Module 2 - Client Consultation Process

Question 1

The Five-Step Consultation

Answer 1

1. Initial Interview
   - Determine you can help the client and build rapport
2. NAQ and Food Journal
   - Gather symptom and dietary information
3. Functional Evaluation
   - Gather clinical information
4. The Plan/Nutritional Recommendations
   - Communicate recommendations
5. Follow-up Sessions
   - Monitor and track progress

Question 2

What is the initial interview?

Answer 2

provides the opportunity to build rapport with your client and gather the information you need to understand their health concerns.

Question 3

steps for initial interview

Answer 3

• Introduce yourself to the client and
  provide information on your
  background and training.
• Review and sign the Disclaimer.
• Discuss the consultation process:
  – Looking for the cause of the concern
  – Determining how nutritional therapy can
  improve his/her health
• Play detective
  -Practice the art of listening
  – Seek to understand the client and their
  health concerns
  – Focus on the client when s/he is talking
  (take notes when they are not talking)
  – Look for their bigger concernDig for the underlying cause of the problem:
  – “What happened before that and before that and before that?”
  – “Have you noticed IT getting worse lately?”
  – “Have you noticed an associated symptom YET?”
• Ask questions regarding the client’s stress
  level.
• Ask about their hobbies, interests, travel, etc.
  – Provides information on
  possible exposures
• Summarize the client’s goals/concerns.
• Confirm acceptance of the case.

Question 4

how to look at the NAQ manually

Answer 4

1. Look at the form globally.
2. Add up the numbers in each section to get an overall score.
3. Record the score on the Symptom Burden Analysis Graph form.
4. Pay special attention to the sections in the “High Priority” range.

Question 5

how to evaluate the food journal

Answer 5

1. Check for the ratio and quality of macronutrients.
2. Check for adequate intake of water.
3. Check for intake of diuretics: coffee, black
   tea, soda, alcohol, processed fruit juices.
4. Check for the quality of the food and the
   how the food is prepared.
5. Check for the amount of sweets/starchy
   carbohydrates a person is eating.

Question 6

steps for functional evaluation

Answer 6

• Inform before you perform.
• Use the evaluation as a time to bond
  with your client.
• NTPs use touch as an evaluative tool NOT a therapeutic tool.
  **In the connection, the healing happens.

Question 7

When do you do the Lingual-Neuro Testing (LNT) and what is it?

Answer 7

- After you complete the Functional
Evaluation, you’ll review your findings
to determine the weaknesses you
want to address first.
- Then, you’ll do Lingual-Neuro Testing
(LNT) to find out “what works” for that
client

Question 8

What are The Plan and Nutritional Recommendations and what is the goal?

Answer 8

• The Plan/Nutritional Recommendations session can be completed during a separate
  consultation or at the end of the Functional Evaluation appointment.
• The goal is to give the client a comprehensive plan for their dietary and supplementation program.

Question 9

Things to consider for recommendations

Answer 9

• Keep the program and suggestions simple.
• Recommend the initial supplement program.
• Make dietary recommendations.
• Suggest exercise recommendations, if
  appropriate.
• Make book or literature recommendations

Question 10

how to end the consultation

Answer 10

- Schedule the follow-up appointment in
one to four weeks.
- Explain your procedure for reordering
supplements between appointments.
- Prepare an invoice for the services and products.
- Provide a receipt.

Question 11

follow-up sessions

Answer 11

- Follow-up sessions can include:
   – Phone calls
   – Email correspondence
   – A re-evaluation
- Phone calls/email are good for checking in
with the client after a week or so.
- Re-evaluations are comparative exams to
measure progress.

Question 12

steps for the re-evaluation

Answer 12

- Have the client complete a new NAQ
   – Compare/highlight the symptoms from
the first visit and the re-eval visit
- Review the Functional Evaluation form
and retest the points that were “hot.”
   – Record new rating on scale from 1 to 10
- Give positive feedback as you go.

Question 13

steps for the re-eval consultation

Answer 13

• Go over the changes in their Functional Evaluation scores.
• Show the before and after NAQ forms with symptoms highlighted.
• Help the client realize their
  effort/expense was worthwhile.
• Discuss the next steps – therapeutic or maintenance.

Question 14

how to maintain a client

Answer 14

• When the client has reached maximum nutritional improvement:
  – Place the client on a maintenance program.
  – Suggest periodic follow up appointments and options for wellness care as appropriate.