Resources for Health Care Professionals

 

Contents

Infant and Pre-School

Intro to Solids

Pediatric Nutrition Guidelines

School-Age Children and Youth

Adult and Older Adult

Grey Bruce Statistics

Grey Bruce Nutrition Committee

Presentations Spring June 2019

Grey Bruce Dietetic Internship Partnership

 

Infant and Pre-School

Nutrition for Healthy Term Infants (birth to 6 months ) promotes the communication of accurate and consistent messages on infant nutrition in the first six months.

Nutrition for Healthy Term Infants (6 to 24 months) provides health professionals with evidence-informed principles and recommendations for older infants and young children.

 

Intro to Solids

A child’s introductions to solids is a hot topic these days. The following resources will help to clarify the situation:

Starting Solids Poster for Professionals

Starting solids poster for Parents

 

 

Pediatric Nutrition Guidelines – revised 2019

The Pediatric Nutrition Guidelines for Health Professionals were developed by members of the Family Health Nutrition Advisory Group ( FHNAG) of Ontario Dietitians in Public Health. (ODPH)

The document outlines evidence-based nutrition and feeding guidelines along with red flags for healthy, full-term infants and children up to 6 years of age.

The 2019 English and French Pediatric Nutrition Guidelines (Birth to Six Years) for Health Professionals are available online at odph.ca

The Guidelines have been reviewed by physicians, registered nurses, lactation consultants and registered dietitians in both public health and clinical practice. We encourage you to share them with your colleagues and use them with your families.

Please feel free to contact info@odph.ca with any questions or comments about the guidelines.

 

The Canadian 24-hour Movement Guidelines for infants and children 0-4 years of age.  These guidelines provide information on the amounts of sleep, sedentary behaviour, and physical activity that support healthy growth and development for 0-4 year olds. Parents and caregivers can use these guidelines to create healthy routines for their young children.

Find parent-friendly nutrition information at www.UnlockFood.ca  like a sample meal plan for toddlers.

 

School-Age Children and Youth

A Tool for Everyone working with Children and Youth Use this summary tool to assess how well you are shifting the focus from a weight-centred conversation to a health-centred conversation when speaking with children and youth and their families about healthy eating and being active. The Child and Family Health section offers more information on parenting and growth and development.

 

The table below provides some ideas on how to support a shift towards positive healthy behaviours. For additional ideas and tips visit Tools for Everyone Working with Children and Youth at PLAY Bruce Grey and the Tools for Every Educator resource.

 

Reflect on: Your beliefs and attitudes about body size, eating, activity and how you feel about yourself. Weight-centered messages such as “you look great”, “you’ve lost weight”, “I was bad today I ate cake” and their negative impact.   Teach children & youth to: Focus on their abilities rather than on their appearance. Compliment others on their talents and accomplishments. Treat others with respect. Identify & challenge misleading media messages and understand the power of advertising.   Listen: To what children & youth say about themselves and others. Use these opportunities to promote positive language.   Appreciate: That children’s bodies change and grow. Celebrate that bodies come in all shapes and sizes.

Advocate: For access to healthy foods where children & youth meet. The foods that are available have a strong influence on the foods that they choose. To make the healthy choice the easy choice. To build connections with parents & community partners to support these positive behaviour messages.   Provide opportunities for children & youth to: Find their interests and discover fun things to do. Do activities outside. We tend to be more active and happy when we are in nature. Try different activities so they can find something they enjoy! Plan, shop and prepare meals and snacks. Plan and lead games & activities. Eat together. It is important for more than just general nutrition. The discussions that arise help children & youth develop their own communication, decision making, and social skills as well as their self-esteem and social supports.   Discourage: Children & youth from weighing themselves. Weight is not the best measure of health for growing children. Commenting on people’s weight, shape or size.

Created by Leads, Grenville & Lanark Healthy Unit, and adapted by Elgin St. Thomas Pubic Health February 2016

 

The Canadian 24 -hour movement guidelines for 5 - 17 year olds provide information on the amounts of sleep, sedentary behaviour, and physical activity that support healthy growth and development 5- 17 year olds. 

Healthy Eating resources including information on the Canada’s NEW Food Guide can be found on our website under Eating Well.  Visit Health Canada more detailed information including background evidence, multicultural and Indigenous language versions and guidelines for professionals – Canada’s Dietary Guidelines - Canada's Food Guide

Find user-friendly nutrition information for children and youth at www.UnlockFood.ca  like resources on picky eaters, kids and sugar, or following a vegetarian pattern of eating.

NOTE: UnlockFood.ca is an award winning website with information written and reviewed by registered dietitians on nutrition, healthy eating through the life cycle, and chronic disease prevention as well as recipes, videos and interactive healthy eating tools. The content is written and reviewed by dietitians using the trusted information in the Practice-based Evidence in Nutrition (PEN®) database. 
 
Telehealth Ontario 1-866-797-0000 Clients and health care professionals can call toll free & speak to a Registered Dietitian

 

 

Adult and Older Adult

Menu Planning Guidance for Long Term Care Facilities

Dietitians of Canada, in collaboration with the Canadian Nutrition Society and the Canadian Malnutrition Task Force, has released a Long Term Care (LTC) Menu Planning Guide based on the nutritional needs of older adults as they pertain to  the new food guide and food literacy concepts. All LTC facilities can utilize this evidence-based guidance when planning or revising menus. Please contact a Public Health Dietitian if you have any questions about this document.

