Transcript
Page 1: Fuel Your Body...Conversation starters The Fuel Your Body conversation starters can help to open a dialogue with older adults about eating well and staying hydrated. The conversation

Fuel Your Body Educator Toolkit

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Table of Contents

Fuel Your Body key messages: ................................................................................................... 3

Session Plan Outline .................................................................................................................... 3

Fuel Your Body Toolkit Resources .............................................................................................. 4

Session One: Why fuel your body? ............................................................................................. 5

Activity 1. Why fuel your body?.................................................................................................. 6

Activity 2. What is nutritious food? ............................................................................................ 6

Session Two: Alcohol and hydration .......................................................................................... 7

Activity 1. Staying hydrated ...................................................................................................... 8

Activity 2. Alcohol: What is a standard drink? ............................................................................ 8

Session Three: How to fuel your body ...................................................................................... 10

Activity 1. How to fuel your body ............................................................................................. 11

Session Four: Case studies and review .................................................................................... 12

Activity 1. Case studies- nutritional intervention ...................................................................... 12

Activity 2. Quiz ....................................................................................................................... 13

References .............................................................................................................................. 14

Please Note: This toolkit is designed to assist health professionals and community workers to

deliver presentations to older adults. The content used within the toolkit is based on evidence which

targets older adults who live in the community. Should this resource be used in other settings or

with a different target audience, the content and delivery may need to be modified to align with the

evidence for that target audience or setting. Please refer to the Australian Commission on Safety

and Quality in Health Care’s Falls Prevention Best Practice Guidelines for further information.

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Fuel Your Body Key Messages:

Eat regular meals and snacks to stay strong and fuel your body

Make sure every meal or snack is made up of nutritious foods from the five food groups

to keep your body working well

Drink more water to help you stay healthy and active

Drink less alcohol to keep your brain and body healthy

Session Plan Outline

• Introduce yourself

• Why fuel your body?

• What is nutritious food?

Session One:Why fuel your body?

10 minutes

• Staying hydrated

• Alcohol: what is a standard drink?

Session Two: Alcohol and hydration

10 minutes

• Brainstorm: How to fuel your body

Session Three: Barriers to fuelling

your body

10 minutes

• Case studies- nutritional intervention

• Quiz

Session Four: Case studies, summarise

and review

10 minutes

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Fuel Your Body Toolkit Resources

PowerPoint Presentation

The Fuel Your Body PowerPoint is available for download. This can be used during the session and

the slides can be changed according to the information you are presenting. The PowerPoint can

guide you through the session and help to emphasise the key messages. You may also print it for

yourself and participants if you do not have access to a projector.

Fuel Your Body Booklet

The Stay On Your Feet® team have developed a Fuel Your Body booklet which is a guide to eating

well to keep the brain and body healthy and to prevent falls. The resource provides practical tips on

how older adults can fuel their body with nutritious foods as well as easy to follow recipes.

Distribute these resources to participants to support your presentation and encourage them to read

them and have a go at cooking the recipes. The resource can be ordered from ICCWA Quickmail.

Evaluation Forms

Evaluating your presentation helps you and the Stay On Your Feet® team to gauge what the group

have gained from attending, what worked well and what can be improved. Evaluation forms have

been provided for you to use. You and the group will also have the opportunity to win a prize if you

return your evaluation forms to the Stay On Your Feet® team.

Conversation starters

The Fuel Your Body conversation starters can help to open a dialogue with older adults about

eating well and staying hydrated. The conversation starters propose five questions to help you

begin the conversation.

Media Kit

The Fuel Your Body Media Kit provides a media release template and associated information to

help plan for and promote your workshop to the community. The media kit outlines what to do

before and after a session and how to promote your session. Download the kit and start planning

and promoting your presentation.

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Session One: Why fuel your body

Resources to be used in this session

Fuel Your Body PowerPoint slides 1-8 (printed or projected)

Whiteboard and whiteboard pen (if available)

Printed copies of the Five Food Groups Activity

Background information for you

Start by introducing yourself to participants. Encourage participants to write notes on their Fuel Your

Body Booklet regarding actions they may want to take following the workshop.

If within the budgetary and time constraints, we encourage you to prepare a healthy

morning/afternoon tea to encourage the participants to eat nutritious food while partaking in the

presentation (e.g. fruit/vegetable platter).

Falls are not a normal part of ageing; they are preventable. Slips, trips and falls are a concern

among our ageing population with approximately one in three people over the age of 65 having a

fall each year1. Falls are the leading cause of injury and hospitalisation for people over the age of

65, with at least 10% resulting in a serious injury or death2.

