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Learning Guide-16
Unit of Competence: Provide Information on Nutritional Supplement
This learning guide is developed to provide you the necessary information regarding the
following content coverage and topics –
Product information (name, strength, use, precautions, storage condition,
direction for use and possible adverse drug reactions) are accurately conveyed
to customers
Complementary products are recommended to clients
Products arecorrectly identified to assist customers' purchase decisions.
New products are promoted to customers according to promotional guideline
This guide will also assist you to attain the learning outcome stated in the cover page.
Specifically, upon completion of this Learning Guide, you will be able to:
o Assess nutritional status and nutritional requirements
o Select nutritional product
o Provide relevant nutritional product information
Learning Instructions:
1. Read the specific objectives of this Learning Guide.
2. Read the information written in the information Sheet
3. Accomplish the Self-check
INFORMATION
Learning Guide #16 Provide information on nutritional products
SHEET #1
N.B: each of the above has been adopted in clinical medicine as well as preventive
medicine.
The direct methods deal with the individual and measure objective criteria, while indirect
methods use community health indices that reflects nutritional influences. In this
learning module, you will see only Direct Methods of Nutritional Assessment.
INDIRECT
• Morbidity & mortality data,
• Assessment of dietary intake,
• Food balance sheet
Measurements of the physical dimensions and gross composition of the body – vary
with age and degree of nutrition. Particularly useful when chronic imbalances of protein
and energy are likely.Provides information about past nutritional history.
Two types:
Anthropometric indices
• Assess growth and body • Anthropometrist trained
composition until acceptable level of
• Used extensively precision and accuracy are
• Can be performed in a obtained
quick easy and reliable • Measurement procedures
way reviewed periodically
• Use portable equipment • Accurate measurement of
• Standardized methods and Age
calibrated equipment are Birth weight
used (infant)
Birth length
Gestational
age
If unknown, build locally relevant
community specific calendar.
III. Weight-for-height:
• identify children suffering from current or acute undernutrition or wasting
• useful when exact ages are difficult to determine.
• Appropriate for examining short-term effects such as seasonal changes in
food supply or short-term nutritional stress brought about by illness.
Indicators Indices
Wasting
Weight/Height
(Acute malnutrition)
Stunting
Height/Age
(Chronic malnutrition)
Underweight
Weight/Age
(Acute and/or chronic)
MUAC Tape
Pharmacy Level III Version :01 Sep.2019: Page 8 of 23
Copyright Info/Author: Federal TVET Agency
This arm circumference insertion tape measures mid-upper arm circumference of
children, up to 25 cm. Colour-coded in red/yellow/green, non-tear, stretch-resistant
plasticized paper.Supplied in pack of tapes together with written and pictorial
instructions for use.
A medical history and physical examination are used to detect symptoms and
signs;These Signs and Symptoms are often non-specific and only develop during the
advanced stages of nutritional depletion. Table 1. summarizes the major clinical findings
of clinical importance.
Used to describe
food and/or nutrient intakes over a long time period
can be used to estimate prevalence of inadequate intakes.
information used for national food policy development, food fortification
planning,
Limitations
Labour-intensive, time-consuming and results depend on skill of
interviewer.
4. Food diary
Food intake (types & amounts) should be recorded by the subject at the time of
consumption.The length of the collection period ranges between 1-7 days.
Reliable but difficult to maintain.
5. Observed Food Consumption
The most unused method in clinical practice, but it is recommended for research
purposes.The meal eaten by the individual is weighed and contents are exactly
calculated.The method is characterized by having a high degree of accuracy but
expensive & needs time & efforts.
The factors that affect the nutritional requirements of an individual are the quality and
quantity of the food they eat, the efficiency of their digestive system in absorbing and
utilizing eaten food and biochemical availability. Biochemical availability is the optimum
range of intake of a person essential nutritional requirement. This nutritional
requirement is influenced by age, growth, sex, pregnancy and breastfeeding, illness,
psychological and emotional stress, activity level and other factors like smoking and
drinking.
Nutritional requirements change as a person gets older, because the elderly use a lot of
medication their absorption, excretion and utilization of nutrients can be affected.
