Before the clinic…
Have your materials ready!
Consultation binder (BMI & Blood Pressure Charts)
Nutrition Presentation Board
Writing materials
Water bottle (you will be talking A LOT so stay
First things first: Establish
a relationship
You are the face of the clinic- you provide the main source of
information and help in the clinic!
When the patient arrives…SMILE! 
Don’t immediately look at their paper, first ask about their day/how
they’re doing!
Cómo se siente hoy?
Greet them by name/ask for their name
Ask them what THEIR concerns are about their health
We want them to trust us because WE will be the ones giving them advice so
we need them to listen 
• Es una indicación de su peso en relación a su estatura
• Su número indica que….______________show them where
they are at on the chart (make sure to use proper units)
• If they are under/over their “healthy range” of BMI, show
them what weight they should be at for their height
• Steps to take:
• If they are Over/Under BMI: Ask for their diet, do they exercise
regularly, medical conditions….assess and give advice
accordingly (will be covered in later slide)
• If they have a healthy BMI: Still ask for their lifestyle, weight is
not always indicative of health (congratulate them for what they
are doing right, and give advice on possible changes for what
can be improved upon
Blood Pressure
• La presión arterial mide como esta trabajando su corazón y como circula la
sangre por su cuerpo
• El corazón es un musculo que esta trabajando constantemente, entonces es
importante mantener su presión arterial para no causar daño a su corazón
• Ask them if they have ever had issues/seen a doctor regarding their blood
pressure (medication, etc.)
• Show them where their blood pressure lies on the chart
• Low blood pressure: can indicate their heart isn’t able to pump blood as
• High blood pressure: their heart is overworking to circulate blood
Assess and advice (to be covered later)
Heart Rate
Su pulso enseña como esta trabajando su corazón en
la circulación de su sangre (latidos por minuto)
70-100 BPM is normal
Low pulse: ask if they exercise regularly (as athletes
tend to have a naturally lower heart rate)
High pulse: Have they been walking a lot today? Under
Usually is situational and not issue-based
(use the presentation board!)
Ask them about their diet!
Specifically in relation to tortillas, soda, coffee, rice,
manteca (aceite), and red meat
Tortillas (pan)- How many? Max of 3 a day!
Let them know that it is OKAY to eat tortillas/bread BUT
that it needs to be done in moderation (too many or too
much can cause weight gain which is dangerous for
their heart health and bone strength)
Tortillas/bread have a high fat content so it can cause
cardiac issues in the long run
Advice: Eat less bread/tortillas and try substituting them
for the wheat options which contain less fat, are easier
to digest, and whole grains can give you more energy!
Ask them how often they exercise
What do they consider exercise?
Let them know that being active doesn’t necessarily mean
the GYM but can be any type of physical activity
Walking, running, playing with their kids, Zumba, etc.
Start with at least 20-30 minutes of consecutive exercise
(being sore is natural, preparation for your body)
Strengthens your heart, muscles, bones, etc.
Necessary to keep a balance between energy and food
(exercise will give you more energy, and endorphins(many
patients are stressed, depressed, etc.)!)
Wrap it Up
Review the information one last time (specific numbers and what they
Set an attainable goal with them (something we can assess at the next
clinic: weight loss, exercise change, diet change, etc.)
Let them know what steps to take in the next two weeks (health is
process, not an immediate result…be realistic!)
Make them feel accountable (we will see them at next clinic to see their
progress)- Let them know that we care! 
Vitamins: Meant to supplement their diet, not replace it! Give them
directions on how to take them.
Additional information
Always stay positive! Be encouraging, helpful, and
NEVER look down on what they are doing wrong- establish
rapport with them and let them know it’s never too late to
make a positive change!
The changes they make now will be seen later in life!
John Wooden- Be quick, but do not hurry. (be calm, be time
efficient but make them feel important)
Remember: WE ARE NOT DOCTORS. (We can give advice,
help assess, but NOT diagnose)
Possible questions: Insulin, Pregnancy, Mental health,

Consultation Workshop PowerPoint