1. PCS Champions Psst. Pass it on – uncovering secrets! August 15, 2012

2. 12 5 109 8 7 6 43 13141516 1211

3. “Measurements are not to provide numbers but insight.” -Ingrid Bucher Where have they been? (health history) Where are they now? (length, weight, hemoglobin, diet) Where are they going? (behavior change)

4. Tomorrow’s page is blank. What can we do to make the story better for Arizona families?

6. A is for Anthropometrics Open ended questions matter! How do they feel about weight changes?

7. What secrets hide in the “A” part of assessment? If we skip open-ended questions, what could we miss?

8. B is for Biochemical What have you heard about anemia?

9. C is for Clinical Healthcare visits? Doctor concerns? Conditions that affect growth, health?

10. Let’s talk Dietary!

11. E is for Environmental Don’t forget about me!

12. Boom! Tool+ ABCDE+ WIC Codes Their Hopes Conversation Behavior change !

13. Participants Hopes and dreams! Feelings! And Hidden Concerns, too!

14. WIC Counselors Which resources and referrals will I share?

15. Case Study Secret Sue has an 6 week old infant, Tony. He was born full term. He is 6 weeks old today. His birthweight was 8 pounds and 2 ounces. He’s following a healthy track and his length/weight today look good.

16. Secret Sue has an 6 week old infant, Tony. He was born full term. He is 6 weeks old today. His birthweight was 8 pounds and 2 ounces. He’s following a healthy track and his length/weight today look good. What questions would you ask mom? A B C

17. Questions? Pick a texture that best describes how you feel about feeding Tony. Dietary – all the marbles! D

18. Conversational Assessment Invite Follow up probe Bridge

19. What do you say? Any WIC Codes? – Poll: yes vs. no What concerns? a)411.5 Feeding foods to an infant that could be contaminated with harmful microorganisms or toxins. b)411.2 Routinely using nursing bottles or cups improperly c)411.7 Routinely limiting the frequency of nursing of the exclusively breastfed infant when breastmilk is the sole source of nutrients What behavior change possibilities?

20. Bureau of Nutrition and Physical Activity Health and Wellness for all Arizonans Complete Assessment?  Solids foods/Beverages  Plan/What/how/when  Food Safety  Vitamins  Breastfeeding  How often/typical feeding  Formula oz/day  Bottle Preparation  Bottle use

21. Documentation TGIF Half sheet guide I – what do we need for Anthony?

22. Other Concerns ABC, then the invite before D Workarounds when? Checking charts first Multiple participants

23. Case Study Quiet Connie is 22 weeks pregnant. She has gained 19 pounds today and had a normal prepregnancy weight.

24. What questions would you ask? A B C

25. Questions? Pick a face that says something about how you feel about your weight gain during this pregnancy. Dietary – the good stuff! D

26. Conversational Assessment Invite Follow up probe Bridge

27. What do you say? Any WIC Codes? – Poll: yes vs. no What concerns? a)427.5 Pregnant woman ingesting foods that could be contaminated with harmful microorganisms b)133 High maternal weight gain c)363 Pre-Diabetes What behavior change possibilities?

28. Complete Assessment?  Beverage/Water  Appetite  Likes/Aversions/Cravings  Prenatal Vitamins  Food Safety  Breastfeeding  Questions/Feelings  Milk Consumption and Type  Eating patterns

29. Documentation TGIF Half sheet guide I – what do we need for Connie?