INCLUSIVE EDUCATION PRACTICES FOR TEACHERS AND TRAINERS.pptx
NFMNT Chapter 4 Manage Food Allergies, Complementary, and Alternative Medicine
1. Nutrition Fundamentals and Medical
Nutrition Therapy
Manage Food Allergies, Complementary,
and Alternative Medicine
Corresponds with
LEARNING PLAN 4
Copyright 2016 Association of Nutrition and Foodservice
Professionals
2. Objectives
Describe common food allergies and discuss dietary
implications
Define alternative therapies
Identify risks and benefits of alternative therapies
Classify use of alternative therapies in long-term and
acute care
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
3. Objectives
List questions to ask in evaluating dietary supplements
and other complementary and alternative treatments
Explain the concepts of absorption and availability of
nutrients
Identify the role of basic nutrition concepts in assessment
and implementation of complementary and alternative
therapies
Explain the role of the Certified Dietary Manager for
assisting clients in alternative therapies
Differentiate between an allergy and a food intolerance
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
4. Food Allergies and Intolerances
Food Allergies occur when the immune system targets a
harmless food protein such as wheat
» IgE is released as well as histamine
Food Intolerances are not true food allergies because
there is no IgE immune response
Only about 4% of the adult population have a clinical
diagnosis of a food allergy
5% of children (1 in 13) have a clinical diagnosis of a food
allergy
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
5. Food Allergies and Intolerances
Allergic reactions can affect one or more body systems
» Skin – rash or hives
» GI Tract – nausea or vomiting
» Respiratory tract – difficulty breathing
» Cardiovascular system – affecting the heart
Anaphylaxis
» Potentially life-threatening allergic reaction requiring
immediate treatment
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
6. Common Food Allergens
There are eight top allergens in the USA that account for
90% of food allergies
» Federal law requires food allergy labeling of these eight foods
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
Egg Fish
Shellfish Milk
Peanuts Tree Nuts
Soy Wheat
7. Brain Break
Cross-contact is often a
cause of food allergies. List
some ways to avoid cross
contact in foodservice.
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
» Never remove a sandwich filling
and reuse the bread for another
type of sandwich
» Use separate tongs for foods
causing allergies
» Thoroughly wash hands after
handling foods causing allergies
» Thoroughly wash deli slicers
between meat and cheese
slicing
» If a client has a nut allergy, use
extreme precaution with nut
butters, nut oils, nut toppings or
don’t use them at all
8. Common Food Allergens
Wheat allergy vs gluten intolerance
» Wheat allergy causes an IgE mediated response
» Gluten intolerance is a digestive disease
Common sources of gluten in the diet
» Wheat products: Bulgur, durum wheat, farina, triticale,
graham flour, matzo flour, wheat germ, wheat starch, bran
» Barley products: Barley, barley malt, barley malt extract
» Orzo, panko, seitan, udon, farro
» Pasta made from semolina
» Hydrolyzed vegetable protein (HVP)
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
9. Allergy Treatment and Managing
Reactions
Best way to avoid a food allergy is to avoid the food
allergen
Role of the Certified Dietary Manager
» Follow the Rule of 3 for reading the label/ingredients
1. Before ordering
2. When unloading/putting away product
3. Before starting a recipe or serving a food
» Have an established policy for documenting food allergies
and procedures for care
» Ensure there is no cross-contact
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
10. Brain Break
What is the best type of utensil and work surface to avoid
cross contact of allergens?
» Stainless Steel
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
11. Two Approaches to Medicine
Conventional medicine
Traditional or mainstream medicine
» Science used by physicians(Medical Doctors—MDs and
Doctors of Osteopathy—DOs), as well as allied health
professionals, as they are trained in the Unites States.
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
12. Two Approaches to Medicine
Alternative practices
» Complementary and alternative approaches
- Complementary and alternative medicine (CAM)
» Diverse systems, practices and products not part of
conventional medicine
- Acupuncture
- Ayurveda
- Homeopathic
- Naturopathic
» Check out the National Center for Complementary and
Integrative Health for recalls, tainted products and other
alerts
- http://nccam.nih.gov/news/alerts/
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
13. Types of CAM
Alternative medical systems
Mind-body interventions
Biologically based therapies
Manipulative and body-based methods
Energy Therapies
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
14. Herbs and Dietary Supplements
‘Natural’ does not necessarily mean safe
‘Dietary Supplement’ has a specific definition by the FDA
1994 legislation determined dietary supplements are
considered foods, not drugs; making them not subject to
the same rigorous controls as prescription and over-the-
counter (OTC) drugs.
Safe and effective dosages are not well established
Risk of overdose for several dietary supplements
Potential for drug (supplement) interaction
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
15. CAM Therapy
Do not automatically dismiss CAM therapy
Respect individual preferences
Encourage full disclosure of CAM therapies your client
may be utilizing
Carefully evaluate CAM according to scientific research
and accepted practice
Consider potential for fads, frauds, and quackery
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
16. Brain Break
A client has a diagnosis of A-fib/AF (arterial fibrillation) of
the heart and is on a prescription blood thinner. The
client also lists an OTC supplement of Ginkgo. What are
the possible risks or side affects of combining these two?
» Ginkgo can interfere with the action of the anticoagulant
medication that could result in excessive bleeding.
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
17. The Role of the Certified Dietary
Manager
Recognize individual rights of clients to choose their own
care
Respect individual preferences
Communicate with clients and the entire healthcare team
about CAM therapies, especially the use of dietary
supplements
Inform clients of possible risks; help to educate
Nutrition Fundamentals and Medical Nutrition Therapy • Managing Food Allergies, Complementary, and Alternative Medicine •
Learning Plan 4
Notes de l'éditeur
Symptoms for allergies and intolerances can be similar and can intolerances can be underdiagnosed
The immune system also releases histamine and other chemicals, which trigger the symptoms of an allergic reaction. Common
response time for this immune response can span from immediately to several hours after exposure.