Part 1: Assessment
Weight | Activity | Variety | Excess

Excess

Look at the patient's typical intake.  Is patient eating too much:

Fat?  Saturated fat?
Calories?
Sugar?
Alcohol?

• Ask about serving/portion sizes, preparation methods and added fats, like butter, mayonnaise, sour cream, salad dressing, etc.
  
• Does patient eat 4 or more meals from sit-down or take-out restaurants/week?
  
• Is patient's weekend eating much different from weekday eating?

Discuss with the patient:

• "How do you think what you eat and how you exercise affect your health?"
  
• "What do you think is positive/negative about the way you eat?"
  
• If patient needs to improve eating and/or activity habits, assess willingness to make changes.
  
  How to assess excess.

Part 2: Recommendations

The WAVE nutrition pocket guide was developed by Claudia Barner PhD, RD, Judith Wylie-Rosett EdD, RD, Kim Gans PhD, MPH, LDN and members of the Patient and Practice Resources Committee, NIH Nutrition Academic Award with funds from NIH NAA grant HL03924.