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About this guide This guide provides background on the Nutrition If you want to work with or feature a dietitian in your Month 2021 campaign theme as well as ideas for Nutrition Month activities but don’t know how to get in activities, suggested resources and story ideas for touch, check out Dietitians of Canada’s Find a Dietitian newsletters, local media and blogs. Join dietitians database www.dietitians.ca/find. across the country in celebrating Nutrition Month! Questions? Email nutritionmonth@dietitians.ca Acknowledgements A big thank you to the dietitians Katherine Hillier, Ken Mullock, Thank you to Geoffrey Svenkeson, and students who contributed to Kristen Schott, Lauren Renlund, Michelle Jaelin, Emily Bell, the development of the Nutrition Oribim Kingson, Rachel Hilts, Piraveena Piremathasan, Christine Month 2021 campaign, including: Seamus Damström, Tiffany Francis, Jackie Silver, Irena Forbes Alex Chesney, Brandon Gruber, Manstan Zarifa Salzgeber and and Karen Giesbrecht contributing Carissa Bellefontaine, Carla Zeina Khawam as well as those their voices and stories in this Centola, Carrie Verishagen, who responded to member Activity and Ideas Guide and a Christine Francis, Francy Pillo- surveys and shared feedback on special thank you to Whitney Blocka, Jane Skapinker, Jessica previous campaigns. Hussain for writing and editing this Wylychenko, Joby Quiambao, guide. Jonathan Conti, Karolina Sekulic, Dietitians of Canada acknowledges the support of Nutrition Month Official Sponsor Dairy Farmers of Canada who help bring Nutrition Month 2021 to Canadians. The content, planning and execution of Nutrition Month is protected by Dietitians of Canada’s Guidelines and Principles for Private Sector Relationships. The Nutrition Month Sponsor Prospectus is available on the Dietitians of Canada website
Table of Contents Culture and Food Traditions 6 Activity and Ideas 21 Health Conditions 12 Suggested Resources 23 Personal Circumstances 17 Story Ideas 24 ! MEDIA EMBARGO Hold unitil February 24, 2021 Nutrition Month materials are made available in advance to help members of Dietitians of Canada and others prepare activities in their communities. If you are planning to submit a story to your local newspaper or media outlet, we request that the publication date is not before February 24, 2021. Questions? Email nutritionmonth@dietitians.ca Your cooperation helps us ensure the maximum reach and impact of stories featuring dietitians! © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 3
GOOD FOR YOU. Dietitians Help You Find Your Healthy. In our busy, fast paced world, myths and and traditions, preferences and nutritional needs. We misinformation on the internet, social media and other are uniquely positioned to consider all of these factors sources make nutrition and healthy eating confusing. when providing advice and guidance. Nutrition Month Not to mention what is “good for you” is not the same 2021 is an opportunity to share timely examples of for everyone. There is no one-size-fits all approach to how your work takes these factors into consideration, healthy eating. Dietitians understand the science of whether you work with clients, communities or the nutrition and the unique needs of each person based population at large! Topics you will notice in this on their health, their preferences and their culture and guide include how dietitians nourish patients in long food traditions. term care, support cultural safety, advocate for social justice and address restrictive food ‘rules’, myths and Nutrition Month 2021 will centre on the idea that misinformation. healthy eating looks different for everyone. Dietitians will push back against simplified notions of ‘a healthy meal’ and ‘rules’ and share examples of how culture, food traditions, health conditions and personal I had the privilege of connecting with a variety circumstances influence what healthy eating can look of dietitians working in many areas of dietetic like. The theme was developed through a series of practice with different personal and cultural conversations with members of Dietitians of Canada. viewpoints when preparing this guide. We aim to highlight their roles and ability to guide Canadians to provide personalized advice and trustworthy information. We hope the glimpses Why this Theme? into these dietitians’ perspectives will help shape The focus this year is to highlight how dietitians stand your advocacy efforts and activities this year for alongside our patients, clients and communities, Nutrition Month. providing nutrition support and guidance. As dietitians, Whitney Hussain, RD we recognize that each client has their own culture 4 Nutrition Month 2021 Activity and Ideas Guide © Copyright Dietitians of Canada 2021. All rights reserved.
Key Dates for the 2021 Nutrition Month Campaign February 24: Public Relations Campaign launch March 1: First Day of Nutrition Month March 17: Dietitians Day Celebrations - virtual community event! 12pm - 3pm ET New! To bring the DC community together on Dietitians Day, there will be a bilingual webcast. This learning and networking event will be free for DC members - save the date! Find all the resources to support your Nutrition Month activities at NutritionMonth2021.ca © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 5
Culture and Food Traditions Culture and food traditions shape how we and our Geoffrey Svenkeson, RD is a clients eat. Whether it is using a bowl, eating a mixed dietitian who works in Community meal rather than following a perfect “healthy plate” Dietetics with First Nations model of eating or being curious and learning from the communities in Saskatchewan. communities we support, these traditions have impacts on our nutrition care. “Food is an essential and central part of life within all Why does this Nutrition Month theme resonate cultural groups in Canada, and dietetic practice reflects with you? this rich diversity and complexity. Understanding and appreciating these many facets is central to our practice The theme of finding your healthy resonates with so that we, as dietitians, can assist all Canadians in my personal and professional views on wellness. It’s accessing culturally safe and appropriate food and important to recognize that health does not mean the nutrition advice, care and support” - The Integrated same thing to all people, nor is it possible for everyone Competencies for Dietetic Education and Practice - to achieve it to the same degree. Version 3 (2020) How do culture and food traditions influence We hope you are able to gather new perspectives conversations you have with clients or on culture and food traditions through our chats communities? with the following dietitians: I work with individuals who share culture and lived • Geoffrey Svenkeson, a dietitian with First experiences that differ from my own. I believe the Nations communities in Saskatchewan cultural, social, and emotional elements of food are just • Michelle Jaelin, a TV and media as important as the physical nourishment it provides our communications dietitian, sharing nutrition, bodies. This lens facilitates conversations with clients food tips and cultural cuisine content for Asians and communities to build on the wealth of traditional • Emily Bell, a dietitian with Health Canada knowledge and uphold cultural practices within evolving food and social systems. 6 Nutrition Month 2021 Activity and Ideas Guide © Copyright Dietitians of Canada 2021. All rights reserved.
