F&N
415: Practicum in Nutrition, Fitness, and Health
Fall 2004 Instructor: Rachel A. Geik,
MS, RD
Monday
Friday
*Location
may vary throughout the semester* Office: Stone Hall, G-1
Office
hours: by appointment
Course Overview
This course is a
“capstone” course; that is, one that brings together the theory, knowledge, and
skills that you’ve gained throughout the Nutrition, Fitness, and Health (NFH)
program so that you may apply them in a “live” setting. This semester, you will be matched with a
client (not another student) with whom you will meet on a weekly basis
with the goal of helping the client improve his/her nutrition, fitness, and
overall health status. This experience
will allow you the opportunity to sharpen your nutrition and fitness assessment
skills, interpret assessment data, set goals and objectives with clients,
design and implement individualized nutrition and fitness programs, counsel
clients on a regular basis, incorporate behavioral strategies, follow clients’
progress, evaluate the effectiveness of the nutrition and fitness programs you
designed and implemented, document all interactions with clients, and discuss
with your classmates the successes and barriers you’ve experienced with your
client. This is an opportunity to gain
field experience in nutrition, fitness, and health.
Course
Objectives
1) Collect,
analyze, and interpret nutrition and fitness assessment data.
2) Organize
all aspects of interaction with the client (logistics, educational materials,
short- and long-term planning, etc).
3) Use
critical thinking skills to elicit pertinent client information, evaluate
client information, and guide the client toward positive changes.
4) Accurately
and concisely document interactions with client.
5) Creatively
apply nutrition and fitness knowledge.
6) Communicate
effectively with the client.
7) Evaluate
effectiveness of intervention; make necessary changes.
8) Recognize
the ‘gray’ areas of one-on-one nutrition and fitness counseling, and develop
professional judgment and critical thinking skills.
9) Utilize
information technology and other methods of inquiry to accomplish all of the
above.
Required
ü ACSM’s
Guidelines for Exercise Testing and Prescription, 6th
edition, 2000
ü Food Medication
Interactions,
13th edition by
ü CPR
certification prior to client interaction.
If you are already certified, I must have a photocopy of your CPR card (front
and back) by September 17. If you are
not certified, you must become certified by September 19.
ü Professional
liability insurance. Please make a check
(no cash) for $8.81 payable to
Recommended
ü Advanced
Fitness Assessment & Exercise Prescription, 4th
edition, by Vivian H. Heyward, 2002
Attendance
Attendance
at all class meetings is vital and mandatory. In the event of an illness, accident, or
emergency, when circumstances permit, the student should make direct contact
with his/her instructor or teaching assistant, preferably before a class or
meeting takes place. If the instructor
or TA cannot be reached in person or by telephone, the student should leave a
message in the instructor's department mailbox (Stone G-1) or with the
instructor's secretary (Mary or Marilyn 49-48791) or in the instructor’s voice
mailbox (49-62711) or via email (geikr@purdue.edu). Absences may be excused with prior notification of the
instructor. An unexcused absence will
result in a 30-point deduction from your total points. (An unexcused absence constitutes anything less than
full attendance to a class without prior notification given to the
instructor)
Client Interaction Guidelines
ü It will
be useful to your understanding of the course requirements if you view client
sessions as being of different types:
·
Assessment
meetings … These are the first 2 meetings with your client – one to
assess nutrition status and one to assess fitness status. Sometimes, the fitness assessment takes 2
sessions to complete – that is not unusual, and there is no penalty. For documentation, use the “Nutrition Assessment”
or “Exercise Assessment” form, and also the “Nutrition Rx” or “Fitness Rx” form. Credit possible per meeting is 30 points for
the meeting and 30 points for the documentation.
·
Follow-up
(F/U) meetings … In
these meetings, you present new nutrition, exercise and/or general
health info to the client in a one-on-one consultation format. This also includes any exercise session at
which you are setting the client up on new elements. The first exercise session with your client
falls into this category, as would an exercise session at which you change the
exercise prescription/routine and/or introduce new elements. Most nutrition-oriented meetings fall into
this category. For documentation, use
the “Follow-up” form. Also, complete the
“Nutrition Rx” or “Fitness Rx” form if you update the client’s nutrition or fitness
prescription. Credit possible per meeting
is 30 points for the meeting and 30 points for the documentation.
·
Exercise-only
meetings … These meetings are ones in which the client is
exercising. You may or may not be
exercising along with them, but no new information or elements are being
introduced; that is, everything done in this type of meetings has been approved/witnessed by the instructor at a previous meeting. These
are the only meetings that do not require instructor supervision. You must, however, inform the instructor that
the meeting is occurring at least 1 day prior.
