Ellen Szakal, MA, RD
Nutritionist,
Nutrition Wellness Program
473-2612
Bahia Vista and San Pedro classroom and garden

NURS5409: Nutrition & the Older Adult
Fall 2007
http://www.dominican.edu/query/class.php?event_id=45314

Nutrition & Physical Activity
August 10 & 17, 2007 9 am – 4 pm
Course #EDUX8005 $150 / 1 CEU
Instructor: Lynne LoPresto, M.S., R.D. and Sheila Kegan, M.S.

The Federal Government mandate, Section 204 Child Reauthorization Act, will require schools to address nutrition and physical activity in the classroom. Will you be compliant?
Nutrition and physical activity are elementary…or they should be! Healthy children are more successful in the classroom, achieve higher test scores, and they interact better with peers and authority. However, nine million children (over age 6) in the U.S. are considered obese, an epidemic with serious physical and emotional health consequences. This workshop will show teachers and parents what they need to know to improve the health of children. We have the Ingredients you need to easily INTEGRATE the latest Nutrition Education Competencies and the Physical Education Standards into what you’re already doing in your classroom!

http://www.dominican.edu/academics/adult/pace/education/prodevelopment.html

Childhood Obesity

The Marin Independent Journal reports that Lynne LoPresto, who teaches nutrition in Dominican’s Department of Natural Sciences and Mathematics, has secured a $100,000 grant from the California State Library to create the Library Nutrition Collection. The collection, housed at South Novato Library, will serve as a resource to local schools.

http://www.marinij.com/marin/ci_5484641

Pediatric Obesity/Nutrition May 19, 2007 9 am – 4 pm 6 CEU

This comprehensive seminar is designed to provide participants with an overview of childhood obesity and the ways in which proper nutrition knowledge and eduation can help prevent and repair this serious health threat. The program will cover a discussion of the current childhood obesity epidemic, provide an intensive overview of “Nutrition 101″ (the key elements health care providers need to know to be effective in the solution), and a discussion about current school and community practices around this issue.

The workshop will wrap-up with practical applications provided form the pediatric perspective, including measuring BMI in children, family interventions, the nurse’s role, and surgical and medical alternatives. The seminar will include a discussion abou the different types of bariatric (weight-loss) surgery, interventions in the recovery period, nd long-term effects of the surgery.

Lynne LoPresto, Dominican Instructor, MS, RD
Instructor, Biology/Nursing
Nursing
Tel: 415-482-1973
Email: lynne.lopresto@dominican.edu
Website: http://www.dominican.edu/academics/artssciences/natbehealth/sciencemath/faculty-and-research/faculty-profiles/lynne-lopresto.html

Margaret Fink, Dominican Assistant Professor, Ed.D, RN, BC
Nan Ground, Dominican Instructor, RN, MSN

http://www.dominican.edu/academics/adult/pace/healthservices/nursing.html

Kids Need Carrots to Learn
http://www.dominican.edu/academics/adult/pace/workshops.html
Instructor: LoPresto, M.S., R.D.

Dominican University of California – San Rafael
http://www.dominican.edu/about/current/careerservices/students/majors/links/nutrition.html

Marin County ’s Nutrition Wellness Program
http://co.marin.ca.us/depts/HH/Main/nwp/nutritionwellness/index.cfm
Marin County Health & Human Services
Nutrition Wellness Program
899 Northgate Drive, Suite 415
San Rafael, CA 94903
Program Director: Linda Armstrong, MS, RD
(415) 473-7059
larmstrong@co.marin.ca.us
Nutritionist: Ellen Szakal , MA, RD
(415) 473-2612
eszakal@co.marin.ca.us

Nutrition and Older Adults
Sponsored By: Marin County Commission on Aging
http://co.marin.ca.us/SysApps/Calendar/pub/EventDisplay.cfm?event=7822
Annette Gent at: agent@co.marin.ca.us
(415) 499-7396
** July 2005

National Eating Disorders Screening Project 2000

Harvard Eating Disorders Center

California Healthy Kids Survey

Marin County Eating Disorders Task Force – 2003
multidisciplinary collaboration which serves to educate the community regarding the prevention and treatment of eating disorders

Marin County Community Health and Prevention Services
http://co.marin.ca.us/

sponsored by the California Department of Health Services
funded by the U.S. Department of Agriculture

Eating Disorders Resource Guide for Marin County

Nutritional Wellness Program
program of the County of Marin Department of Health and Human Services,

Children and Weight Coalition

Promoting Healthy Eating Behaviors in Youth Act

Body Positive
http://www.bodypositive.com
Books to Read for Clinicians
http://www.bodypositive.com/probooks.htm

Beyond Hunger – eating disorders
http://www.beyondhunger.org/
old information – 2004

I see all those interesting food products in books and markets and I have no idea how to pronounce them. Help is available – online food glossaries.

caciocavallo cheese (kah-choh-kuh-VAH-loh)

Answers.com – includes an audio file demonstrating how to say it
http://www.answers.com/topic/caciocavallo-2

Linda’s Culinary Dictionary – with pronunciation guide
http://whatscookingamerica.net/Glossary/C.htm

Google searches are great but…

FactBites is even better. I tried out a couple of searches. The returns are coherent sentences rather than all the funky mish-mash you get with Google.

