. Information contained in the Nutrition Care Manual compliments and supports the Evidence-Based Nutrition Practice Guidelines and Toolkits developed by ADA. Each can be used separately but may be most effective if used together. Information and subscriptions for the Nutrition Care Manual can be found at http://nutritioncaremanual.org/. Client Education Resources from ADA Nutrition Care Manual Related to Disorders of Lipid Metabolism Hypercholesterolemia Therapeutic Lifestyle Change Diet Be Heart Smart (lowering saturated fat and cholesterol for African-American audience) Tips: - Hypercholesterolemia Nutrition Therapy-Label Reading - Shopping Tips - Cooking Tips Websites: - Live Healthier, Live Longer-information on cholesterol lowering - Aim for a Healthy Weight - Embrace Your Health, Lose Weight if you are Overweight (African-American) - Want to Watch Calories when Dining Out? (National Restaurant Association’s - Dietitian’s advice) - Delicious Decisions (American Heart Association’s tips on meal planning, - shopping and cooking) - Nutrition.gov (variety of government resources) - The Healthy Heart Handbook for Women - Tobacco Information and Prevention Source Hypertriglyceridemia Hypertriglyceridemia Nutrition Therapy ©2006 American Dietetic Association Disorders of Lipid Metabolism Toolkit Nutrition Guidelines for a Healthy Heart Therapeutic Lifestyle Change Diet Tips: Label Reading, Shopping Tips, Cooking Tips Websites: - Embrace Your Health, Lose Weight if you are Overweight (for AfricanAmerican audience) Metabolic Syndrome Calorie Controlled Diet Made Easy Tips: - Using Nutrition Labels: Carbohydrates - Using Nutrition Labels: Fats Hypertension: Detailed DASH Eating Plan Potassium Rich Foods Two-Gram Sodium Diet Tips: - Enhancing Food Flavor with Herbs and Spices - Flavoring Tips for Low Sodium - Label Reading, Shopping Tips, Cooking Tips Websites: - Maintaining a Healthy Weight - Your Guide to Lowering Your Blood Pressure Overweight & Obesity Calorie Controlled Diet Made Easy Exchange Lists for Weight Management Food and Activity Log - For client to record goals, food intake, and activity for 1 week Food Record Sheet - This sheet has brief directions and spaces to record date/time, place, food or beverage, amount, and comments Modifying Behavior Real Solutions Weight Loss Workbook Sample Contract Snacking Weight Management Chart Tips: 1,200 Calorie Sample 5-Day Menu 1,600 Calorie Sample 5-Day Menu 1,800 Calorie Sample 5-Day Menu ©2006 American Dietetic Association Disorders of Lipid Metabolism Toolkit Agreement for Care You have been referred to a dietitian for Medical Nutrition Therapy to help with the management of ____________________. This agreement outlines the goals and responsibilities of each party. Time Commitment It is expected that ______ visits will be necessary to complete this course of Medical Nutrition Therapy. The visits will be arranged as follows (list how often visits will occur and how long they will take): Goals of the Client The client will be able to make diet and lifestyle changes that will improve the management of ___________________________. Responsibilities of the Client The success of Medical Nutrition Therapy is dependent upon active participation in sessions and adoption of the changes by you. 1. Attend all sessions. If this is not possible, call ahead to reschedule your appointment. 2. Work with the dietitian during the session with a positive attitude. 3. Complete agreed upon tasks required between sessions (e.g. food logs). 4. Bring questions to subsequent sessions. ©2006 American Dietetic Association Disorders of Lipid Metabolism Toolkit Goal of the Dietitian To maximize the chance that the client will achieve his or her goal. Responsibilities of the Dietitian 1. To provide up-to-date instruction on the principles of Medical Nutrition Therapy to manage ____________________. 2. To coach the client and track progress. 3. To provide useful tools and written materials to compliment the oral instruction. Expected Outcomes (Circle the expected clinical or behavioral outcomes, refer to Summary Form for specific examples) (outcomes listed here) If client circumstances lead to changes in Expected Outcomes, a revised list of Expected Outcomes will be provided by the dietitian and attached to this Agreement. Client:__________________________________ Date:___________ Dietitian:________________________________ Date:___________