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VENA

VENA Value Enhanced Nutrition Assessment Vitamin C Rich Foods Problem No Vitamin C intake Reason for the Problem Lack of knowledge of Vitamin C rich foods Treatment Provide information on Vitamin C rich foods Problem No Vitamin C intake Reason for the Problem Lack of

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VENA

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  1. VENA Value Enhanced Nutrition Assessment

  2. Vitamin C Rich Foods

  3. Problem No Vitamin C intake Reason for the Problem Lack of knowledge of Vitamin C rich foods Treatment Provide information on Vitamin C rich foods

  4. ProblemNo Vitamin C intake Reason for the Problem Lack of knowledge of Vitamin C rich foods Treatment Provide information on Vitamin C rich foods

  5. Standardized Care The same message to the entire group

  6. Individualized Care • Provide an appropriate and personalized nutrition intervention • Nutrition education • Food package tailoring • Referrals

  7. The VENA Process • Collect the relevant information • Clarify and synthesize the information • Identify pertinent and appropriate risks • Document the assessment • Follow up on previous assessments

  8. Clarify and synthesize the information that has been collected Using critical thinking skills

  9. Identify the pertinent and appropriate risk(s) and other related issues Using risk criteria

  10. Summary of Risk Criteria Changes • Changes only affect Dietary Risks • Anthropometric, Biochemical, Health/Medical, and Other Risk Criteria remain unchanged • Only 5 Dietary Risk Criteria • Implementation – Oct. 1, 2007

  11. New Dietary Risk Codes • 2 codes that deal with “presumed” dietary risk (Replaces RC 422) • 3 risk codes that “umbrella” inappropriate nutrition practices • Infants • Children • Women

  12. WIC’s New Approach to Dietary Assessment • Qualitative versus Quantitative • No 24-hour diet recalls or food frequency questionnaires • No documentation of number of servings, ounces, cups • No diet scoring 

  13. WIC Staff Will Ask Participants About • Appetite • Favorite foods • Cultural Preferences

  14. Consider WHAT Influences Food Choices and Eating Practices/Behaviors • Knowledge/education • Beliefs (religious or cultural) • Family and environmental issues • Support networks • Food security • “Lifestyle” practices • Alcohol and tobacco use • Lack of routine physical activity

  15. Current Assessment 24-hour diet recall Quantitative Score diet Document amounts Closed-ended, food habit questions New Assessment 24-hour diet recall Qualitative Attitudes, beliefs Behaviors “Springboard” the Conversation The VENA Diet Assessment Tool

  16. Using Critical Thinking Establishing Rapport Providing Correct Counseling Information Starting the Conversation New Diet VENA Focus

  17. Document the Assessment • Documents what was discussed • Allows for continuity of care • Provides a starting point for subsequent appointments

  18. Follow up on Previous Assessments • Were goals met? • What barriers were encountered? • Provides continuity of care

  19. The VENA Process • Collect the relevant information • Clarify and synthesize the information • Identify pertinent and appropriate risks • Document the assessment • Follow up on previous assessments

  20. Summary of WIC Nutrition Assessment Pre- and Post-VENA Positive approach based on desired health goals rather than deficiencies

  21. New Diet Assessment Will Support Health-Outcome Based Counseling Deficiencies Desired Health Outcomes

  22. Child 12-60 Months Achieves optimal growth and development in a nurturing environment and begins to acquire dietary and lifestyle habits associated with a lifetime of good health Desired Health Outcomes

  23. Health Determinants for Children • Receives ongoing preventive health care including screenings and immunizations • Achieves a normal growth pattern • Remains free from nutrition-related or food-related illness, complications, or injury

  24. Health Determinants for Children • Consumes a variety of foods to meet energy and nutrient requirements • Achieves developmental milestones including self-feeding

  25. Staff Benefits from Health Outcome Nutrition Assessment • Emphasizestrengths and healthy practices • Highlight accomplishments • Reinforce increasing competence of the caregiver

  26. Participant Benefits from Health Outcome Nutrition Assessment • Greater understanding of the nutrition assessment • Recognize role in achieving the desired health outcome • Empower to decide how (or whether) to alter current behaviors

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