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Bright Futures in Practice: Nutrition. “ New Morbidities”of the 21st Century. Changing family structures Highly mobile populations Lack of access to health care Health disparities Deteriorating neighborhoods and communities
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“New Morbidities”of the 21st Century • Changing family structures • Highly mobile populations • Lack of access to health care • Health disparities • Deteriorating neighborhoods and communities • Intentional and unintentional injuries, substance abuse, depression, and HIV infection
The Mission of Bright Futures To promote and improve the health and well-being of infants, children, adolescents, families, and communities. Bright Futures is dedicated to developing educational materials for health professionals and families; implementing Bright Futures content, philosophy, and materials; and fostering partnerships and collaboration.
Bright FuturesAn Organized Structure for Health Supervision Bright Futures provides a framework to address the current and emerging health needs of infants, children, adolescents, and their families.
Families Matter! • Families as partners • Families as caregivers • Families as teachers • Families as resources
Fluoridation Immunizations Health Promotion/Prevention Works! BikeHelmets Back to Sleep
Health professionals Families Child care professionals Social service professionals Schools Local and state government Community groups Business/industry Faith communities Payers Partnerships Make a Difference
Bright Futures in Practice Series • Oral Health • Nutrition • Physical Activity • Mental Health
Bright Futures in Practice: Nutrition • Advances in Nutrition • Optimal nutrition is important for sustenance, good health, and well-being • Diet and health is important for disease prevention • Lifelong eating behaviors often established in early childhood
Emphasis of Bright Futures in Practice: Nutrition • Developmental approach • Contextual approach • Partnerships among health professionals, families, and communities
Vision and Goals of Bright Futures in Practice: Nutrition • Improve the nutrition status of infants, children, and adolescents • Encourage partnerships among health professionals, families, and communities • Educate health professionals, families, and communities about nutrition
Organizations That Support Bright Futures in Practice: Nutrition • American Academy of Pediatrics • American Academy of Pediatric Dentistry • American Dietetic Association • American Medical Association • National Association of Pediatric Nurse Associates and Practitioners • American School Health Association • American Public Health Association and many more…
How the Guide is Organized • Introduction • Nutrition Supervision Guidelines • Nutrition Issues and Concerns • Nutrition Tools
Introduction • Healthy Eating and Physical Activity • Nutrition in the Community • Cultural Awareness in Nutrition Counseling
Infancy0-11 Months Early Childhood1-4 Years Middle Childhood5-10 Years Adolescence11-21 Years NutritionSupervision GuidelinesMajor Stages
Nutrition Supervision Guidelines Chapter Highlights • Growth and physical, social,and emotional development • Common nutrition concerns • Nutrition supervision • Desired outcomes • Frequently asked questions
NutritionIssues and Concerns • Breastfeeding • Children and adolescents with special health care needs • Nutrition and sports • Vegetarian eating • Obesity • Pediatric undernutrition
Nutrition Tools • Nutrition questionnaires • Key indicators of nutrition risk • Tips for promoting food safety • Tips for fostering a positive body image • Federal food assistance and nutrition programs
How the Guide Can Be Used • Clinical • Community • Policy • Education and Training
How the Guide Can Be Used: Clinical • Incorporate into each nutrition supervision visit • Incorporate into each health supervision visit • Develop nutrition programs and services • Develop standards of practice and protocol • Educate and train health professionals
How the Guide Can Be Used: Community • Serve as a resource to provide anticipatory guidance to families on healthy eating practices • Develop nutrition education programs and services • Help schools develop health curricula • Develop standards of practice and protocol
How the Guide Can Be Used: Policy • Obtain support for nutrition policies and programs • Provide information on relevant nutrition issues and concerns
How the Guide Can Be Used: Education and Training • Educate and train health professionals • Educate and train paraprofessionals • Provide in-service education and training to staff • Use as a textbook or reference
Bright Futures Web Sitewww.brightfutures.org • Resources for health professionals and families • View, download and order publications
To find out more about Bright Futures, contact: Bright Futures Project National Center for Education in Maternal and Child Health Georgetown University 2000 15th Street, North, Suite 701 Arlington, VA 22201-2617 Tel: (703) 524-7802 Fax: (703) 524-9335 E-mail: BrightFutures@ncemch.org