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Spring 2011 |
Distributing Dietary-, Activity-, and
Obesity-Related
Information During Office Visits |
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All Well-Child Visits
Ages 2-18
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Check-in:
Front Desk |
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Check-in: CNA/MA/RN
Height, weight measured and
BMI percentile for age/gender is calculated,
classified as underweight,
overweight or obese
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5-84 percentile age/gender
“Healthy
weight”
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85-94 percentile age/gender
“Overweight”
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>95 percentile age/gender
“Obese”
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Both with
and without
co-morbidities
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Provider:
GOOD JOB • Reinforce Eat and Play the
5-2-1 Way
brochure(s)*
and if time allows, share or
complete
with patient a
signed
health contract.
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Provider:
Discuss concern with weight and begin a 1-3
minute positive conversation with patient/family by assessing their
readiness/ willingness to have a conversation with you to discuss ways to
stay healthy.*
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Somewhat-very
ready/willing
Provider:
1.
Share 5-2-1-0 and provide health contract.
2.
Discuss ONE action idea from the contract that
patient/family would like to try.
3.
Complete and sign health contract with
patient/family.
4.
Share brochure(s) and encourage
patient to visit
Eat and Play the
5-2-1 Way.
5.
Refer patient to community resources (i.e.,
dietitian) if desired.
6.
Ask patient to schedule follow up appointment if
desired.
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Not ready/willing
Provider:
1.
Acknowledge and respect patient’s choice they
have made today.*
2.
Give patient “Nutrition
and Physical Activity
Tips for a Healthy Family” brochure and share
Eat and Play the
5-2-1 Way, listed
on the back of the brochure, as a nutrition and physical activity
resource they may want to use in the future.
3.
Briefly and positively
review your
concern but share that you can be a resource when they are ready for
change.
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Chart adapted from
Eat and Play the
5-2-1 Way.
Developed by the Iowa
Department of Public
Health
EPSDT Care for Kids
Newsletter, Spring 2011. |