Nutrition and Chronic Disease Management

#1 - Nutrition and High Blood Pressure

I. Hypertension (HTN)

A. Incidence
B. Classifications

1. Normal
2. Pre-hypertension
3. Stage 1 HTN
4. Stage 2 HTN

C. Blood pressure goals

A. DASH Study
B. DASH-Sodium
C. Other

A. Nutrition

1. Weight reduction
2. DASH eating plan
3. Sodium restriction
4. Moderation of alcohol
5. Role of potassium
6. Other

B. Other

1. Physical activity
2. Pharmacological therapy

Behavioral/Learning Objectives:

1. Define blood pressure classifications.
2. Describe the DASH Study.
3. Describe 3 treatment options of hypertension.

#2 - Nutrition and Weight Management

I. Incidence of overweight/obesity
II. Possible causes of obesity

A. Genetics
B. Environmental
C. Others

III. Co-morbidities
IV. Weight loss strategies

A. Pharmacotherapy
B. Diets
C. Bariatric Surgery

V. Physical Activity

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 Chronic Kidney Disease (CKD)

I. Nutrition in Pre-dialysis
II. Nutrition and Hemodialysis
III. Nutrition and Peritoneal Dialysis
IV. Bone Metabolism in CKD
V. Heart Disease in CKD
VI. Diabetes in CKD
VII. Nutrition and Kidney Transplant

Behavioral/Learning Objectives:

1. List the 5 CKD stages.
2. Describe the nutritional requirements of the hemodialysis patient.
3. Describe the nutritional requirements of the peritoneal dialysis patient.
4. Explain how CKD affects bone and heart health.

#5 - Nutrition and Hyperlipidemia

I. Goals for heart health

A. HgbA1c
B. Blood pressure
C. Cholesterol

II. Nutrient Considerations

A. Macronutrients
B. Cholesterol
C. 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. Motivational interviewing (MI)

A. Definition:  A skillful clinical style for eliciting from clients their own motivation for making changes in the interest of their health.

II. Principles of MI:

A. Resist the righting reflex
B. Understand the clients motivations
C. Listen to the client
D. Empower the client

A. Emphasize the role of the client
B. Build relationships
C. Include family
D. Share information
E. Collaborate with client on goals and action plans
F. Problem solving
G. Follow-up on progress

A. Evaluating importance of making a change
B. Evaluating confidence to make the change
C. Readiness scale

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 accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s COA.

Academy Medical Systems (AMS) is also a provider approved by the California Board of Registered Nursing, provider #CEP14413.

AMS is also a provider approved by the Florida Board of Nursing, provider #50-19.

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.

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

9.0 contact hours will be rewarded to nursing professionals at the completion of this workshop.

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.

Certified Dietary Managers – The Certifying Board for Dietary Managers (CBDM) has approved this course for 9 general hours, approval # 29973 through 9/15/11.

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.  This course is an intermediate education level.

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 and PTAs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, AL, AZ, CA, CO, CT, GA (Class 1), HI, IA, ID, IN, KS (Cat 2), KY,  MA, ME, MI, MN (Cat 2), MO, MS, MT, NE, NM, ND, OK (Cat 2), OR, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WI, 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), 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.  See The Federation of State Boards of Physical Therapy website for more information.

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