The limited amount that I was taught throughout RESOURCES university about Indigenous Peoples was based on The Dietitians of Canada Aboriginal Nutrition generalizations. There is such variety among Indigenous Network is a community of dietitians working Peoples in family units, local communities, and across towards reducing health inequities between territories. Our formal education focuses on particular Indigenous and non-Indigenous communities, points in history rather than the dynamics of peoples as well as helping dietitians become confident and communities with evolving values, beliefs and in providing culturally appropriate care. practices. As a dietitian, I am always learning with each unique client. Related sessions available on DC’s Learning on Demand: How can resources and tools be adapted to meet • Truth, Reconciliation and Food from Kelly the needs of First Nations communities? Gordon, Fiona Devereaux, Rhona Hanning Ask First Nations communities! My nutrition knowledge and Sandra Juutilainen. (Free for DC and experience in developing programs does not members) equate to knowing what is best for a community of Nutritional considerations for northern First which I am not a member. It is important to recognize Nations adolescents from Melissa Hardy that no singular resource is going to resonate with all individuals. In my practice, I may not even discuss • Part 1 Focus on nutrient deficiency and food the first time I meet with a new client. I need to chronic disease get to know the individual before reflecting on how I • Part 2 Food sovereignty and mental health can best offer support for their health goals and select Here are some additional resources relevant resources. As a dietitian, I am always learning recommended by Geoffrey: with each unique client. I am fortunate to be part of an exceptional group of dietitians, who work in Indigenous • Cultural Safety and Humility - First Nations communities across Saskatchewan, that have vast Health Authority experience in developing tools and resources. A • Indigenous Ally Toolkit - Montreal Urban recognized limitation of this group, at present, is that Aboriginal Community Strategy Network it consists only of settlers as Indigenous Peoples are • Indigenous Canada Course – University of underrepresented in the field of dietetics. Alberta • Plate Visual - Dietitians Working with First Nations Saskatchewan • Gifts from Our Relations – National Indigenous Diabetes Association © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 7
Michelle Jaelin, RD is a dietitian about racism and food? who works on TV and media I think it’s important for dietitians to emphasize the communications, sharing nutrition, importance of parents exposing their children to many food tips and cultural cuisine different food cultures at an early age. Introducing content for Asian Canadians new and different foods early on raises good eaters. Parents should also work on being positive role models around foods, including unfamiliar ones. New foods What are some common misconceptions about should always be approached with an open mind and “healthy eating?” a positive attitude. If you don’t like a particular food I love this question, because there are many in the or cuisine, it’s disrespectful to say “gross” or “that’s nutrition world. In the social media space, the images unhealthy” or to turn your nose at it. While it’s ok to not of healthy eating often only have one look: Raw, like a certain food or cuisine, showing respect for other plant-based or vegan – with lots of fresh produce and food cultures is a must. green salads on pristine white countertops, which is often associated with being clean or virtuous. Another What does the expression “Don’t Yuck my Yum” misconception is perfectly prepared meals in glass mean? containers to be consumed throughout the week. While Food is so tied to people’s identities so viewing another all these examples may be healthy eating for some, culture’s food as “yucky” is parallel to racism and the reality is it’s highly individual and unique to each othering. This phrase in particular is a response to Asian person. Healthy eating is different for everyone and food (and people) being seen as “exotic” or “different,” depends on culture, dietary restrictions, religious beliefs, centering whiteness as the norm or superior. The history food preferences, cooking skills, nutritional needs, of xenophobia towards Asian Canadians includes environment and so many other factors. anti-immigration laws and stereotypes of migrant workers, perpetual foreigners and cheap restaurateurs I’ve always been fascinated with how different people is expressed in how the food (and people) are seen as around the world eat. It’s the reason why I went into “yucky” or “foreign.” nutrition! Coming from a Chinese background, the way I ate growing up was different from mainstream nutrition If you could tell Canadians one thing about healthy advice, and I spent many years learning to accept that. eating this Nutrition Month, what would it be? It’s now something I celebrate, and I encourage other Forget about all the trendy diets and find your own dietitians and students to celebrate their own unique healthy. It may be incorporating a family ancestral food culture and remain authentic to themselves and way of cooking and eating from your own culture. I their heritage. encourage you to dig deep to find out what that is! What does anti-racist nutrition advice look like? How can dietitians help parents talk to their kids 8 Nutrition Month 2021 Activity and Ideas Guide © Copyright Dietitians of Canada 2021. All rights reserved.