Growing children have different nutritional needs to that of adults. For example, a
growing infant requires a higher intake of essential fatty acids than that of an adult. In
the same way there are different nutrition requirements for young and old there are also
very different requirements between the sexes. For example, a woman's nutritional
requirements can vary throughout her menstrual cycle, also a woman who is pregnant
or breastfeeding has different nutritional requirement to that of one who is not.Nutritional
requirement vary depending on whether someone is healthy or ill. As diseases are
unique so are the nutritional requirements needed whilst that person is ill. The same
applies to psychological and emotional stress. When people are affected by stress their
A person activity level will affect their nutritional requirement. An athlete will need a
different nutritional requirement to that of an office worker. Exercise improves metabolic
efficiency in some people and increases nutrient requirement.
Self-check 1:
1. Which of the following methods of nutritional assessment is concerned the
measurement of variations of physical dimension and growth compositions?
A. Anthropometric method
B. Biophysical method
C. Clinical method
D. Dietary intake method
E. Ecological method
2. Which of the following indices of growth shows chronic nutritional deficiency?
A. Stunting B.wasting C. underweight D. BMI
3. The purpose of nutritional assessment is to:
A. Identify individuals or population groups at risk of becoming malnourished
B. Identify individuals or population groups who are malnourished
C. To develop health care programs that meet the community needs which
are defined by the assessment
D. To measure the effectiveness of the nutritional programs & intervention
once initiated
E. All
INFORMATION
SHEET #2 2.2. Selection of nutritional product
Topic
Your age
The types of foods you eat
Any medical conditions you have
What health problems you’re likely to get.
For instance, if an individual at risk for osteoporosis, calcium and vitamin D may
recommended. Or for a woman who might get pregnant, it’s important to take folic acid,
which helps prevent certain types of birth defects. Or if an individual is working on better
heart health, his/her plan might include omega-3s.
To ensure food safety and nutritional quality throughout the entire food supply chain,
“from field to consumer”, establishing a new concept capable of consolidating safety
and quality benefits at the level of consumer health was necessary.The main purpose of
all good practices in the food safety circle is to provide consumer with safe, healthy, and
high-quality food.
Self-check2:
List the criteria to select nutritional product
INFORMATION
2. 3.Providing relevant nutritional product
SHEET #3
information
Topic
References
https://www.boxingscene.com/nutrition/56270.php
https://www.bapen.org.uk/members/pdfs/conf_presentations/2010/symposium4-
chris-slater.pdf
American Dietetic Association and Dietitians of Canada. Manual of Clinical
Dietetics. 6th edition. Chicago, Illinois: American Dietetic Association, 2000
Food and Nutrition Technical Assistance III Project (FANTA). 2016. Nutrition
Assessment, Counseling, and Support (NACS): A User’s Guide—Module 3:
Pharmacy Level III Version :01 Sep.2019: Page 22 of 23
Copyright Info/Author: Federal TVET Agency
Nutrition Education and Counseling, Version 2. Washington, DC: FHI
360/FANTA.
Human Nutrition A Health Prospective, Mary E. Barasi, Second Edition in 2003
Hodder Arnold, 338 Euston Road, Landon NW1 3BH.
Nutrition A Health Promotion Approach, Geoffrey P Webb. Third Edition, in 2008
Hodder Arnold, UK, 338 Euston Road, Landon NW1 3BH.
Essentials of Human Nutrition, Jim Mann and A. Stewart Truswell, Second
Edition in 2002, Oxford University Press.
Human Nutrition for Health science students, Tefera Belachew, Jimma
University, 2007.
Gibson, Principles of nutritional assessment oxford 1990.
FMOH, protocol for the management of severe acute malnutrition 2004, 2007
and 2013.
FMOH, National guideline for control and prevention of micronutrient deficiency,
2004
Prepared By
Educational
LEVE Regio Phaone
N Name Backgroun College Email
o L n Number
d
1 Nagelle deebisaaseenaa12@gmail.co
Debisa Taressa Pharmacy B Oromia HSC m 0921798728
Nagelle
TameneGalchu Pharmacy B Oromia HSC maatigelchu@gmail.com 0930675055
2
3 Ebrahim Dawud Pharmacy A Somali Jigjiga HSC ebraadaa@yahoo.com 0910480186