Anamnese nutricional ampliada e projeto dietoterapêutico singular: propostas metodológicas para o cuidado nutricional ampliado

Abstract

Epistemologically, biomedicine has influenced clinical nutritional care. In that model, nutritional care is intended to treat physical signs and symptoms in quantifiable terms. Many professionals are guided in their practice through guidelines nutritional prescriptions, with little assistance to subjects in their food choices, Above all, it does not refer to co-responsibility and autonomy in food care. You methods used in contemporary nutritional clinical practice, such as anamnesis and surveys consume, does not allow the individual to express their perceptions about nutrition, health, body, needs, life projects, among others. Therefore, this work visa develop two methodological instruments for an expanded approach to care nutrition, in this case an Expanded Nutritional Anamnesis (ANAM) and a Project Singular Diet Therapy (PDS). An anamnesis model used in an undergraduate course in nutrition, expanding it through reorientation in the light of light expanded clinical nutrition conception. Both ANAM and PDS, in addition to functioning as important tools for nutritional diagnosis, they can also facilitate professional understand the meanings that the subject presents about their diet, their health, your body, your world and the process of care. However, you need to know how to listen what is here, knowing how to observe non-verbal language, knowing how to silence when necessary and consider all these elements, together with technical knowledge, during care nutritional. The results obtained in this work offered to subsidized nutritionists methodologies for the construction of critical-reflective food and nutritional care, integral, shared and dialogical, with a view to effectively meeting the demands and expectations of the person being cared for.