The role of dietitians is to assess the diets of their RESOURCES clients and recommend changes to help them reach Don’t miss the webcast on Dietitians Day their health goals. Dietitians need to practice cultural (March 17th) for more on providing culturally competence and cultural safety. This means: safe and appropriate nutrition care. • Learning about what and how different Here are some additional resources populations eat. recommended by Michelle: • Understanding how these foods may not be what “science” traditionally deems as healthy. • The racism in healthy food: Why we need • Learning about clients’ dietary patterns to stop telling others what to eat - The with compassion, without judgment and McGill Daily recommending changes that the client can do, • Don’t Yuck My Yum: Delicious Kids Books based on their cultural needs. That Dismantle Anti-Asian Racism • Having conversations around exposing • “Hearing the Voices”: African American children to many different food cultures at an Nutrition Educators Speak about Racism early age. in Dietetics • Advocating for the client or population to • Japan as Other: Orientalism and Cultural ensure access to foods they eat. Conflict -Intercultural Communication • When creating recipes and using one from a • The Western Fetishism with Orientalism - culture other than your own, avoid saying your Worth the Salt recipe is “better” or “healthier.” • Recognize how power imbalances are present when working with racialized communities or clients. Providing a safe space for learning and dialogue to build trust can help empower clients to reach their health goals. Anti-racist nutrition is constantly challenging your own and others’ stereotypes of how and what other cultures eat. Don’t be afraid to educate, advocate and be a part of positive change! © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 9
Emily Bell, MSc, RD is a dietitian How can the Canada’s food guide plate be applied who works at Health Canada’s to different styles of eating? Office of Nutrition Policy and We recognize that there are many different ways to eat Promotion. healthily. It’s important to understand that the Canada’s food guide plate is a visual tool to help support a healthy pattern of eating. How does Canada’s food guide address the idea that ‘Healthy eating looks different for everyone? The foods shown on the plate are only examples of This year’s nutrition month theme goes hand in hand healthy food choices. These foods were chosen based with Canada’s food guide, which is designed to be on a number of considerations, such as cost, variety, flexible and relevant to all living in Canada. The food cultural relevance and availability as fresh, frozen, guide promotes health and overall nutritional well-being, canned or dried. There are many healthy food choices and does so by recognizing the diverse contexts within beyond those depicted on the plate. Choosing a variety which we live, learn, work and play. of different foods within each food grouping can help meet nutrient needs while at the same time aligning with The food guide recommends a variety of healthy foods a preferred eating style. and acknowledges that there are many different ways to make healthy choices. It encourages everyone to enjoy In addition, the size and amount of each food shown on their food and make choices that reflect their personal the plate is not meant to show how much to eat at one preferences, culture and traditions, budget, life stage time. Rather, the plate demonstrates the proportions of and lifestyle. Furthermore, it recommends cooking food groupings in relation to one another as a visual cue more often, allowing people to make foods and choose or reminder to follow when building healthy meals and ingredients that they like and that work for them and snacks. It helps to communicate our recommendation their families. that vegetables and fruits should make up the largest proportion of foods throughout the day. Eating according to the food guide can help Canadians reduce their risk of developing certain chronic diseases. This concept of proportionality can be used whether Health Canada recommends that individuals with meals or snacks are served on a plate, in a bowl, on a specific dietary requirements should seek additional shared platter, buffet-style or others. It applies to snacks, guidance or specialized dietary advice from a registered breakfasts, mixed dishes and family meals – and even to dietitian. smaller portions for younger children, who may require less food. 10 Nutrition Month 2021 Activity and Ideas Guide © Copyright Dietitians of Canada 2021. All rights reserved.
Why did Health Canada choose to recognize RESOURCES culture and food traditions in the new food guide? Canada is a country that prides itself on its diversity, and Here are some additional resources so the inclusion of culture and food traditions in the new recommended by Emily: food guide is important. Culture and food traditions can • Canada’s food guide recipes influence how, what and when people eat, as well as • Translated Food guide snapshot the ways we learn and share food skills. Celebrating and • Adjust recipes to meet your needs sharing cultural food practices across generations and • Cultures, food traditions and healthy with friends and neighbours keeps food traditions alive, eating while fostering a sense of community and contributing towards the development of food skills and knowledge. Canada is large and geographically diverse with many different food options available throughout its regions. Including culture and food traditions in Canada’s food guide encourages people to choose foods they enjoy and that are available to them, recognizing that healthy food choices and eating habits can vary widely. The food guide also acknowledges that in Canada, there are a variety of cultural backgrounds and languages spoken. To help make the food guide more accessible to our diverse population, the food guide snapshot is currently available in 31 languages, including 9 Indigenous languages. All snapshots were reviewed by dietitians who speak the respective language. © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 11
Health Conditions Dietitians support individuals with an array of health Piraveena Piremathasan, P.Dt, conditions using their evidence-based knowledge CDE, CBE is a dietitian who and expertise. We collaborate with fellow health works in the Cardiometabolic Risk professionals to tailor the nutrition focus for both the Program and General Services at client’s health needs but also for their own informed a multicultural community health centre within the CIUSSS West- decision desires. Central Montreal. The following the dietitians provide their perspective on supporting individuals with a What are some common misconceptions that you patient-centered focus: hear about healthy eating in your practice? • Piraveena Piremathasan, a dietitian who works The one thing I hear most frequently is how you have to in a Cardiometabolic Risk Program forego the pleasures of enjoying food when one lives • Christine Francis, a dietitian who works in a with diabetes or people living with diabetes can’t eat long-term care facility sugar or carbohydrates. As a result, the misinformation • Whitney Hussain, a dietitian who supports pushes people to cut out foods that have always been surgical and home tube feed clients in the part of their diet. The question I ask these clients is “are community you satisfied with the way you’re eating?” I believe we need to focus on balance and accepting all foods in our diets, without imposing labels on certain foods or eating patterns. All food is healthy as long as you are conscious of the choices you make in relation to your health motivators and values. As a dietitian, I emphasize on how eating can be both nourishing and a satisfying experience. 12 Nutrition Month 2021 Activity and Ideas Guide © Copyright Dietitians of Canada 2021. All rights reserved.
