Amy Bridges, MS, RD, LDN

Kaplan University Instructor

• Instructor contact info• Course materials• Course outcomes• Course Calendar• Grading criteria/scale/rubrics• Late policy• Seminar information• Projects• Discussion boards

Introduce Yourself Take the opportunity to share something about yourself and get to know your instructor and classmates.

Interactions In this unit we will cover Chapters 1, 4 and 6 of King: Nutrition Therapy Advanced Counseling Skills, 3rd edition. You will also read the Online Communications Guidelines and Kaplan Library Presentation under Course Home.

Discussion We will discuss the personality styles and the effect personality has on counseling.

Seminar We will discuss the course, policies, and our self-identified personal limits and boundaries regarding nutrition counseling.

Unit Outcomes: Identify conditions for building

counseling relationships Identify the themes behind the five

common counseling theories Explain how personality affects the

counseling relationship Discuss competencies needed for

effective nutrition counseling

Introduction to the history and evolution of nutrition therapy

Nutrition Counseling skills began evolving more than 35 years ago People decided to take responsibility for

their own health and seek nutrition care outside the hospital setting

1970s - The first significant body of research on the helping skills emerged

1980s - Nutrition research & literature broadened the generally accepted scope of nutrition counseling practice even more to include a strong emphasis on behavior modifications

1990s - Dietetics was in transition, many of these new helping and psychotherapy skills were being integrated into all counseling settings Nutrition Therapy and Medical Nutrition

Therapy were coined Mid 2000s - There was a general

awareness that nutrition therapy was no longer just dissemination of nutrition information and food lists More counseling skills were expected by

clients and professional peers

Pertinent ethical guidelines to counseling: Maintain confidentiality Recognize your limitations Seek consultation Treat the client as you would like to be treated Be aware of individual differences Be aware, respectful, and sensitive to cultural

and ethnic differences

EmpathyGenuinenessSelf-Disclosure Respect or Warmth or Positive

Regard

It is estimated there are more than 45 different therapy models or theories with 5 or so being the most commonly used

1. Patients do not keep initial appointments

2. Patients do not return for follow-up appointments

3. Physician conveys to patient that “diet probably won’t help”

4. Patients are not motivated5. Patients do not receive insurance

reimbursement

Presents information about personality development and style

A person’s personality develops based upon the 6 major factors described in the Personality Development Model Factors are divided into internal and

external categories

Self-worth LevelsBiophysical InfluencesPersonal Style Preferences

Traumatic ExperiencesSocial TeachersEnvironmental Systems

Director/Behavioral (Action)

Thinker/Cognitive (Analysis)

Socializer/Affective (Expressive)

Relater/Interpersonal (Harmony)

Introduction to new terms about competency in nutrition counseling

Competence means you are doing a good job taking care of your patients or clients according to the expectation of your profession and peers

Reasons for a formal competence assessment include:•Evaluating individual performance•Evaluating group performance•Meeting regulatory standards

Competency StatementBehavioral CriteriaValidation MethodsEvaluation of Performance

Direct Observation Return Demonstration Verbal testing/Interview/Feedback Written Test/Quiz Documentation/Chart Review Computer Demonstration/Simulation Role-Play/Role Reversal Case Study/Scenario/Competency Station