1. January 2013: Catering to your participants, Transitions and invites
Happy New Year!
January 2013:
Catering to your participants,
Transitions and invites

2. Welcome to 2013!
To start off the new year the training team would like to offer you some helpful tips on taking your assessments to the next level…

3. Oooo, that sounds so interesting!
Topics for Today
Oooo, that sounds so interesting!
Assessment burger
Transition statements
Invites
Case study activity
Review
This is Nutrition Services Consultant Heather Liddell’s baby boy Lincoln.

4. Does this burger look tasty to you?
How does this burger look to you? Does it look like a burger you would eat at a backyard grill out at your home? Would you add any additional toppings or condiments?
Now let me show you a few other burgers….

5. What about these burgers?
Yuck!
Yum!
How about these? Do these look good to you? Would you like to have one of them for lunch?
Some of these burgers have some unusual toppings…one of them has an egg on it, another has onion rings. One of them must be an extra spicy burger because it has jalapenos and still another has 2 beef patties. So they are all a bit different. And even though all of them might not look tasty to you, someone likes it that way.
I bet if we all went to a “build your own burger” restaurant we would all come back to the table with slightly different burgers…it doesn’t mean one is better than the others, it is just personal preference.
So what if we were to compare a burger to a counseling session with you WIC clients? Is that a far stretch? Maybe…but let me try!

6. Now work with your client to build their own personalized burger…
What you have to start with… and you just can’t have a burger without these!
Top bun = ABCDE Guide
Burger = Your great personality
Bottom bun = GTHM Tools
So here is your basic burger, the same burger that you would get at the counter of the “build your own burger” restaurant. This is what you have to do your counseling appointment, the foundation to build a glorious and delicious burger with your client.
So as you can see there are the buns which are the ABCDE Guide and the GTHM Tools that you have to help you gather the important information you need to complete the health and nutrition assessment. You also have the burger patty which is going to symbolize your fabulous personality. So with the 2 buns and the patty you are ready to build a burger…
Now work with your client to build their
own personalized burger…

7. Catering to your client….
Let them build their own burger!
But you shouldn’t be the one to pick all the toppings…if you did your client might not like it. Remember the burger with the egg or onion rings? Not everyone will choose the same toppings and it would be counter productive for us to assume everyone likes the same kind of burger. So let your client choose their own toppings.
So here we are at the “build your own burger” condiment bar…look at all the delicious toppings your client can add the burger!

8. So what are these other parts?
Here are a few examples:
Their feelings
Their concerns or what they would like to walk about
What they already know about
Their personal experiences
So what are these other parts supposed to symbolize….well they can be a how the client feels, what emotions are evoked when you use the tools, any ideas of how they can make their meals more healthy, how they can add physical activity into their daily lives. The extra condiments are all the things that the client comes up with or tells you about. Things that are unique to them, or personal.

9. What’s missing? The Transition Statements
Think of your transition statements as the ketchup, mustard or mayo of your burger.
What does transition mean?
Can you think of when you use transition statements?
So maybe you noticed that there was no ketchup, mustard or mayo available for your client’s burger at the burger bar…you are so observant! Well, these condiments are actually going to symbolize the transition statements that are necessary for you to move easily throughout the assessment and counseling appointment.
Can you all think of some times when you use a transition statement?
What about when you are moving from the lab to your office? Or when you are moving from entering in anthro data into the computer and pulling out your GTHM Tools? It is important to have some transition statements that you use during your statements so that you can glide easily thought your assessment.

10. Transition StatementsD A B +
Transitions C
Today we are going to focus on the transitions you use to move from collecting the ABC information to talking about the D section and introducing the tools.
GTHM Tools

11. Transition Statement Activity
You have weighed and measured two year old Natalie and checked her hemoglobin. You used the time in the lab to collect most of the ABC information that you need. Now you are back in your office and have just entered in the anthropometric information into AIM. What transition statement can you use to shift into the D part of your assessment?
Thank you for helping me to collect your daughter’s height and weight and her hemoglobin. Now I’d like to talk with you about her nutrition and the way she eats.
Please have a seat. I have a new game that I’d like to play with you…
After entering in Natalie’s height and weight into the growth chart for girls her age I can tell you that she is right where she needs to be! That’s great, you must be doing a good job with feeding her and her nutrition. I’d like to talk to you a little more about her eating habits.
I noticed that you have a baby bottle filled with soda in your baby bag, is that for Natalie?
So lets try an activity. For this activity you will see an area to the left of your screen that will allow you to select A, B, C or D. After we read through this activity, please select the best answer. [Read activity aloud]
A and C are correct