What challenges do you face while helping your clients find their healthy? RESOURCES Assumptions of our role as a dietitian can be a challenge The Diabetes, Obesity and Cardiovascular and that it is more than just providing basic nutritional Network is one of DC’s largest networks advice. Having a good line of communication with providing leadership and support to dietitians, our colleagues to discuss nutrition interventions in a providing innovative services, sharing collaborative way is important. knowledge and resources and facilitating collaborations. I often get referrals for restrictive diets to support my clients. If the interventions suggested by health For client resources and the latest in evidence- professionals differs from my assessment, it’s imperative based practice, visit pennutrition.com. There to have open conversations to understand the views are many culturally adapted handouts available, of the referring physician, provide my professional including on diabetes. thoughts and build a care plan tailored to the client. Find healthy eating resources on topics like When I work with a new client, my assessment includes diabetes at www.unlockfood.ca their medical history, medications, social supports, Here are some additional resources financial circumstances and food accessibility before recommended by Piraveena: deciding with them what the best approach is for their nutrition plan. I work with clients to personalize eating • Diabetes Canada patterns that fit their cultural and food preferences, • Diabetes Quebec financial situation and time constraints. It has always • Association of Diabetes Care & Education been a gratifying experience helping my clients ‘find Specialists their healthy’ based on their values, unique needs and • Diabetes Educators Calgary readiness. • Weight Neutral for Diabetes Care © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 13
What challenges arise when loved ones state that Christine Francis, RD, DDEPT the residents should be on an overly restrictive diet is a dietitian who works in a long- in order to be “healthy”? term care facility managed by This appears to be more common than not, both Extendicare Inc. when communicating with the residents’ loved ones, along with the circle of care. The notion that overly restrictive diets to manage and treat health conditions is a collective understanding, whereas recent research What does “healthy eating” mean in the context of has demonstrated the importance of liberalizing a long-term care setting? diets and oral intake in long term care (for example, In long-term care facilities, the focus shifts from treating discontinuation of a “diabetic diet” and focusing on acute illnesses and managing chronic diseases, to diabetic interventions instead). In turn, this creates an promoting quality of life. Each resident’s care plan and opportunity for the dietitian to provide education and goals are much different than the others, where one may awareness in regards to the impacts that restrictive require supplements to support their weight and oral diets may cause, along with outlining the importance intake, and others may require additional interventions of adequate nutrition and hydration. Therapeutic to maintain adequate hydration and normalize their diets are available, ordered as clinically required and electrolytes. Whether it is maintaining their current level assessed by the facility’s dietitian in collaboration with of functioning, ensuring they are still able to safely chew the interprofessional team with the resident’s care top of and swallow, or providing comforting foods, the wishes mind. and rights of the residents are always respected and considered. Because of the nature of living within a long-term care facility, and usually requiring assistance with the activities of daily living, residents often look forward to their mealtimes where they are able to dine together and enjoy a meal in a communal setting. Having a choice between menu options and entrees creates a sense of belonging and autonomy for the residents, while allowing them to still feel involved in their care and decision making. 14 Nutrition Month 2021 Activity and Ideas Guide © Copyright Dietitians of Canada 2021. All rights reserved.
