Bright Futures in Practice

							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
   Intentional and unintentional injuries, substance
    abuse, depression, and HIV infection
Bright Futures Sponsors
Every Child Deserves
   a Bright Future!
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 Futures
  An 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.
Bright Futures Guidelines
 Cornerstone Document
                 Families Matter!
   Families as partners

   Families as caregivers

   Families as teachers

   Families as resources
                Prevention Works!
                  Fluoridation   Immunizations




                 Bike Helmets




Back to Sleep
   Partnerships Make a Difference

 Health professionals        Local and state
                               government
 Families
                              Community groups
 Child care professionals
                              Business/industry
 Social service
  professionals               Faith communities
 Schools                     Payers
Bright Futures in Practice Series
           Oral Health

           Nutrition

           Physical Activity

           Mental Health

           Children with Special
             Health Care Needs
             (forthcoming)
       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
         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
              Nutrition
        Supervision Guidelines
            Major Stages
• Infancy           • Middle Childhood
  0-11 Months         5-10 Years

• Early Childhood   • Adolescence
  1-4 Years           11-21 Years
            Nutrition
      Supervision Guidelines
       Chapter Highlights
 Growth and physical, social,
  and emotional development
 Common nutrition concerns
 Nutrition supervision
 Desired outcomes
 Frequently asked questions
                 Nutrition
           Issues 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
Bright Futures in Practice:
  Nutrition User’s Guide
         Examples of how nutrition guide
          can be used
         Developmental indexes
         Topic index
         Listing of tools
         CDC growth charts
     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
 Develop standards of practice and protocol
 Educate and train health professionals
 Support studies to determine the efficacy of Bright
  Futures nutrition guidelines
     How the Guide Can Be Used:
             Community
 Serve as a resource for health professionals to
  provide anticipatory guidance to families on healthy
  eating practices
 Develop nutrition education programs and materials
 Help schools develop health curricula
 Develop standards of practice and protocol
     How the Guide Can Be Used:
               Policy
 Obtain support for nutrition practices
 Provide information on relevant nutrition issues
     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 Site
www.brightfutures.org
         • Resources for health
           professionals and families
         • Download and order
           publications
Bright Notes
   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