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Putting The Nutritional Health Program Into Action
Sep 26th, 2011 by Aldouspi

Putting The Nutritional Health Program Into Action

Problems to be Addressed by the Program:

   There is growing attention towards elevated vulnerability of chronic diseases, which is becoming evident in our community. The increase in healthcare costs, death related illnesses, and losses of work productivity reflect differential levels of health disparities. This program addresses high needs found in children experiencing low socioeconomic status (SES). The high need of low SES children puts them at risk of comorbidity development. This is a development consisting of life hindering condition contributed from obesity. There should be greater emphases placed on educating children at SPECIALIZED SCHOOL of developing Comorbidity. This would ultimately help prevent negative lifestyle habits from forming in adulthood. 

Background research conducted on this topic indicates that in order to prevent child hood obesity, the high needs of a child must be properly addressed. Recent statistics indicate that the lack of nutritionally competent parental supervision has contributed to childhood obesity. Three decades ago 5% of children ranging in age two to five were overweight (Edmond, 2006). By the year 2002 it had more than doubled, resulting in 10.4% of children. Moreover, 16% of adolescents ranging in age from twelve through nineteen years of age are overweight, and 50% to 77% of these adolescents will become overweight adults (Townsend, 2006).

 

 

 

 

II.    Community Assessment

A.      Target Population Description:

Specialized school provides professional residential treatment for adolescents with emotional, behavioral, and substance abuse conditions. The SPECIALIZED SCHOOL students will eventually be released back into their low SES environment, where they will once again face a large range of multifactorial barriers consisting of intrinsic and extrinsic factors of poor food selection. This would put them back at risk of experiencing high needs.

The multidimensional cognitive and affective barriers are consistently eluding community nutritional health programs. This was observed in the growing number of obesity cases. The nutritional education assessment provided the means to determine and analyze the target group needs and acceptance of differential nutritional education level. This was done by designing a pilot test consisting of a pretest and posttest that was utilized as a part of the assessment procedures. The results were graded on the number of correct answers, which reflects the competency level. The outcome section represented a 24-hour food recall, which allows observable levels of cognitive skills that was adequately applied in the activity. This part was graded on a percentage of participation. The overall multidimensional testing help provided information and detailed results, which was further, explained in figure I.

 

B. Description of the Problem of the Target Population:
             FIGURE 1

 

Pretests: 62% - Indicates the group of children is a high needs

Posttest: 70% - Indicate for beginning competency level

Outcome: >70% - Indicates ability to utilize skills with assistance

 

Figure 1 shows differential Criterion-Referenced Test (CRT), which was used as a multidimensional pilot test that I designed. It indicates the different levels of competency of nutrition through the pretest, posttest, and outcomes section. The degree of mastery of the subject is based on the educational materials that I designed and implemented to the students.

   The class average of the pretests is 62%. This is a low score, which confirms that the groups of children are in fact high needs if they are released from SPECIALIZED SCHOOL protection. High needs indicate the children would be more than likely to make poor nutritional choices without or noncompliance with parental guidance. It is important to close the gap of poor nutritional choices through educational intervention. The majority of the students was capable of identifying the name of the foods and food group, but did not know how to balance their nutritional intake. This indicates the class as a whole has been experiencing a novice educational background of nutrition, which was observed throughout the class.

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The posttest indicates the group average of 70% or more had been achieved. This score is adequate for beginning competency levels of nutritional health. The beginning levels of nutritional health should be well entrenched by the fourth grade level. Most of the current children in the class are currently at 8th through 12th grade level, which is a source of great concern. In two to three years they would be making the majority of their food choices, and if they are not ready they will be at risk of comorbidity. 

The group outcome score average is above 70%, which indicates a standard of basic knowledge has been absorbed and could be utilized with assistance on an individual level. Due to poor public health programs, most of the children would not experience opportunities to strengthen their new skill in nutrition.

 

C. Intended Outcomes of the Program:

Currently, the health status of these children is stabilized while at SPECIALIZED SCHOOL. However, when the children are released back into low SES environment without nutritional tools they are once again at risk of comorbidity. This is why it is necessary to provide them with an opportunity to advance their cognitive ability to improve their nutritional health.  It is important to increase the efficiency in obtaining additional opportunities to strengthen their new skill before they transfer back to their origin. When decreasing the risk of comorbidity it is necessary to strengthen the student's interpersonal behavioral food choices. This would help prepare them for a healthier adulthood and will give them the tools to assist others towards a stronger and healthier community.  This program would empower the children to make cognitive, as opposed to emotional food choices, which would create stronger nutritional outcomes. It will help improve the overall success rate of behavior modification techniques and create an affinity for smart choices.

 

D.     Approach to be Utilized:

Phase 1 Social Diagnosis (Assess quality of life of target population):

There are three stages in this target population consisting of beginning, mid, and end stage status. The beginning stage is when the newly transferred child arrives at SPECIALIZED SCHOOL he or she is usually undernourished and struggle with a drug addition. The mid-stage is when the child has accepted therapy, is learning to work with others in a group, and becoming familiar with new routines. The end stage is when a child had maintained the transition and their health remains stabilized. Then they are reintegrated back into their social-cultural environment.    