RESOURCES The Dietitians of Canada Gerontology Network Whitney Hussain, RD is a dietitian is one of the largest DC networks. Whether who supports surgical and home tube feed clients in the community. you work in a hospital, long term care, or the community, this network will support your practice and skills to manage seniors’ health conditions and quality of life through nutrition. How is the Nutrition Month theme applicable to Related sessions available on DC’s Learning your practice? on Demand: When most of us think of the eating process, we think • Best practices for nutrition, food services of consuming food through our mouths. I have the and dining in LTC with Dale Mayerson privilege to work with individuals requiring tube feeding • Improving intake with self-directed dining where meals look a little different. I have worked with for residents in LTC with Stefanie Finch RD, many individuals in hospital but now privately in the Cathy Mesner RD and Suzanne Quiring RD community where they are experiencing a huge • Making the Most of Mealtimes (M3): transition from eating by mouth to primarily via tube. Improving food intake in long term care It’s overwhelming and scary, but my role is to bring with Natalie Carrier PhD, RD, Heather Keller normalcy to their new feeding routine! It’s not having PhD, RD and Christina Lengyel PhD, RD “feeds” but rather “meals” or “snacks.” It’s taking flushes • Diabetes management for older adults of water throughout the day like how we would sip with Jodi Crawford RD and Anar Dossa on fluids. It’s giving the client the choice of when they RPh, CDE want to eat rather than structured three meals a day. It’s providing all the options available to them for their administration of meals, via pump, gravity, syringe or a Here are some additional resources mix of them all. And it’s giving the client the choice of recommended by Christine conventional formulas or blended meals because they • Meal planning In Long Term Care And should have control over what nourishes their bodies. Canada’s Food Guide - Dietitians of Canada What does “healthy eating” mean in the context of • A Guide to Healthy Eating for Older a tube feeding? AdultsOverall recommendations and My goals of a “healthy” tube feed is ensuring they guidelines to support healthy eating in meet their nutritional needs. But that’s the easy part. older adults - UnlockfFood.ca The biggest challenge is the transition to adjusting to • Nutrition guidelines for seniors that are 65 feeding via tube when they are back home. As part of years and older - Alberta Health Services research I am involved with looking at the experiences • Summary of effects of following restrictive of tube feed users in the community and the anecdotal diets in older adults - PEN: Practice-Based experience from clients, common themes are trying Evidence in Nutrition to understand and navigate a confusing health care system and knowing who to refer to for advice. They are experiencing a medical diagnosis related to their reasons for tube feeding (like cancer, an accident, stroke) alongside learning a new method for feeding that involves medical equipment, new terminology and a new tube connected to them. That’s a lot to cope with all at once. They sometimes feel isolated since they feel they no longer can have meals with their loved ones like before, impacting their social connections. It brings me © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 15
so much fulfilment being able to see my clients become confident in their new way of eating, being independent, and working together to make their meals integrated in their lifestyle so it doesn’t impact their quality of life. This involves meeting and working with their loved ones to be part of the process so they too can better understand the user’s meals so it’s no longer an “uncomfortable” meal time experience and that this is just a different way to eat. And that the possibility of blending family meals is totally an option! Every time I work with a new client, they teach ME new tips and tricks and provide such immense insight on ways I can become a better healthcare provider. RESOURCES The Dietitians of Canada Home Care Network is a group of passionate members promoting the critical role of dietitians within the interdisciplinary home care teams across Canada. Not only can home care dietitians optimize nutrition intake of individual clients living at home, they can also help clients: maintain independence, reduce health care spending, and lower risks associated with malnutrition, tube feeds and falls. Here are some additional resources recommended by Whitney: • My Patient Refuses Commercial Tube Feed Formula, Now What? - DC Learning on Demand • Blenderized Feeding Options: The Sky’s the Limit - Practical Gastroenterology • Home Tube Feeding with Blenderized Foods - The Oley Foundation • Best Practices for Nutrition, Food Service and Dining in Long Term Care Homes - PEN: Practice-Based Evidence in Nutrition 16 Nutrition Month 2021 Activity and Ideas Guide © Copyright Dietitians of Canada 2021. All rights reserved.
Personal Circumstances Personal circumstances can also shape the nutritional which means there are many opportunities for dietitians needs of the Canadians who dietitians support and to work with this population. ensuring equity is critical. Advocating for social justice and considering factors that impact a client’s ability What assumptions do healthcare providers make to implement nutrition recommendations all play an when counselling patients with a disability? important part of nutrition care. From personal experience and conversations with others, weight stigma is prevalent among many The following the dietitians provide clinicians who assume that people with disabilities their perspective: don’t or can’t exercise and may unfairly blame someone’s mobility level and health status on their • Jackie Silver, person of disability advocating for weight. Clinicians should be aware how difficult it is for people with physical and intellectual disabilities people with disabilities to maintain their weight when • Irena Forbes and Karen Giesbrecht are dietitians they spend much of their time sitting (despite being working in community food and HFI advocacy physically active). Instead, providers can ask questions in Metro Vancouver & the Fraser Valley, BC like “what kinds of physical activity do you do?” or “what are you able to do in the kitchen in terms of cooking and food prep?” to obtain non judgemental insight. This is why I take a non-weight-centric approach with Jackie Silver, RD, is a dietitian who clients and would rather see them making sustainable advocates for people with physical behaviour changes which improve quality of life. and intellectual disabilities What can a dietitian do to meet accessibility needs of their clients? Why does this Nutrition Month theme resonate with you? Before meeting with clients, you can check to ensure your workplace is physically accessible (ramp and The Nutrition Month theme resonates with me because elevator; spaces are wide enough to accommodate people with physical (such as spinal cord injury or wheelchairs, accessible parking available). Inform cerebral palsy) or intellectual disabilities (such as autism the client in advance if the space has accessibility or Down’s Syndrome) have unique nutritional needs constraints and ask if there is anything you can do that often differ from the general population and thus to improve the experience. With COVID-19, most it is crucial to tailor nutrition advice to each individual. counselling has gone “virtual” which is much more Further, one in five Canadians over the age of 15 (about convenient for the disability population. 6.2 million people) has one or more kinds of disabilities -- © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 17