For documentation, use the “Exercise Only” form. Credit possible per meeting is 10 points for
the meeting and documentation.
·
Nutrition
Re-Assessment meeting … Since you have been closely following the
client’s nutrition status over the past several weeks, there is not often a
need to devote an entire session to nutrition re-assessment. Providing a 3-day food record form and
explanation on how to correctly complete it is often sufficient. The remainder of the meeting can be spent
covering other topic(s). This is
typically the third-to-last meeting. For
documentation, use the “Follow-Up” form.
Credit possible per session is 30 points for the meeting and 30 points
for the documentation.
·
Fitness Re-Assessment
meeting … This meeting is the one in which you re-assess the
client’s fitness status. This is
typically the second-to-last meeting. For
documentation, use the “Fitness Re-Assessment” form. Credit possible per session is 30 points for
the meeting and 30 points for the documentation.
·
Wrap-up
meeting … This is the final meeting with your client. For documentation, use the “Wrap-Up” form. Credit possible per session is 30 points for
the meeting and 30 points for the documentation.
ü Be on
time for all client appointments.
ü Not
appearing for a scheduled client appointment is completely unacceptable.
ü Dress
appropriately.
ü ALL
counseling sessions must be attended by the instructor. The only exception is an exercise-only session
where the exercise routine is one that has been done before and there are no
new elements being introduced.
ü You are
responsible for scheduling appointments with your clients. You must coordinate several schedules: yours,
your client’s, the instructor’s, and that of the consultation/assessment room.
ü One day
prior to every meeting, you must email or telephone a “reminder” to
the client and the instructor stating the day, date, time, location, and
any special instructions. Failure to do
so will result in a 5-point deduction.
ü The
first meeting with your client must be done by Friday, September 24.
ü Strive
for 1 client meeting per week.
ü A
minimum of 9 client meetings is required.
These 9 include assessments, re-assessments, follow-up, and wrap-up meetings.
ü You may
conduct more than 9 client meetings if you and the client wish to. Documentation is required for these meetings
as well.
ü You must
conduct at least 3 exercise-only meetings.
These exercise meetings can be before or after a follow-up meeting or
completely separate from a follow-up meeting.
These meetings do not count
toward the 9 required client sessions, though you will receive points for them
(see ‘Exercise-only meetings’ in the Evaluation section of syllabus). Credit for conducting a 4th exercise meeting will
be extra credit. You may conduct
additional (5 or more) exercise-only meetings, but will not receive extra
credit for them. You must continue to
follow the course guidelines with any “extra” meetings.
ü Documentation
is required following EVERY meeting with your client. It is due 3 weekdays after every
client meeting. For every weekday late,
3 points will be deducted.
Week 1 Preparation; no
client meetings during this time
2 Preparation; no client meetings during
this time
3
Preparation; no client meetings
during this time
4 Preparation; no client meetings during
this time
5 Assessment
meeting (nutrition or fitness)
6 Assessment meeting (nutrition or
fitness)
7 Follow-up meeting
Minimum of 9 meetings required Also
conduct 3 exercise-only sessions after fitness assessment is completed and
client has been oriented to his/her fitness program
8 Follow-up meeting (October break)
9 Follow-up meeting
10 Follow-up meeting
11 Follow-up meeting
12 Follow-up meeting
13 Follow-up meeting
14 Follow-up / Nutrition Re-Assessment meeting
(give 3-d food record to re-assess nutrition) (Thanksgiving)
15 Fitness re-assessment meeting (also collect
3-day food record)
16 Final wrap-up meeting
Roundtable Discussion Requirements
(once weekly, beginning
Monday, September 27)
ü Bring your client file.
ü Give a brief description/update of your most recent
client meeting.
ü What are your priorities/goals for your client
and/or your current focus?
ü Discuss a tool, technique, assessment, and/or
counseling method that you have used/plan to use with your client. Also, for what purpose is the tool,
technique, assessment, counseling method being used? What does it help to achieve? What obstacle(s) does it help to
overcome? What is the advantage in using
it?
ü Pose at least one question/issue to your
classmates. For example, “I am concerned
that my client is overnourished: she
takes a multivitamin, an antioxidant supplement, Total cereal (2 svgs/day), and
usually one or two other fortified foods every day. Is this a problem? If so, how do I approach the client about
it?”
ü Each student’s discussion of their client should be approximately 5-10 minutes. This is given as a guideline only, not as a
basis for grading. Time-related points
will be deducted only if the previous points are not discussed adequately by
the student and/or the student is not concise in discussing the previous
points.