Many older adults are at risk of malnutrition3. Nutrition Australia report that a reduced appetite and

difficulties accessing healthy foods can create challenges for older adults in getting enough

essential vitamins, minerals and fibre4. Older adults with poor nutrition have higher mortality rates,

reduced quality of life, reduced muscle mass and strength, reduced ability to perform activities of

daily living, risk of additional illness and they experience longer recovery times than well-nourished

peers5.

Older adults are encouraged to eat nutritious foods from all five food groups and keep physically

active to help maintain muscle strength and a healthy weight6. Nutrition Australia4 encourages older

adults to “use every meal and snack as an opportunity for maximum nutrition and find ways to

improve their diet to fit with their personal tastes, ability and lifestyle”. Eating regular meals from all

five food groups will help you to get the right amount of energy and essential vitamins and minerals

the body needs to function all day long.

The five food groups include:

Grains

Vegetables

Fruit

Dairy

Lean meats and poultry, fish, eggs, tofu, nuts, seeds and legumes/beans.

• Why fuel your body?Session One:

10

minutes

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Activity 1. Why fuel your body?

Why is good nutrition important for healthy ageing? Why should you be eating regular

meals or snacks?

1. Discuss amongst the group and remember to bring it back to the importance of eating well

to keep the brain and body healthy. Remember to engage with the group and prompt

where necessary.

2. The PowerPoint slides will guide the conversation and can provide answers after the

discussion has concluded.

Activity 2. What is nutritious food?

Show slide 6 projected onto a screen or print out a copy of the table. If a

PowerPoint/projector is not available, hand out a copy to everyone.

1. Explain the five food groups outlined in the Australian Dietary Guidelines and discuss the

foods which make up each group.

2. Emphasise to the group the importance of eating regular meals and snacks from all five

groups.

3. Hand out a copy of the ‘Five food group activity’ to all participants. Ask participants to

record their favourite foods or meals for each of the five food groups. Challenge the

group to see who has favourite foods from each food group section.

4. Ask the group if anyone has any sections with no favourite foods/meals? Can they think

of a meal they might like to cook or taste?

Hand out the Fuel Your Body resource book to the group and encourage the group to

read through it after the session or with some friends and family. Discuss the practical

tips for fuelling your body and the easy to cook recipes on the back.

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Session Two: Alcohol and hydration

Resources to be used in this session

Fuel Your Body PowerPoint slides 9-14 (printed or projected)

White board and whiteboard pen (if available)

Optional- Department of Veteran Affairs Standard drinks glass and resources

Background information for you

In this session you will discuss with the group the importance of staying hydrated and drinking less

alcohol to keep the brain and body healthy. The PowerPoint slides will help to guide the

conversation and provide answers after the brainstorm/discussion has slowed.

The body needs water to stay hydrated, aid digestion, and maintain blood volume4. Nutrition

Australia recommends that older adults should aim to drink at least 6 times a day and consume

more water when exercising or feeling the heat4. Your body may need water, even if you don’t feel

thirsty4. Not drinking enough water may lead to dehydration, confusion and dizziness7.

Older adults over 65 years are encouraged to limit their alcohol intake as drinking can pose a risk8.

Older people are more vulnerable to the effects of alcohol due to changes in their body composition,

decreased metabolic capacity, the presence of chronic health conditions and medications9. It is

recommended that those with chronic health issues or taking certain medications speak to their GP

before drinking alcohol9.

What is a standard drink? A standard drink is any drink containing 10 grams of alcohol. One

standard drink always contains the same amount of alcohol regardless of container size or alcohol

type, whether that is beer, wine or spirit10.

One standard drink is approximately:

285 mL of full strength beer (4.8% alc. vol)

375mL of mid strength beer (3.5% alc.vol)

425 mL of low strength beer (2.7% alc. vol)

100 mL of wine (red - 13% alc. vol, and white – 11.5% alc. vol)

100 mL of champagne (12% alc. vol)

30 mL of spirits (40% alc. vol)

275 mL bottle of ready-to-drink beverage (5% alcohol content)

• Alcohol and hydrationSession Two:

10 minutes

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Activity 1. Staying hydrated

What is hydration? Why is it important to stay hydrated? What do you do or what

could you do to remind yourself to stay hydrated throughout the day? (Get participants

to think about specific tips or cues to remind themselves to consume water throughout the

day)

1. Discuss the above questions with the group and prompt if necessary.

2. Option: Ask a volunteer to write answers on a whiteboard.

3. PowerPoint slides will guide the conversation and answers/tips can be shown on the

PowerPoint slides after the discussion. The PowerPoint slides may also prompt exploration

of any key points that were missed during the discussion.