During the counselling session, come up with creative ways to problem solve. For instance, a client who is Irena Forbes, RD and Karen quadriplegic and has poor hand motor function may Giesbrecht, RD are dietitians have a hard time cooking but may love selecting working in community food and HFI recipes each week, which helps them get involved in advocacy in Metro Vancouver & the Fraser Valley, BC. their meal prep. A client experiencing chronic pain and fatigue may often not have the energy to prepare meals. Recommend simple, energy efficient ways to eat healthy by choosing nutritious frozen options or take-out from restaurants. It’s also important to keep in mind that Why does this Nutrition Month theme - find your individuals with disabilities may be struggling financially, healthy - resonate with you? so focus on making budget-friendly recommendations. There are some universal recommendations for nutrition, such as eating more fruits and vegetables, yet what is healthy and manageable for us can change TIPS TO IMPROVE ACCESSIBILITY OF in the different seasons of our lives. The COVID-19 NUTRITION ADVICE ONLINE pandemic impacts how we all cope. In addition, some These steps will make people with disabilities feel people care for multiple generations in their family. seen and included in your content: Some do not have access to a kitchen, or compromise the quantity and quality of food they consume because • Add an image description for those with they cannot make ends meet. visual impairments • Include captions on videos for people who The latter is known as Household Food Insecurity (HFI), are deaf or the inadequate or insecure access to food because • Include images of people with varying of financial constraints. This limits how people “find disabilities to be more inclusive their healthy.” Everyone has the right to adequate and personally acceptable food, but that is not the case for many in Canada, and beyond our borders. RESOURCES How can I understand the experiences of HFI when providing nutrition counselling? Here are some additional resources People experiencing HFI can be defensive about their recommended by Jackie: life and rightly so. Our vulnerable neighbours may • Position of the Academy of Nutrition and overindulge in shame and grief as they struggle to cope. Dietetics: Nutrition Services for Individuals Everyone has their unique strengths and faces their own with Intellectual and Developmental barriers. Start with being curious. As dietitians, we know Disabilities and Special Health Care Needs nutrition, but not our clients’ life experiences. Storytelling • Nutritional Health Considerations for and story-listening can be transformative. Persons with Spinal Cord Injury • How to make social media more accessible • Inclusive Design for Social Media: Tips for Creating Accessible Channels 18 Nutrition Month 2021 Activity and Ideas Guide © Copyright Dietitians of Canada 2021. All rights reserved.
• Language matters. Asking “where do you buy food?” assumes financial means. Instead, try RESOURCES “how do you access food?” The Household Food Insecurity Network • Ask about assets and constraints. Is there (HFIN) provides support to Dietitians of Canada space for food prep and storage? Or access to members who are involved in household transportation? food insecurity (HFI) and poverty reduction • Hydration is a good starting place for work by facilitating access to practice tools assessment. However, clean water may not be and resources, professional education and readily accessible, especially for individuals networking opportunities. The Network also without a home, or who live in remote supports DC advocacy work, as HFI is identified communities. as a priority issue. • Do not assume people have strong literacy skills and access to technology, or that a lack of income means there is a lack of education, Related sessions available on DC’s Learning budgeting skills, or food literacy. on Demand: • Address systemic inequalities including • Household food insecurity: How colonialism and racism that disproportionately should dietitians respond? with Delone impact individuals and communities Abercrombie MPH, RD and Donald Barker experiencing HFI. MA, RD • Advocate with clients for adequate income and • Applying research and advocacy to systemic changes, such as policies that provide household food insecurity with Joy jobs with livable wages and benefits. This is the Hutchinson MSc, RD, Mary Ellen Prange only way to address the root cause of HFI. MHSc, RD and Valerie Tarasuk PhD Abundant food and adequate income is a privilege. In response, we honour the resilience of those who live with the stress of poverty and its ripple effects. We may Here are some additional resources have good advice to give, but it will only help when our recommended by Irena and Karen clients have a secure home and the income to stock • Addressing Household Food Insecurity their kitchen cupboards. in Canada: Position Statement and recommendations - Dietitians of Canada • Proof Canada • Food Secure Canada © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 19
Sponsored What nutritional challenge facing Canadians today Isabelle Neiderer, RD would you like to highlight? is a dietitian with There is no doubt that there are many barriers to Dairy Farmers of Canada healthy eating. While some people over consume nutrients that are important to limit, Canadian diets are also often low in several essential nutrients crucial for health. Calcium, which is essential for optimal Why does the Nutrition Month 2021 theme bone health throughout life, is particularly important resonate with you? in this regard. Calcium intake from food sources has I have no doubt that the 2021 Nutrition Month significantly declined over an 11-year period between campaign will be very relevant to many people. CCHS 2004 and 2015 resulting in widespread Given the various cultures, food traditions, personal calcium inadequacy across the Canadian population. circumstances, preferences, preoccupations and Dietary calcium inadequacy affects an alarming 82%- nutritional needs, everybody is unique and so is their 86% of girls 9-18y, 66%-73% of boys 9-18y, 73-94% diet. Canadians also need the help of dietitians to cut of women 19-70y, 44%-64% of men 19-70y and more through all the nutrition misinformation and confusion than 90% of men and women 71+y. This decrease out there in order to best support their health. They in dietary calcium intake between 2004 and 2015 need practical tips and advice too on how to eat a in the population is associated with a decrease in healthy diet as they juggle the many pressures of daily the intake of milk products over that period. As we life. So this year’s campaign is sure to hit the mark encourage Canadians to eat healthful diets rich in and help guide Canadians toward healthy eating fruit, vegetables and other plant-based foods, let’s not decisions for themselves and their family. forget the importance of meeting essential nutrient needs for overall health and wellbeing. To find out more about this important topic and obtain other Do you have any suggestions for dietitians as they relevant information, visit dairynutrition.ca and the plan their Nutrition Month activities? resources offered by DFC in the DC digital exhibit hall Get involved any way you can because Canadians (Starting February 2021). need your trusted words of advice! To support the education efforts of dietitians across