Clinical Application Nutrition Screening, Assessment, and Intervention

In this Clinical Application you will collect and evaluate current and historical health, diet and activity related information and provide a summary and evaluation of the information that you collect.

For this assignment you will be using information that you have learned throughout the semester to apply it to a simulated situation.

Ask a friend, family member, or classmate for permission to practice taking a simulated Nutrition Screening and Assessment to determine their nutrition risk and identify interventions to improve their health.  Chapters 1 and 14 provide information on Nutrition Screening and Nutrition Assessment.

When “choosing” a person to interview for this assignment, please choose an adult who has some medical issues (Diabetes, Hypertension, Heart Disease, Obesity, Cancer, etc….)  You need to be able to demonstrate the ability to “apply” what you have learned.  If you choose a healthy young adult, you will not have enough to evaluate or suggest interventions for.

Please download the assignment template and complete all parts within the document provided. Type directly into the document. 

Part 1 – Historical Information  
Once you select a client, ask the person to role play with you, providing mock information to protect their privacy.  Please do not share their 
real name.  Use the table in the 1st page of the assignment as a guide for the information you need to obtain from your “client.” (Complete the Data Collection Outline, first page of the assignment) Be sure to include all items listed Medical History, Family Medical History, Medication and Supplement History, Personal or Social History, and Diet History, etc….  Include the completed outline with the information you collected and the results of your interview with your assignment. 

Once you collect your information from your “client” you should provide a thorough summary of what you identify and the conclusions you make after evaluating the information.  Please use a narrative to provide results of your interview.  You should be able to evaluate what health risks a person has, what can they do about it etc…  What are the possibilities for diseases or potential nutrition problems based on the patterns of disease, supplements, diet, and lifestyle habits?  How does their BMI play a role in their health risk? How does their family history play a role in their health risks or risk of chronic diseases? Etc….

Part 2 – Dietary Assessment

Practice taking a 24-Hour Recall (as described in Chapter 1) from your client.  At the interview ask the subject about his/her food and beverage intake for the past 24 hours including the times food was consumed, preparation methods, and portion sizes.  Include in your report the information gathered in your interview including all foods and beverages consumed in the time frame selected.  Then you will determine if the individual is meeting the minimum number of servings recommended daily. Compare the results of this 24-Hour Recall to the MyPlate to determine if the individual is meeting the minimum number of servings recommended daily. 

1. Record everything your client ate in 24 hours (include all foods and beverages) Complete the 24-Hour Recall table.
 
2. Visit the Choose My Plate website and follow the directions to create a My Plate Plan estimate for your client.      Click on “Start” under the “Get Your My Plate Plan” and enter the information about your client.  This will provide an estimated Calorie level and My Plate Plan for them. Click on the Calorie level noted and then it will give you the option to download the My Plate Plan. 

3. Compare your client’s 24-Hour Recall to the My Plate Plan recommendations. Complete the Compare Intake to the My Plate Plan Recommendations table. 

4. In a written summary below the My Plate Plan comparison table, discuss each food group and number of servings your client still needs and offer suggestions for changes in food intake to meet the minimum number of servings from each food group while controlling calories. Summarize your findings. What is good about their diet, what is inadequate and what suggestion do you have to improve it.  Are they at risk for potential nutrition problems?    This should be approximately a one-page paper (not including tables/charts, a minimum of 3-5 full paragraphs.)