Nutritional Assessment & Counselling
Nutritional counselling is accountable for the Nutritional Care of the individuals to encourage the needed adjustments in the existing habits of eating & drinking patterns. The nutritional assessment is helpful in the treatment & the preventive approaches of diseases associated with the nutrition which may lead to any decay in the body. Now, the main query that arises is when to counsel about nutrition and when to refer? If a person suffered from early childhood caries, or oral lesions in later life, periodontal diseases or any recurrence of decays and chronic dieters, then there is much need to counsel about the issues immediately. Here, the case is revolving around the dental health issues which include dental caries and oral cavity disorders. Furthermore, it may cause CVD, diabetes, &obesity as well. (Pietsch, 2008)
Part ‘A’Clinical Forms
Nutrient Chart according to Canada Food Guide
| Fruits & Vegetables | Milk | Meat | Cereals & Grains |
| Day 1st – 5th | |||
| Half cup of fresh, canned, or frozen fruits and vegetables both
One cup of raw green vegetables (Leafy) Half cup of fruit juice (100% pure) |
One cup of milk
Half cup canned milk One cup soy beverage Three-fourth cup of yogurt Three-fourth cup of Kefir 1.5 ounces of cheese |
Half cup of cooked fish or poultry
2 tablespoons of any nut butter Three-fourth cup of cooked legumes Three-fourth cup of Tofu 2 eggs 1/4thof shelled nuts |
One slice of bread
Half flat bread Half bagel Half cup cooked rice Three-fourth cup of cooked cereals Half cup of cooked pasta |
| Oils & fats: Use vegetable oils but avoid soybean.
Select soft margarines only because it is low in saturated fats. (only 30 to 40 mL – 2-3 tablespoons) (Canada Food Guide, 2018) |
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Nutritional Assessment & Counselling Harvard Case Solution & Analysis
Decay Promoting Potential
1. Quantitative Analysis –Cariogenic Condition
| Form | Frequency | Points |
| Liquid (all kinds of drinks) | 5X5(soft drinks, coca, and ice-cream) | 25 |
| Solid & Sticky sweets | 2X10(dried fruits and gums) | 20 |
| Slowly Dissolving (hard edible stuff) | 1X15(breath mints) | 15 |
Total Score = 60
Sweet score = 20
5 or less = excellent, 10 = good,& 15 or more = risk zone, or *15 & More than 15 score needs proper Nutritional Counselling for the reduction of sugar intake.
2. Qualitative Analysis
The amount of sugar and beverages were taken in more than recommended amount as per CFG.
It is already mentioned in the diet plan issued by the Canada Food authority that too much consumption of sugar and beverages results in the decay of teeth and other dental hygiene issues may be enhanced.
Dietary Analysis of Subject with Dental Issue
1. Quantitative Diet Analysis – Diet Dairy (Periodontal Disease Condition)
| DAYS | Milk | Meat | Vegetables & Fruits | Grains |
| Monday
|
No milk intake | ½ cup of finger fried fish | 2 cups of vegetables including lettuce and spinach specifically. 2 times a day citrus is taken | 2 slices of bread in morning and at night, ½ bagel. |
| Tuesday | 1 cup of milk taken | No meat consumption | 1 apple and half cup of leafy canned vegetables. | 1 cup of cooked pasta |
| Wednesday | ½ cup of milk taken | 2 Shell nuts consumed | Canned vegetables 2 times | 2 breads and 1 cup of cereal. |
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