the country, How long has DFC been supporting Nutrition Dairy Farmers Canada (DFC) is pleased to offer an Month? impactful, educational poster again this year. In addition, we produced a series of digital versions DFC is proud to have supported the Nutrition Month featuring a diversity of individuals and meals that program for over 30 years. Encouraging Canadians showcase how the many factors that influence to eat well and live a healthy lifestyle is important to food decisions can be synonymous with healthful DFC and its team of registered dietitians. Research diets. The poster can be ordered in French and indicates that the Nutrition Month campaign motivates English, free of charge, on the DFC website at the majority of Canadians to improve their eating habits DairyNutrition.ca/2021. We also offer a number which makes this an important initiative to support. of wholesome recipes on Cookspiration and in There is also a natural fit with milk products given their the Nutrition Month Recipe e-Book (available at high nutritional value. I would like to wish every dietitian www.NutritionMonth2021.ca) to help people put a very successful Nutrition Month! nutrition advice into practice. People can also visit our website at DairyFarmersOfCanada.ca for more tasty and nutritious recipes. Furthermore, I invite everyone to visit our special website WhatYouEat.ca (French MonAlimentation.ca) for more exciting tools and information. We hope dietitians will find these resources useful. The content, planning and execution of Nutrition Month is protected by Dietitians of Canada’s Guidelines and Principles for Private Sector Relationships. The Nutrition Month Sponsor Prospectus is available on the Dietitians of Canada website 20 Nutrition Month 2021 Activity and Ideas Guide © Copyright Dietitians of Canada 2021. All rights reserved.
Activity and Ideas Make this the year you take part in the campaign! 2. Share the free Recipe e-book! This year may feel a little different as we advocate for Share the free, downloadable e-book containing our profession during the time of a pandemic. There are 15 nourishing recipes, hand-picked by dietitians many ways to share Nutrition Month content to engage to celebrate Nutrition Month 2021. Available from those around you, to promote dietitians, the value NutritionMonth2021.ca you bring in your workplace and your community… • Consider printing colour copies of the recipe but virtually! Plan a Nutrition Month activity using the e-book and mailing to your social media resources available at NutritionMonth2021.ca and followers as a giveaway prize! included in this guide. • Share a link to the resource in your workplace’s newsletter 1. Get social! Adapt the posts in the Nutrition Month 2021 Social 3. Try a new recipe! Media Toolkit, or create new content using the In addition to the recipe e-book, there are new recipes story ideas in this guide for social media or for your for Nutrition Month in Cookspiration that are perfect newsletters and websites. Don’t forget to include for sharing! Cookspiration is a free, bilingual app and #NutritionMonth in your tweets and direct your followers website from Dietitians of Canada. to www.nutritionmonth2021.ca Cookspiration.com • Find graphics sized for use on websites, email • Organize a virtual cooking class featuring one signatures and social media banners in the of the recipes Nutrition Month resource on Dietitians.ca • Work with your cafeteria to feature and promote • Follow @DietitiansCAN and @UnlockFoodCA a recipe weekly to see a digital campaign that promotes • Make recipes at home and post the results dietitians, starting in March! on your social media channels using the #NutiritionMonth hashtag Share photos with the DC community by tagging • Download and promote the Cookspiration app @DietitiansCAN and using #NutritionMonth with your patients and clients © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 21
4. Give a (virtual) presentation! discuss key issues. Share photos and proclamations on Our presence has pivoted to being virtual during this social media with the hashtag #NutritionMonth. Sample time so consider ways to engage the public in an online proclamation templates can be found in the Nutrition setting: Month Resources on Dietitians.ca. • Virtual presentations to organizations or your workplace 9. Start a celebration • Virtual cooking classes using recipes from the Dietitians Day falls on March 17, 2021. It’s the perfect Nutrition Month recipe e-book, Cookspiration. time to promote the profession. Use social media to ca wish your dietitian colleagues a happy #DietitiansDay • Provide brief nutrition tid-bits through Instagram and to educate Canadians about our profession. Don’t or Facebook lives, or develop an educational forget to organize a virtual video get-together with your video for TikTok local dietitians and to join the DC webcast! • Share your personal dietitian story and how you help your communities find their healthy 10. Start a conversation through a YouTube video or Instagram post Dietitians are important members of interprofessional teams and have a significant impact on the health 5. Write about it! of patients, clients and communities. Take action by Get inspired by the Dietitian interviews and story ideas connecting with doctors, other health care providers featured in this guide to write articles for your workplace and community leaders to discuss the types of clients newsletter, website, blog or social media accounts. with whom you can have the most impact and the best Ask your Human Resources or Communications way to refer them to you. Connect with your HR department to share it on your work’s intranet site or representatives and colleagues to ensure dietitian communications bulletin. You can also submit an article services are covered in your workplace extended to a community newspaper to share the message on a health benefits! wider scale! 6. Share at your workplace! Use content from the Suggested Resources and the ADVOCACY TOOLKIT Social Media Toolkit as inspiration to write tips to share (FREE FOR DC MEMBERS) in the elevators, lunchroom, stairwells, water-cooler area, When someone asks what it’s like to be a dietitian, cafeteria, common room, staff bulletin board or your how do you answer? You might tell them about a work’s intranet site. Or organize a virtual wellness activity client that made great strides in improving health with your colleagues to share the Nutrition Month because of your advice, or the critical role you play theme. Direct people to NutritionMonth2021.ca for more in a hospital patient’s recovery. Maybe your story is information! about working with community partners to increase access to healthy food or teaching food skills to 7. Share via email! young children. You can promote Nutrition Month with every email you send! Add a graphic found in the Social Media Toolkit Stories are an important part of making an to your email signature and you’ll be sharing Nutrition emotional connection with decision-makers to Month messages every time you press “send.” advocate for policy change, while also inspiring other dietitians on their professional journey. The 8. Organize a proclamation Advocacy Toolkit is a collaborative learning space to learn the skills to influence change. Access the Take the lead and reach out to local politicians to Toolkit at Dietitians.ca/advocacy and share your arrange an official proclamation for Nutrition Month stories in the discussion forum. and/or Dietitians Day (which is March 17, 2021) and to 22 Nutrition Month 2021 Activity and Ideas Guide © Copyright Dietitians of Canada 2021. All rights reserved.