What do you get if you cross a search engine with an encyclopedia?

Factbites – a new way to search the web.
Other search engines spew out meaningless site-names and mangled phrases.
Factbites offers you real, meaningful sentences that are right on topic.

Factbites: Where results make sense
http://www.factbites.com/

from Teaching & Developing Online
http://weblogs.elearning.ubc.ca/vschools/archives/2007_06.html#039380

Is your diet a healthy one? Are your nutritional and activity needs being met?

Working with seniors and teens, there is a need for a checklist to determine their general level of nutrition and physical wellness. Within a structured conversation and observation, those most in need of further assistance can be identified.

I’m a fan of quick check guidelines and rubrics. I have always been impressed with the elegance and simplicity of the APGAR score for newborns. Five easy to assess criteria, 3 ratings 0-2, add them up and act according to a list of “what to do’s” based on total score. Something like that for assessing nutrition and activity is ideal. Not too many things to remember to check. Questions that are revealing without being viewed as intrusive. Easily observed characteristics to check / confirm / substantiate answers to questions.

Anyone dealing potential nutritionally-fragile populations like teens and seniors needs a quick and easy assessment to find those in need of further assessment and/or intervention. This is more complex than the APGAR – newborns are in their birthday suits so you can get a good look. In adolescence and adults, clothing can hide a lot of clues. Verbal communication may be limited – teen yes/no answers to any question posed by an adult, seniors worried about giving the “wrong” answer. Getting information for assessment can be challenging.

Based on a brief conversation and general observation, this quick check can determine if basic nutrition and activity for good health are being met.

1. eating what – 5 serving of each of 3 main food groups – fruits and vegetables, grains and starches, and protein (5 oz total)
   2 – appropriate food choices, likely to be getting adequate nutrition and a variety of nutrients daily
   0 – too little for good health, may signal eating disorder
   0 – too much contributing to weight management problems
    
2. eating when – 3 meals (each about 25-30% of total daily calories) + snacks (no more than 5-10%), within 2 hours of getting up, at least 2 hours before going to bed
   2 – calories spread over time, never really hungry
   1 – hungries and low energy periods that lead to overeating, metabolic “starvation” mode
   0 – skipping meals, binge eating, junk food replacing meals
    
3. exercise / activity – at least 30 minutes per day, not out of breath going up one flight of stairs
   1 – obsessive exercising can signal eating disorder
   0 – inadequate activity for muscle tone, healthy bodily functions
    
4. weight – near BMI – not significantly above or below (??%)
   1 – somewhat underweight or overweight – BMI %
   0 – significantly underweight or overweight – BMI %
    
5. wellness – good color – face, eyes, tongue, breath, hands, nails
   1 – indicator that one or more of the other indicators are not being met
    
6. hydration – palms, finger tips, liquids
   0 – a significant portion of the population suffers from dehydration, especially seniors leading to urination problems, and constipation
    
7. medication – diabetes, cholesterol, blood pressure, depression, stress, weight-loss
   1 – not necessarily a problem but in combination with other factors, may contribute to drug/food interactions

What’s going on here…

Low “scores” can indicate a variety of problems that need to be verified and/or addressed.

• poor nutrition that can lead to later health problems – inadequate bone formation or bone loss, osteoporosis, anemia
• deficiencies of important nutrients essential to good health – calcium, iron, vitamin B12 and vitamin D
• possible eating disorders – the decision to become a strict vegetarian or adopt an overly restrictive diet can be an early sign that a teen is developing an eating disorder such as anorexia
• adequate protein from alternative sources – vegetarian foods that contain protein include beans, nuts, nut butters, lentils, tofu and other soy products

Learn more…

Vegetarianism in Teens
http://www.pamf.org/teen/health/nutrition/veggieteens.html

APGAR Scoring for Newborns – A score is given for each sign in the first few minutes after the birth.
http://www.childbirth.org/articles/apgar.html

Eating Attribute Test (EAT-26) – screening for eating disorders – questions seem leading, most middle school kids would have considered all the indicators and would register as potential eating disorder candidates

Rice’s Connexions

from Steven Downes

Setting Learning Free

The open source movement is beginning to recognize the open
courseware and open educational resources movements. This
article is pretty much party line (ie., “In the Beginning
was MIT, and They Invented Open Content”) but the more
important thing is that it captures the appeal of open
content and shows the beginnings of awareness that there is
an entire community behind it (and not just a few
well-funded institutions that get Hewlett grants).

http://www.downes.ca/cgi-bin/page.cgi?post=40456

OpenCourseWare Consortium Forum

Mentioned today at the conference in Taiwan. John Dehlin
gave me credit and thanked me for spurring this on, which
was a nice gesture. Still in its early stages, but it’s
goot to see a place for people to discuss open courseware
and the consortium.

http://www.downes.ca/cgi-bin/page.cgi?post=40430