12. Transition Statement Examples
The transition from doing ABC to moving to the GTHM tools can feel awkward, but with practice it will feel natural and easy. Here are a few examples of some transitions:
Well it looks like Jose is doing great health wise. Let’s talk more about how he has been eating. {Add the invite here…}
Here is where Ashlynn is charting on the growth charts which is great, she is right where she needs to be. That’s great! I’d like to hear more about the way she eats for you. {Add the invite here…}
Thank you for sharing all of that information for me, it helps paint a picture of how Michael is doing with his health. And it looks like everything is great. Now I’d like to discuss more about his diet and how he has been eating. {Add the invite here…}
I have entered in Sarah’s height and weight into the computer and it shows me that she is tracking well for her age. You had mentioned that you are a little concerned about the way she has been eating and I thought we could talk a little more about that. {Add the invite here…}
After your transition statement, you can go right into your invite…
Lets go over a few examples of transition statements that you can use to help you go from ABC to D.

13. Invites
I Invites!
Invites are the phrases you use to introduce the GTHM tools and open up a conversation with the clients about their diet.
The way you invite the client to use the tools can help them to open up and share important information with you.
What invites do you use?

14. Remember these cards?
Do you remember these cards? You received them when you attended the GTHM training last year. If you have not used them yet (and they are still hiding out in your GTHM bag) take them out and look thought them. They can make your job so much easier because they have examples of what you can say for invites for each of the different GTHM tools! How awesome is that!?
And if you have misplaced them, just let your Nutrition services consultant know and they can get you some replacements.
Underneath the green area you will find a great invite you can use. Each tool has a similar card with some “Short, snappy and simple ways to introduce the tools.”
* If you have lost or misplaced these cards, please contact your Nutrition Services Consultant. We have some extras that we would love to share with you.

15. Following the 3 simple steps to nutrition assessment success!
The Nutrition and Health Assessment:
Collect the information for the ABCE sections of the Guide
Collect the information for the D section of the guide using the GTHM tools (this is where you will use your transition statements!)
Offer the Message: or information to the client – this can include the goal setting, offering handouts or recipes, giving mom healthy nutritional information, discussing breastfeeding benefits, etc.
Tailor the Food Package to Meet Needs and Document: document the session using the TGIF notes
So now let brake it down…
To make doing an assessment easier, think of it in these 3 simple steps.
[read the slide through]
All of these steps are necessary for you to complete an assessment.

16. Step 1: The Nutrition and Health Assessment, Part A
You are about to get a client from the front. Before you leave your office you check to make sure you are all ready for the appointment with this next client. You go into AIM and read the previous TGIF note, so you know now that mom’s previous goal was to breastfeed her baby and that the CNW used the Doors tool. Before you leave your office you take a quick look to make sure which of the following items are on your desk:
ABCDE Guide (which may actually be in your hand with the client’s WIC folder if you like taking it into the lab with you)
Your half eaten breakfast
Your cell phone
Your GTHM Tools
So now we have a fun activity to go through. I’ll read through the question and they you can choose which answer you like best. Again, there may be more than one right answer so go with what you feel is the best choice.
The right answer is A and D

17. Step 1: The Nutrition and Health Assessment, Part A continued…
You call your client by name and help her collect her baby bag and purse and she picks up the baby carrier (how very PCS of you!). You are already aware that this is an exclusively nursing 6 day old baby. You introduce yourself and inform mom that you will be heading to the lab to take some quick measurements of both baby and mom. Once in the lab you do which of the following:
Test mom’s hemoglobin
Ask mom what the doctor has said about the babies height and weight.
Follow the ABCDE Guide and ask mom the nutrition assessment questions for the ABC sections.
Ask mom how she feels about her current weight loss.
The correct answers are B, C, and D

18. Step 1: The Nutrition and Health Assessment continued…
Transition
Alert!
Moving into part B (using the GTHM tools to assess D) of this step…
You were able to collect most of the ABC info in the lab while taking their measurements. Mom mentions that she is worried that she has not lost enough weight yet. You inform her that she has lost about 15 pounds from her weight at delivery. She tells you that she thinks she should have already lost the entire 30 pounds that she gained during the pregnancy. As you both have a seat in your office, you:
Thank her for sharing that info with you, and explain that you’d like to talk more about mom and baby’s diet.
Let mom know before you leave the lab and head to your office that you can tell that weight loss is important to her and you would love to share some healthy information on postpartum weigh loss with her.
Re-explain that she has already lost 15 pounds which is plenty for being only 6 days postpartum.
Tell her about the tools you will be using.
The correct answers are A and B