 

 

 

 

Phase 2 Epidemiological Diagnosis (Determine which facet of the problem will yield to intervention):

The child is usually from a dysfunctional family or some form of abusive relationship. The child is typically experiencing low self-esteem and self-confidence, which contribute to his or hers poor self-motivation and life choices. This would create undesirable nutritional outcomes for the child.

 

Phase 3 Behavioral and Environmental Diagnosis (View the behaviors and social aspects that are the most pertinent problem):

The children usually arrive with poor life skills, which create barriers and

 negative outcomes of interpersonal behavior choices. This would further prolong malnourishment of the child, which stresses their growth and development process.

 

Phase 4 Educational and Organizational Diagnosis:

Predisposing Factors (Motivate individual interaction and nurture existing skills):

The group would experience interactive nutritional lessons as a whole. Then they would break into subgroup where they would experience nutritional skill building activities at the workstations and then return to the main group for discussion.

 

 

Enabling Factors (Promoting new personal skills):

The lessons will promote new life skills of behavior and cognitive development, which help increase adherence towards nutrition. All lessons will contain the six C's such as clear, conversational, concise, correct, candid, and compassionate. 

Reinforcing Factors (Incentives for health behaviors to be maintained):

This process will promote incentives through natural health benefits such as observed growth spurts, cognitive, and physical development.

 

Phase 5 Administrative and Policy Diagnosis (Assess barriers to implementation):

There are two main barriers consisting of educational level and transitional status. The children often arrive at the center with rudimentary reading, writing, and mathematical skills. These undeveloped skills could present challenges for the children to understand the educational materials. The second barrier consists of the different transitional stages each student is currently at, for this could develop into a problem. The students are randomly accepted to the center based on their needs and then transferred back to their social-cultural environment based on accomplishments pertaining to rehabilitation. The end results consist of a classroom filled with students at different levels of learning needs.

 

 

 

Phase 6 Implementation (Level of providing support):

Nutritional based education is presented on a local level that focuses on foster care and providing diverse behavior modification techniques. These techniques would consist of stimulus, control, problems solving, and cognitive restructuring. Stimulus control consists of avoidance of negative and adherence of positive condition involving proper engagement of behavior. Problem solving consists of four steps. In step one, the child will identify potential barriers. In step two and three, the child will select and implement possible solutions. In step four, the child will evaluate the overall success rate of their actions.  Cognitive restructuring consists of recognizing and modifying the students' thoughts and believes towards positive nutritional choices. 

 

Phase 7 Process Evaluation (The degree to which the program has been implemented as planned):

The program is a continuous nutritional protocol consisting of three sections of implementations of new information, remedial review, and discussion overview.  Process evaluation evaluate end results consist of the students self-efficacy, which is a degree of competency and confidence to make and maintain nutritional integrity during various situation.  

 

 

 

Phase 8 Impact Evaluation (Immediate effects of the program):

The overall impact would be evaluated on observation of the students' increase of acceptance of fruits and vegetables on their food tray.

 Phase 9 Outcome Evaluation (Long-term effects of the program)  The students would transfer back into their social-cultural environment with educational tools to help themselves and others towards proper nutrition.

Dorian Venable, M.Ed, RD, LD, CHES, NASM-CPT

 

Article from articlesbase.com

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Health Nutrition And Fitness
Jun 29th, 2011 by Aldouspi

Health Nutrition And Fitness

Health, nutrition and fitness are the three interrelated areas that determine an individual's sense of happiness and well being.

 

Health

 

Health involves the physical, mental and spiritual levels of the individual.  A physically healthy person is one who can carry out normal daily physical activities and respond to emergencies with out undo fatigue or pain. The health part of health, nutrition and fitness is achieved through a balanced program of good nutrition, healthy physical activity, continuous education and mental activities, and social and spiritual activities.  Your choices of the food you eat and your physical activities affect both your short term and long term health (how you feel now and in the future).  You may be getting plenty to eat, but if it is not a proper balance of choices from all five of the basic food groups you may be adding fat to your body without generating the energy to burn the calories and energy to the cells to carry out their functions.  Healthy physical activity helps burn off any excess calories you consume, and keeps muscles and joints flexible and strong.  Your efforts of continued education (reading, attending seminars, as well as attending formal education classes), and spiritual activities (social activities, attending devotional services, meditation, etc) provides you with a sense of accomplishment and well being.

 

An important part of good health is being physically fit and maintaining proper body weight.  Maintaining good health requires following a nutritional diet, and exercising to build and maintain muscles, and to burn of any excess calories.

 

Nutrition

The nutritional health part of health, nutrition and fitness deals with the food we consume to maintain our health and provide energy to carry on our daily lives.  Nutrition is the process of nurturing or being nourished; the total of all the processes that a plant or animal uses to take in and process food substances to maintain a healthy life.