Tips for staying hydrated:

Carry a bottle of water with you and drink from it regularly.

Start and end the day with a cup of water.

Keep a full bottle of water in the refrigerator door and take a drink every time you open the

refrigerator.

Know the signs of dehydration, which include weakness, confusion, dizziness/headaches,

dry mouth, sunken eyes and decreased skin elasticity, fatigue and lethargy, rapid heart rate,

low blood pressure and dark urine11.

Have a glass of water with every meal.

Activity 2. Alcohol: What is a standard drink?

The Department of Veterans’ Affairs provide The Right Mix Alcohol Resources, including standard

drink glasses, which could assist with this activity. To find out more or to order resources online

visit http://at-ease.dva.gov.au/online-ordering/#theRightMixCollapse.

Activity instructions

1. Place 3 glasses (a wine glass, a beer glass and a tumbler) and a jug of water on a table

where everyone can see them. (Alternatively, you could use the Department of Veterans’

Affairs glasses).

2. Ask for a volunteer from the group to pour what they estimate to be a standard glass of wine,

full strength beer and a spirit.

3. Repeat for any group participants who would like to participate in the activity.

4. If no one volunteers from the group pour the drinks yourself and ask the group to tell you

when to stop.

5. Pour a standard drink into each glass (have exact measurements waiting on the side; see

information in the Background information for you section above) and compare with the

previous pours and discuss amongst the group.

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Why is it important for yourself and older adults to reduce or limit their alcohol

consumption? What can older adults do to drink less alcohol and keep their brain and

body healthy? (Encourage older adults to think of practical tips to reduce alcohol

consumption)

Tips for drinking less alcohol:

Keep less alcohol in the house.

Avoid filling up wine glasses fully.

Drink slowly.

Have one drink followed by a glass of water.

Add ice or water to your drink.

Eat before, and while, you drink alcohol.

Do not replace meals with alcohol.

Seek advice from your GP if necessary.

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Session Three: How to fuel your body

Resources to be used in this session

Fuel Your Body PowerPoint slide 15-17 (printed or projected)

Background information for you

Begin the session by discussing barriers to fuelling your body and getting the appropriate nutrition

your body needs. Ask the group to identify potential barriers and then also discuss solutions to

overcoming these with the group.

Barriers to Fuel Your Body

Barrier How to overcome

Knowledge - Take a local cooking class through Foodbank, FoodRedi or Jamie’s Ministry of

food

- Contact your local government to find out if they have any nutrition or

wellbeing classes

- Speak to your GP or a dietitian

Motivation - Cook for or with a friend/family

- Cook your meals for the week ahead and freeze

- Get creative and try something new

- Cook your favourite recipe from television

Cost - Cook your meal from scratch rather than buy pre-packaged food

- Buy foods in bulk or on special

- Stock your pantry with essentials

- Buy foods in bulk or on special

- Write a list before you shop and make sure you stick to it

- Visit your local farmers markets

- Build your own vegetable and herb garden

- Try a meatless meal and eat beans or wholegrains instead

• How to fuel your body

Session Three:

10 minutes

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Barriers to Fuel Your Body

Barrier How to overcome

Skills - Prepare easy meals that don’t require cooking such as salads or

sandwiches/wraps

- Cook on the barbecue

- Cook with a friend/ask a friend for help

- Take a cooking class

Physical

disability

- Home and Community Care (HACC) Services: meals on wheels etc.

- Ask a friend or family member to help

- Prepare meals that are quick and don’t require much cooking

Limited

access to

food or

supermarkets

- Find out about HACC services

- Learn about local public transport routes

- Go to the shops with friends or family

- Enquire about home delivery services from your supermarket

Medication

and side

effects

- Ask your GP or pharmacist for a medication review

Dentition - Speak to your GP or dentist

- Try eating softer foods such as smoothies or soups or try blending your food.

Table 1. Barriers to Fuel Your Body

Activity 1. How to fuel your body

What are some of the barriers older adults might experience to fuelling their body and

eating regular nutritious meals from all five food groups? What can older adults do to

overcome these barriers and eat nutritious food from all five food groups?

1. Discuss amongst the group. Ask a volunteer to write the answers on a white board.

2. Encourage participants to think of their own solutions to overcoming these barriers.

(Prompt if necessary).

3. Answers can be shown on the PowerPoint slide after discussion has slowed to see how

many barriers were identified and potential solutions. Discuss any missed points with the

group.