19. Step 1: The Nutrition and Health Assessment, Part B continued…
Invites
After entering into AIM the anthropometric data and assessing that everything looks good, you decided to use the faces tool. Which invite do you use?
Pick a face that says something about how you feel about breastfeeding is going.
I have a fun game to play with you…pick a face that tells me about how you are feeling about your breastfeeding experience.
Please take a quick look at these different faces and pick one that shows how you are feeling about your diet.
I have some pictures of some faces that I’d like you to take a look at. As you look through them pick one that says how you feel about your current weight loss.
The correct answers are A, C and D.
B is not correct because it mentions that using the tools is a game and that is not correct.

20. Step 1: The Nutrition and Health Assessment, Part B continued…
Mom says that breastfeeding is going wonderfully and she is feeling great, but she is more concerned about her weight. So you…
Tell her you want to talk more about her breastfeeding experience.
Let her continue to talk about her concerns over her weight loss.
Show her the faces cards again and ask her to choose one that says something about the way she feels about her current weight loss.
Ask her to tell you more about her weight loss concerns and what she has been trying already to help her to lose the baby weight.
The correct answers are B, C and D.

21. Step 1: The Nutrition and Health Assessment, Part B continued…
Tricky
Transition
(or bridge)
Mom picks a face card and tells you that she is frustrated about her weight loss and that she thinks her boyfriend may be cheating on her because she doesn’t look as good as she did before she got pregnant. She starts talking more about their troubled relationship. So you…
Let her know that you can share with her some tips that other mothers have done to lose weight postpartum.
Ask her if you can talk to her about the healthy weight loss recipes you have on hand.
Let her know that you can tell she is really motivated to lose more weight and to get her boyfriend to not cheat any more.
Ask her to tell you more about what she is currently doing to help her lose the baby weight.
The correct answers are A, B, and D

22. Step 2: Offering the Message
You have successfully transitioned mom back to the topic of health and nutrition and you have been able to complete the assessment using your ABCDE Guide and the GTHM Tools. You are ready to offer some nutrition education to mom about her weight loss concerns. You…
Affirm mom for her efforts so far.
Ask her what she is currently doing to try to lose the baby weight.
Offer to share some healthy recipes with her.
Offer to share a map of safe local parks that she can walk with her baby.
All are correct

23. Step 2: Offering the Message
You continue on by offering mom some excellent nutrition and breastfeeding information about physical activity and postpartum weight loss. Mom tells you that she feels much better about her current weight loss and plans to continue breastfeeding for as long as she can to help with her weight loss.

24. Step 3: Tailor Food Package to Meet Need and Document
Great job! Mom is happy with the great information you have shared with her and she starts nursing her baby as you focus back on AIM and the computer to tailor the food package. You let mom know it has been a pleasure meeting with her today and getting to meet her beautiful baby and you look forward to seeing her next time. After you walk mom to the waiting area, you head back to your office and complete the appointment by documenting the assessment in AIM using the TGIF format.
*For more information on Steps 2 and 3, please refer back to past PCS Champ calls which are saved to

25. In Review: How to build a delicious WIC assessment burger
Here are your parts: The ABCDE Guide, the GTHM Tools and your personality
Let your clients choose the rest of the parts of the burger…
So here we are back at the burger.
Don’t forget that you have your parts of the burger and the client needs to also add their parts otherwise it is just a plan old burger with not much flavor.

26. Review of the 3 Steps 1 2
Use the easy 3 steps to get through your appointment:
Nutrition and Health Assessment
Collect information for the ABCE sections of the Guide
Collect information for the D section using the GTHM Tools
Offer the Message
Tailor the Food Package to Meet Needs and Document 3
Let’s review the 3 steps to completing an assessment. [Read through slide].
Seems simple enough right?

27. Lincoln Xavier Maelyn Meet the babies at ADHS!
So here are the awesome and adorable babies we have with us at ADHS right now.
Xavier
Maelyn

28. Thank you so much for taking the time to be with us today
Thank you so much for taking the time to be with us today. I hope you were able to take away some helpful tips on how to power through your assessments with confidence. Thank you for all that you do and keep up the great work!