 

A healthy nutrition life style requires a balanced diet of food selected from the five basic food groups, fruits, vegetables, naturally calcium rich dairy products or calcium enriched products, whole grains, and protein (lean meat fish, peas and beans).  Other nutritional factors should also be considered.  Most fruits and vegetables are better if they are consumed raw because heating destroys some of the healthy nutrients.  Steaming and broiling food is better than boiling or frying foods.  Preparing fresh fruits and vegetables is better than processed or prepared foods.  The prepared foods generally contain more salt (sodium) than necessary and other flavor enhancing substances.  Some of these additives do not add any nutritional value to the food and may even be harmful to your health.

 

More nutritional factors to consider are the variety of the fruits and vegetables in our diet.  Nutritional data shows that dark green vegetables (romaine lettuce, kale, broccoli, etc.), and orange vegetables (carrots, sweet potatoes, pumpkin and summer squash) provides more nutritional value than some of the less colorful vegetables.

 

Here are even more nutrition facts.  Some foods contribute to burning fat.  Green tea contributes to fat burning by increasing the body's metabolism and increasing energy level.  Foods high in protein are more difficult to digest so they require more calories in the digestive process.

 

Good nutrition practices may not be sufficient for some people they may require unique supplements such as CoEnzimeQ10 or others.

Physical Fitness

 

Physical fitness part of fitness, health and nutrition is the ability to carry out daily activities, enjoy leisure activities and have a healthy immune system to resist disease and infection.  Developing and maintaining good physical fitness requires a balance of good nutrition and varied physical exercise.

 

There are there elements to physical fitness: specific fitness the ability to perform daily functions related to work or recreation, general fitness the ability to enjoy leisure time and a sense of peace with the environment, preparedness the ability to over come or avoid emergencies.  There also three factors in achieving good physical fitness good nutrition, physical exercise and restful (sleep).  The nutrition maintains the health of the cells and provides the energy to perform the exercises.

 

Physical exercise may be used to accomplish work to earn a living, participate in athletic events, develop and maintain healthy cardiovascular system, or control body weight.

 

Physical fitness and how physical fitness is achieved varies depending on individual.  If a person is involved in an occupation that requires vigorous activity and has good nutrition possibly no other exercise is needed to maintain a fit body.  However, even people who are who work hard at their occupation may need additional cardiovascular exercise to keep their heart and blood vessels in optimum condition.

 

People whose profession does not require vigorous physical exercise special effort is required to achieve and maintain physical fitness.  A good nutritional diet is the obvious starting point.  Some easy things are use stairs rather than elevators, park a little farther from the office or store entrance, throw away the television remote, change channels the old fashion way, and walk to near by offices or neighbors rather than using the telephone.

 

These efforts will help, but more vigorous physical exercise is needed for good physical fitness.  For cardiovascular health a routine of physical exercise over a period a minimum of 20 minutes three times per week is required. The best and generally most convenient cardiovascular exercise is walking.  Another good cardiovascular exercise is swimming.  Swimming will also help in building and toning muscles.

 

The other factor in developing and maintaining physical fitness is strength exercise to build and tone muscle and to burn fat.  Strength exercises are good for weight management because they stimulate muscle growth even after the exercise has been completed. This means that the body continues to burn fat for an extended period of time.

 

 

Mental Health

Mental health, as it applies to health nutrition and fitness, is the way we think, how we feel and how we act as we interact with our surroundings.  Our mental health contributes to our relations with other people, how we make decision, make choices and how we cope with stress.  People with good mental health are able to control their emotions, feelings and behavior.   Keeping the mind active through reading, playing games, and an active social life contributes to good mental health.

 

Spiritual Health

Spirituality can be defined as sensitivity or attachment to religion, or as a state condition of being spiritual.  Some people ignore or overlook the importance of spirituality in relation to health nutrition and fitness, because they relate spirituality only to religion.  Through out history man has struggled with the concept of spirituality.  Basically spirituality is the struggle to become the most perfect person or individual.  The path to achieve this goal may be through seeking external help through religion of some form, or internal through meditation and study of both present and past human interactions.

 

The above is based on personal study, experiences and observations through out my life.

James E. Smith

Jim is a retired electronics engineer.  He has been interested in health, nutrition and fitness for over 30 years.  See his website:  http://www.jemssolution.com

Article from articlesbase.com

Be My Friend - www.myspace.com Nutrition by Natalie Top Ten Best Foods Natalie counts down the top 10 best foods you could eat. In a fast food nation, eating healthy food becomes difficult to do. Yet a poor diet contributes to low energy, obesity, stress, health problems and high medical bills. If you eat better, you will feel better and this video discusses some of the foods you should avoid. Please visit Natalies website at www.nutritionbynatalie.com This video was produced by Psychetruth http www.youtube.com www.livevideo.com
Video Rating: 4 / 5

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