Nutrition Education Program for Assigned Diet Lesson Plan Rough Draft Total Time: 20 minutes Performance objectives: After completing the course, students will (1) be able to explain the ways that intake of sodium above recommended amounts negatively influences health, specifically how sodium can increase the risks for Coronary Heart Disease, heart attacks, and strokes, (2) be able to identify foods that are high in sodium and should be avoided from a list of food with foods from each food group, and (3) adhere to a sodium 1500 diet in the week after the lesson, with evidence by the food choices on a detailed food diary. Pre-session preparation and materials needed: Make Powerpoint presentation for explanation of risks of excess sodium in the diet and for explanation of foods that are high and low in sodium, and for practical tips on how a low-sodium diet can be implemented. Practice presenting. If class is less than 10 students, use resources to determine their sodium intake from their 24 hour food intake, organize in table for each person and print out. Make easy-to- read handout to help students identify foods that are high and low in sodium. Print copies as needed of handout. Print copies of a handout helpful for keeping food diary, or find a website that is easy for them to document and gives you access to their documentation. Needs assessment: A week before the course, send out a survey to course participants. Survey will seek to determine: (1) what their understanding of sodiums effects (both good and bad) on health is, (2) where they believe the sodium in their diet comes from, (3) whether or not they have already attempted to reduce sodium intake and their level of success in their attempts, and (4) food that they have eaten in the last day through a 24 hour food recall. This should help identify misconceptions that participants may have and any knowledge or motivational deficits. What is learned through the needs assessment can be made to modify performance objectives or just the content and sequence in general. 1. What function does sodium have in the body? 2. What are some health effects of excess sodium intake? 3. Please list, in detail, all of the foods that you have eaten in the last day, breakfast, lunch, dinner, snacks, and beverages. 4. From the foods you listed in #3, which foods do you think contributed the most sodium in your diet? 5. Have you made attempts to reduce sodium intake in your diet before? How successful were the attempts? Content and sequence: (1) Introduce myself (2) Start presentation. a. Define sodium as a chemical and a food b. Sodiums roles in the body i. sodium needed to control blood volume and pressure, function of muscles and nerves c. effects of too much sodium: high blood pressure, buildup of fluid, and how this relates to disease d. 2300 mg of sodium suggested as daily maximum e. 3436 is average for Americans over 2 yrs of age f. Survey of pre-assessment tool: answers to #4 where participants thought sodium came from in their diets. g. Actual top food sources of sodium h. how to find sodium content on a food label i. ask them to keep food diary. (3) Give handouts and personal sodium intake sheets if applicable (4) Closing and Thank You Evaluation: Send out another survey in a week. Similar questions: (1) What are effects of sodium intake that is excessive? (2) Enter food diary (or if it was a website, dont have this question). (3) Have them identify high sodium foods in a list. If food diary was on a website, evaluate their choices on the website.