Client Summary Presentation
(Friday, December 10)
This presentation is not
required to be on powerpoint or overheads, although
these may be helpful. Each of you is
required to have a typed outline of your presentation to turn in to me at the beginning of the class, Friday,
December 10. You should take us from the
beginning to the end of your client experience.
Include:
1)
Your first impressions
of the client and his/her nutrition and exercise shortcomings (from the client
packet information)
2)
How those first
impressions were correct and/or incorrect
3)
A list of your goals for
your client
4)
If/how those goals
differed from the client’s goals
5)
A brief overview of what
happened during your time with the client (topics covered, exercise schedule,
nutrition modifications)
6)
What were the client’s
most significant barriers?
7)
How those barriers
were/were not overcome (what tools or methods or techniques were useful or not)
8)
What aspects of your
client’s mindset/behaviors/habits/misinformation were most problematic?
9)
The nutrition and exercise
prescriptions (what were they, why were these chosen over other options
(rationale), if/how they changed)
10) If/how the client changed in relation to nutrition
and fitness
11) During your time with the client, what (if
anything) occurred that was unexpected?
12) What topics/aspects did you feel unprepared to deal
with?
13) What were the one or two or three main things that
you learned from this experience?
14) What was the most difficult issue or barrier, etc.
that you had to deal with?
15) Do you feel that your prior coursework could have
better prepared you for this experience?
If so, how? What do you feel that
your coursework has not provided you with?
Each of you will discuss #1-5 in reference to your
client. Then we will discuss each of the
remaining questions one by one. For
example, after everyone gives a brief overview of their client by answering
#1-5, each of you will respond to #6.
Then we'll start again with everyone's response to #7, then everyone's
response to #8, and so on...
Evaluation
Points
each Total
points
Assessment demo (1) 10 10
Food
record (FR) analysis
(1) 30
30
FR evaluation/assessment
(1) 30 30
Time in
TIC (3 hours) 10/hr 30
Action
plan meeting (1) 50 50
Client
sessions (assessments & F/U’s) (9) 30 270
Documentation
(1 per session = 9) 30 270
Exercise-only
sessions + documentation (3) 10 30
Roundtable
participation (9) 10 90
Client
evaluation of student (1) 50
50
Client
summary presentation (1) 50 50
Late Deductions
Any assignment that is
late will have 10% of its total point value deducted for each weekday that it
is late.
Grading Scale
A: >90% B: 80-89% C: 70-79% D: 65-69% F: <65%
Ethics
& Academic Integrity
IMPORTANT
NOTE
In this class, clients are not fictional
or case studies on paper, but real people.
Therefore, student provision of recommendations must be closely
monitored and evaluated by the instructor.
This is simply quality control to ensure correct information is imparted
that really can benefit the clients. I
will provide you with direction throughout your sessions with your client, but
if I feel that you are not providing the client with adequate and/or appropriate
advice, you may be required to take on extra assignments to help you provide
the care that your client requires and deserves. If it is necessary to actually interrupt the
session, please consider it is in the spirit of the "teaching moment"
and for both your benefit as well as the client's.
Wk |
Day |
Date |
Location |
Topic |
Read for next class |
Assignment(s) given |
Assignment(s) Due |
|
1 |
Mon |
Aug 23 |
LILY 3418 |
Introduction |
Syllabus ACSM Informed consent TIC handbook |
Assessment demo |
|
|
|
Fri |
Aug 27 |
|
Fitness Assessment |
ACSM position stand (2001:
Intervention for weight loss…) |
Food record analysis Spend time in TIC |
Assessment demo |
|
2 |
Mon |
Aug 30 |
LILY 3418 |
Nutrition Management: Plans & Standards |
Review nutrition assessment |
Make appt with instructor to present Action Plan. |
|
|
|
Fri |
Sep 3 |
LILY G424 |
Nutrition Assessment Abbreviations “The Tub” |
ACSM |
Food record eval/assessment |
Food record analysis
Professional liability insurance |
|
3 |
Mon |
Sep 6 |
LABOR |
DAY
… NO CLASS |
|
Present Action Plan to instructor this week. |
|
|
|
Fri |
Sep 10 |
TIC |
Resistance Training methods
and equipment |
ACSM position stands (1998, 2002, 2004) |
|
Action Plan appt by Sept 10 |
|
4 |
Mon |
Sep 13 |
LILY 3418 |
Resistance Training theory |
ACSM |
Action Plan revisions due this week. Contact client to set up 1st meeting. |
Food record eval/assessment |
|
Wk |
Day |
Date |
Location |
Topic |
Read for next class |
Assignment(s) given |