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Session Four: Case studies and review

Resources to be used in this session

Fuel Your Body PowerPoint slides 18-27(printed or projected)

Case study resource

Evaluation forms

Background information for you

Begin the session by showing slides 18-22: case studies. Read through each case study with the

group and ask them what they would recommend or suggest to improve nutritional outcomes for

each case and to help them fuel their body. Encourage discussion amongst the group and prompt

where necessary.

Summarise and review the session and ask the group to have a think about what they can do to

ensure they are eating regular meals from a variety of foods groups, limiting alcohol and staying

hydrated to remain healthy and independent.

Review the Fuel Your Body resource and encourage participants to have a go at making the recipes

at the back of the book. Try to talk again about the key messages you want your audience to

remember:

• Eat regular meals and snacks to stay strong and fuel your body

• Make sure every meal or snack is made up of nutritious foods from the five food groups to keep

your body working well

• Drink more water to help you stay healthy and active

• Drink less alcohol to keep your brain and body healthy

A quiz can be a great way to test people’s knowledge and see how much information has been

absorbed. Depending on time you can ask people to call the answers out or write them down on a

notepad to review at the end.

Activity 1. Case studies- nutritional intervention

Activity instructions

1. Show PowerPoint slides 18-22 or hand out a printed copy if PowerPoint is not available.

2. Read through the case study with the group.

• Case studies and review

Session Four: 10minutes

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What do you recommend or what would you suggest to ensure they (case study) are

eating regular meals from all five food groups to fuel their body?

1. Discuss amongst the group. Encourage participants to think of their own solutions for

each case study. (Prompt if necessary).

2. Answers can be shown on the PowerPoint slide after discussion has slowed. (Discuss

any missed points with the group).

Activity 2. Quiz

We will now have a quiz to see who recalls the information we have learnt today.

1. Show PowerPoint slide 23.

You can either ask the group to call out the answers or everyone can complete the quiz

individually and write the answers on a note pad to review at the end. You can use the

questions below or come up with your own.

List the five food groups.

What are three tips/strategies to help you drink less alcohol?

What are three ways to ensure your body is fuelled?

What might happen (symptoms) if you don’t drink enough water?

What are two tips for staying hydrated?

Review answers and discuss with the group.

Review the Fuel Your Body resource with the group once more and encourage participants

to have a go at cooking the recipes on the back. If they are not confident cooking by

themselves, suggest they invite family or friends over to help.

Thank the group for attending and distribute and explain the evaluation forms.

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References

1. World Health Organisation. Global Age Friendly Cities: A Guide. Geneva: World Health

Organisation; 2007. Available from

http://www.who.int/ageing/publications/Global_age_friendly_cities_Guide_English.pdf

2. Australian Institute of Health and Welfare. Australia’s health 2012. Australia’s health series

no.13. Cat. no. AUS 156. Canberra: AIHW. 2012. Available from

http://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=10737422169

3. Kaiser MJ, Bauer JM, Rämsch C, Uter W, Guigoz Y, Cederholm T, Thomas DR, Anthony

PS, Charlton KE, Maggio M, Tsai AC. Frequency of malnutrition in older adults: a

multinational perspective using the mini nutritional assessment. Journal of the American

Geriatrics Society. 2010;58(9):1734-8.

4. Nutrition Australia [Internet]. Nutrition and older adults [updated 2013 Sept; cited 2017 Jan

4]; available from: http://www.nutritionaustralia.org/national/resource/nutrition-and-older-

adults

5. Hamirudin A, Charlton K, Walton K. Outcomes relating to nutrition screening in community

living older adults. Archives of Gerontology and Geriatrics. 2016; 62 9-25.

6. National Health and Medical Research Council. Australian Dietary Guidelines; 2013.

Canberra. Available from

https://www.eatforhealth.gov.au/sites/default/files/files/the_guidelines/n55_australian_dietary

_guidelines.pdf

7. McGuire M, Beerman A. Nutritional Sciences: From fundamentals to food. Wadsworth; 2013.

Pp. 627.

8. National Health and Medical Research Council. Australian Guidelines: to reduce health risks

from drinking alcohol. Canberra: Commonwealth of Australia; 2009. 181p. ISBN.

1864963808. Available from

https://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/ds10-alcohol.pdf

9. Aira M, Hartikainen S, Sulkava R. Community prevalence of alcohol use and concomitant

use of medication – A source of possible risk in the elderly aged 75 and older? International

Journal Geriatry Psychiatry. 2005. 20: 680–85.

10. National Health and Medical Research Council. Australian Guidelines to Reduce Health

Risks from Drinking Alcohol 2009. Commonwealth of Australia, Canberra.

11. Keller M. Defeating Dehydration- Patient Monitoring is Key. Ageing Well. 2010: 3(4): p. 24.

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