Nutrition and Chronic Disease Management

#1 - Nutrition and Hypertension

I. Incidence
II. Blood pressure goals
III. Nutritional needs

A. Sodium

1. Potassium
2. Calcium & Magnesium
3. Protein
4. Carbohydrates
5. Fats and Cholesterol

B. DASH Diet
C. Herbal supplements
D. Vitamins & Antioxidants
E. Weight management
F. Lifestyle intervention tips

Behavioral/Learning Objectives:

1. State 2 components of the DASH diet.
2. Identify the impact of low potassium diets on high blood pressure.
3. List 2 tips to reduce sodium intake in the diet.
   

#2 - Nutrition and Weight Management

I. Definition
II. Incidence
III. Treatment Options
IV. Lifestyle interventions

A. Portions
B. Reducing eating cues
C. Healthy food choices
D. Physical activity
E. Dining out

V. Therapeutic options
VI. Bariatric Surgery
VII. Support
VIII. Stress management
IX. Monitoring progress

Behavioral/Learning Objectives:

1. Define obesity.
2. List 2 therapeutic interventions for obesity.
3. List 2 lifestyle interventions to assist with weight loss.
   

#3 - Nutrition and Diabetes

I. MNT Goals:

A. Achieve and maintain blood glucose, lipid and blood pressure goals.
B. Prevent or slow development of chronic complications by modifying food choices and lifestyle
C. Individualize the mal plan based on personal and cultural preferences and willingness to change
D. Maintain pleasure of eating
E. Meet nutritional needs for different stages of the lifecycle.
F. Provide self-management education for those treated with insulin.

II. Nutrition assessment

A. Energy balance
B. Carbohydrate
C. Fat and cholesterol
D. Protein
E. Alcohol
F. Micronutrients

III. Recommendations

A. Diabetes Prevention
B. Type 2
C. Type 1
D. Pregnancy/Lactation
E. Older Adults

Behavioral/Learning Objectives:

1. State 3 goals of Medical Nutrition Therapy (MNT) for Diabetes.
2. Describe one component of the nutritional management of diabetes.
3. Describe one nutrition intervention for a specific diabetes population.
   

#4 - Nutrition and Renal Disease

I. Nephrotic syndrome
II. Kidney Stones
III. Chronic renal failure
IV. Dialysis
V. Nutritional needs

A. Protein
B. Energy
C. Potassium
D. Phosphorus
E. Fluids
F. Sodium
G. Vitamins/minerals

VI. Laboratory Assessments

Behavioral/Learning Objectives:

1. Define the impact of protein intake on renal function.
2. State the daily sodium recommendations for an individual with renal disease.
3. Identify 2 nutrients that should be evaluated in an individual with nephritic syndrome.

#5 - Nutrition and Hyperlipidemia

I. Goals for heart health

A. HgbA1c
B. Blood pressure
C. Cholesterol

II. Nutrient Considerations

A. Calories
B. Carbohydrates
C. Fiber
D. Protein
E. Fats
F. Cholesterol
G. Alcohol

III. Herbs/natural products
IV. Antioxidants
V. Phytochemicals
VI. Improving lipids
VII. Weight Management

Behavioral/Learning Objectives:

1. List 2 life style interventions that can assist with reducing LDL cholesterol.
2. State the benefit of fiber on lipid management.
3. Identify why trans fats are unhealthy.

#6 - Motivational Interviewing

I. Communication

A. Basic skills
B. Techniques that promote motivation

1. OARS (Open Ended Question, Affirmations, Reflection, Summarize)
2. Non-verbal listening
3. Reframing
4. Shifting focus
5. Goal setting

C. Motivational interviewing (MI) is a client centered counseling style for eliciting behavior change which helps clients explore and resolve ambivalence.

II. Goals of MI are to help the person:

A. Explore the behavior for themselves
B. Analyze cost/benefit ratio of status quo
C. Decrease potential resistance to change
D. Move toward being more ready to discuss and make changes in behavior
E. Clarify goals
F. Develop realistic strategies to facilitate change
G. Create a safe non-threatening environment for discussion

III. Motivational interviewing techniques:

A. Express empathy
B. Develop discrepancies
C. Roll with resistance
D. Support self-efficacy
E. Assessing Readiness to change

Behavioral/Learning Objectives:

1. Define motivational interviewing.
2. State 3 goals of motivational interviewing.
3. Describe 2 techniques of motivational interviewing.
   

Accreditation Information

Nurses – Academy Medical Systems is an approved provider of continuing nursing education by the Illinois Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 9.0 contact hours will be rewarded to nursing professionals at the completion of this workshop.

Academy medical Systems is also a provider approved by the California Board of Registered Nursing, provider #CEP14413, for 9.0 hours. And we are also a provider approved by the Florida Board of Nursing, provider #50-19, for 9.0 hours.

Iowa Nurses - The Iowa Board of Nurses will recognize the recorded webinars as a home study program. They recognize our ANCC approved provider status as well as our CA and Fl Board of Nursing provider approval for home study products for nurses in Iowa. Academy Medical Systems has submitted an application for an Iowa approved provider number for our live webinars. Please contact us regarding the application status.

All other states recognize our approved provider status listed in the above text for continuing education credit for nurses.

Dietitians - Academy Medical Systems is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 9.0 continuing professional education units (CPEUs) for completion of this program/material.

Occupational Therapist - Occupational Therapist will receive 9, continuing education hours for completion this program and a test score of 70% or better. AMS is an approved provider for the AOTA , provider # 5470.

Exercise Physiologist – ACSM recognizes AMS’s approved provider status with the ANCC and will honor our continuing education for Certified Exercise Physiologist recertification purposes.

Certified Athletic Trainers – Academy Medical Systems is recognized by the Board of Certification (BOC) to offer continuing education for certified athletic trainers. 9 hours will be awarded at the completion of this program.

Physical Therapists - PTs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, CO, CT, HI, IA, ID, IN, KS (Cat 2), MA, ME, MI, MN (Cat 2), MT, NE, NM, ND, OR, PA, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WY.

We are an approved provider to offer continuing competency courses to CA PTs, approval date 4/5/10.

The following state boards recognize other state’s approval: AL, AZ, GA (Class 1), KY, MO, MS, OK (Cat 2), TN (Cat 1), WI.

Because each state’s continuing education requirements for physical therapists is subject to change, please verify this information with your state board. Thank you.

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