 

Nutri-eSCREEN A nutrition screening tool for adults 50 + years. They complete the online survey in less than 10 minutes. Personalized feedback is sent immediately to find out how they are doing with choosing foods to stay healthy and active as they age.

Healthy Eating resources including information on the Canada’s NEW Food Guide can be found on our website under Eating Well.  Visit Health Canada more detailed information including background evidence, multicultural and Indigenous language versions and guidelines for professionals – Canada’s Dietary Guidelines - Canada's Food Guide.

Ten Tips for Healthy Ageing  Nutrition information specific for older adults

Physical Activity Guidelines for Older Adults The Canadian 24- hour movement guidelines for 18- 64 years and 65 + to improve fitness level, strength and mental health. Visit www.southwesthealthline.ca to find information about local exercise and fitness programs.

• Exercise and Fall Prevention Classes in Grey Bruce
• Fitness, Recreation and Social Programs for Seniors
• Fitness Centre and Programs in Grey Bruce

Injury Prevention (Falls Prevention)

Screen Time: There is diversity in the acceptance and use of technology in this broad age group with some owning and using at similar rates as those under the age of 65.

Sleep Time

Ages >64

• 7-9 Hours of sleep/night
• 1 in 4 adults aged 18-34 and
• 1 in 3 adults aged 35-64 are not getting enough sleep

Ages 65+

• 7-8 Hours of sleep/night
• 1 in 4 adults aged 65-79 are not getting enough sleep

 

 

Grey Bruce Statistics - Health Stats

 

 

Presentations Spring June 2019

Collective Impact Grey Bruce Nutritior

Infant Feeding Collab Presentation

Nutrition Through the Lifespan Program

Baby Friendly Initiative and Infant Feeding Program Story

KTA Framework Malnutrition Screen

GBNC 2018 Survey Results KF

 

Grey Bruce Dietetic Internship Partnership

Each year the Grey Bruce Regional Dietetic Internship Partnership hosts two interns from the 

Brescia University College Diploma in Dietetic Education and Practical Training Program   (DDEPT).

 

Students to date:

YEAR	Dietetic Student	Research Project
2014/15	Jenessa Dalton	NutriSTEP Use in Grey Bruce
	Allison Antonette	PEP-uP Protocol in Critical Care
2015 /16	Michelle van der Meer	Identifying Clients Perspectives and Interests in Regards to Diabetes Education
	Annette Cheung	Baseline Assessment of Barriers to Intake During Mealtimes for Medical and Surgical Inpatients at GBHS
2016/17	Rida Chaudhary	CPNP evaluation revision/ Keystone partnership
	Anne Marie Sawula	Malnutrition Screening at GBHS
2017 /18	Bissan Ghaith	Supportive School food environment
	Jennifer Storrar	Diabetes /use of Media technology for education/ monitoring with youth & parents
2018/19	Mikayla Smailes	Pending …
	Kelli Joyce	Pending …

 

In 2018, the Grey Bruce Regional Dietetic Internship Partnership was recipient of the 2018 Organization Leadership Award from the School of Food and Nutritional Sciences at Brescia University College. The award was presented on June 18 as part of the graduation ceremonies at Brescia College.

This annual award is given to one of Brescia’s several hundred community partners which has demonstrated exceptional support to students. The award recognizes qualities that align with Brescia’s core values and strategic plan:

• Develops an actively engaged and positive student experience
• Models and nurtures excellence, service and leadership among staff
• Creates environment and culture that supports the competency development of a student
• Dedicated to innovation, inquiry and lifelong learning
• Exemplifies client-centred, inter-professional collaboration and care
• Mentored Brescia students for the previous three or more years

Upon completion of a four-year nutrition degree, the students must complete a one-year internship to fulfill the requirement to become registered with the College of Dietitians of Ontario. Internship through the Diploma in Dietetic Education and Practical Training Program provides training in the practical competencies of clinical nutrition, public health practice, food service management and community nutrition programming. Each year over the past four years, the Partnership has provided a comprehensive internship experience in rural health care for two students. During that time, all eight students successfully completed their internship and qualified to write the entrance exam to become registered with the College.

As part of the internship, each student also completes an eight-week research project. This year, both students presented their research at the Dietitians of Canada National Conference in Vancouver. A previous student presented at the National Conference in Quebec City in 2015.

The Grey Bruce Regional Dietetic Internship Partnership is co-chaired by Lynda Bumstead, Manager Population Health Team, Grey Bruce Health Unit and Lynda Hoffmeyer, Manager for Diabetes Grey Bruce, Cardiac Rehab and Allied Health at Grey Bruce Health Services. The Partnership included the Family Health Teams in Owen Sound and Hanover, Lee Manor Long-Term Care Home in Owen Sound, and the South East Grey Community Health Centre in Markdale. The Partnership was honoured to be recognized with this leadership award. The members acknowledge the support from management that allows them to provide this rural internship experience in support of the next generation of Registered Dietitians.