Suggested Resources In addition to the resources at NutritionMonth2021.ca and those suggested throughout this guide, use the resources from UnlockFood.ca to remind Canadians that Dietitians can help them find their healthy! Culture and Food Traditions Personal Circumstances All about homemade baby food Nutrition tips for shift workers Managing family meals Tasty meals when cooking for one Cooking with kids 10 tips for planning meals on a budget Cooking with kids of different ages About Dietitians Health Conditions How can I find a dietitian near me? Eating well with Celiac disease What can I expect when I go and see a dietitian? 10 heart healthy kitchen tools Is there a difference between a dietitian and a Diverse Foods and Flavours: Healthy Diabetes nutritionist? Recipe Booklets Top 5 reasons to see a dietitian Healthy habits to cope with stress What kind of training and education does a dietitian Allergies and Intolerances have in Canada? © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 23
Story Ideas For Newsletters, Local Media, Social Media and Blogs Every year, dietitians, students and others share Referencing Materials hundreds of stories during Nutrition Month that are If you use or adapt Nutrition Month materials, please add evidence-based, practical, helpful and often include this reference note: recipes to illustrate a point. Writing an article for your workplace newsletter, website, blog or creating content Adapted from the Dietitians of Canada’s Nutrition Month for social media is a great way to promote healthy eating materials. Find more information about Nutrition Month habits and to help others become familiar with the role at NutritionMonth2021.ca and value of a dietitian. What will you write or post about this year? HERE ARE SOME TOPIC IDEAS TO SPARK YOUR CREATIVITY! You can refer to the resources in this guide, including the suggested resources list, to support your content! If you are planning a media segment or column for Culture and Food Traditions your local newspaper, contact media@dietitians.ca for • Why does this Nutrition Month theme resonate suggested key messages and additional information. with you? • How do culture and food traditions influence How to amplify your content conversations you have with clients or communities? • Ask the Human Resources or Communications • How can resources and tools be adapted to department at your workplace to share articles meet the needs of clients or communities? on the intranet site, social media channels or • What assumptions do health care providers communications bulletin. make when giving food and nutrition advice? • Submit an article to your community newspaper • How can dietitians help parents talk to their kids • Write a blog post and share it on social media about racism and food? and tag @DietitiansCAN • What does the expression “Don’t Yuck my Yum” • Create a vlog, Instagram story or Facebook live mean? • Contribute your piece to an established blog or • How can Canada’s food guide plate be applied website to different styles of eating? 24 Nutrition Month 2021 Activity and Ideas Guide © Copyright Dietitians of Canada 2021. All rights reserved.
Health Conditions Personal Circumstances • If you could tell Canadians one thing about • What are common misconceptions about healthy eating this Nutrition Month, what would “healthy eating” it be? • What are assumptions healthcare providers • What might surprise Canadians about your area make when counselling patients about food of practice? and nutrition how can they be avoided? • What challenges do you face while helping • What questions do you ask to ensure your your clients ‘find their healthy’? advice meets the needs of your clients? • What does patient or client centered care look like in your area of practice? About Dietitians • How do you decide which dietary pattern is best for your client? • How can I find a dietitian near me? • How do you counter assumptions about • What can I expect when I go and see a dietitians in your field made by other health care dietitian? providers? • Is there a difference between a dietitian and a nutritionist? • Top 5 reasons to see a dietitian • What kind of training and education does a dietitian have in Canada? • Where do dietitians work and what do they do? • Are dietitians covered by employee health benefits? © Copyright Dietitians of Canada 2021. All rights reserved. Nutrition Month 2021 Activity and Ideas Guide 25
GOOD FOR YOU. Dietitians Help You Find Your Healthy. Visit NutritionMonth2021.ca for more resources and information Dietitians of Canada / Les diététistes du Canada 99 Yorkville Ave, Second Floor Toronto, Ontario, Canada M5R 1C1 T H A N K Y O U TO TEL : 416.596.0857 THE NUTIRITION FAX : 416.596.0603 MONTH OFFICIAL Email : contactus@dietitians.ca SPONSOR: www.dietitians.ca | www.dietetistes.ca
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