[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-242372-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-242372-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","nutrition-activity-action-plan-contingency-template","Nutrition & Activity Action Plan - Contingency Template","","Nutrition & Activity Action Plan/Contingency Template for patients and caregivers to organize care team goals, concerns, and daily supports. It sets a structured framework across Green, Yellow, and Red Zones based on nutrition adequacy, hydration, vitals/ECG/labs, and mental health safety. Includes specific actions to stay on track, seek help, or stop activity and arrange emergency assessment when danger signs appear. Provides a revisable personalized contingency planner with measurable thresholds and caregiver guidance.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/nutrition-activity-action-plan-contingency-template/242372/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/nutrition-activity-action-plan-contingency-template/242372.png","ImageObject",442,249,{"name":42,"@type":43},"Tawan","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-14","2026-09-12",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What determines the Green, Yellow, and Red zones in the plan?","Question",{"text":63,"@type":64},"The plan uses nutrition and fluid adequacy, hydration targets, and clinical indicators such as vitals, ECG, and labs, along with mental preoccupation and safety concerns. Green reflects normal findings and adequate fueling; Yellow reflects a fragile or concerning status; Red reflects danger requiring immediate escalation.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What should be done in the Yellow Zone?",{"text":68,"@type":64},"Seek help to take action by continuing regular meals and snacks while working toward full targets, ensuring nutrition for activity, reducing activity temporarily if recommended, and attending scheduled appointments and tests. It also calls for awareness of potentially harmful behaviors and signs of medical deterioration.",{"name":70,"@type":61,"acceptedAnswer":71},"When is emergency evaluation required according to the Red Zone section?",{"text":72,"@type":64},"Emergency assessment is needed if intake stops for extended periods (not drinking 24+ hours or not eating 48+ hours), if psychiatric safety concerns occur such as suicidal ideation or inability to maintain safety at home, or if care providers identify critical vital/ECG/lab parameters (e.g., very low heart rate or blood pressure).","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},242372,1790119761,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social 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\nTeam Philosophy: Mind and Body health across the lifespan is reliant on a balance offactors including awareness around our experiences , thoughts , feelings and coping styles , and adequate nutrition/fluids at regular intervals throughout the day , balanced with regulated activities to enhance health , joy and social connection .  \nMy perspective on my health:  No concern  Eating Disorders  Energy Imbalance  \n Stress  Other  Regulation Concern  \nTeam Recommendation: Work on adjusting your food and activity patterns towards enhanced regulation and adequacy of nutritional intake to support health and activity.  \nYour Goals/Concerns/Priorities  \n1.  \n2.  \n3.  \n4.  \n5.  \n6.  \nIdeas to Help:  \nAdditional Team Concerns  \nNutrition/Fluids:  \nActivity/ Exercise:  \nSafety:  \nCommunication/ Relationships:  \nEmotional Wellbeing:  \nOther:  \nIdeas to Help:  \n1  \nGreen Zone: My Situation, Medical Exam and Tests Indicate Health  \nMy vitals, ECG & labs are normal  \nI am objectively eating adequately and appropriately fueling my activities  \nI am drinking an adequate amount of fluid (1 .5-2.5 litres per day)  \nI am not preoccupied with thoughts of body image, food or exercise  \nMy health team is telling me that my health is in a good place  \nWhat I should do to stay on track  \nContinue to eat 3 meals plus regular snacks  \nContinue ensure adequate nutrition for activity  \nContinue attending/participating in all scheduled appointments and timely completion of all requested tests Be aware of triggers that can increase stress and pull you backwards  \nYellow Zone: My Situation, Medical Exam and Tests Indicate a Concern  \n My practitioner is concerned about my health maintenance related actions, vitals, ECG &/or labs  \n I am not objectively (including collateral information from others) eating/drinking adequately and appropriately fueling my activities  \n I am preoccupied with thoughts of body image, food or exercise, and I sometimes do things that I have been told by my care team may be harmful  \n My health team is telling me that my health is in a fragile place  \nSeek Help to Take Action: What I Should Do to Get on Track  \n Continue to eat 3 meals plus regular snacks (goal is 3), working up from where you are to where you need to be to get to the green zone  \n Continue ensure adequate nutrition for activity  \n Consider some reduction in activity for now (eg. PE, sports, extracurriculars, work, school) depending on level of concern from care team  \n Continue attending/participating in all scheduled appointments and timely completion of all requested tests  \nRed Zone: My Situation, Medical Exam and Tests Indicate Danger  \nTake Action-Get Help  \n Stop all activity now (eg. PE, sports, extracurriculars, work, school) depending on level of concern from care team  Continue attending/participating in all scheduled appointments and timely completion of all requested tests  \nIf My Support People/ Family are Concerned that:  \n I haven’t eaten or drank in 12-24 hours. If not drinking for >24 hours, not eating for >48 hours-you need to be taken to the ER for medical assessment  \n I’m experiencing psychiatric safety concerns such as experiencing suicidal ideation and feeling unable to maintain safety at home-you need to be taken to the ER for medical assessment  \n My care provider has noted the following parameters (You need to be taken to the ER for medical assessment):  \n-Low Heart Rate (\u003C50/min) (you may be admitted if HR\u003C45-50, low Blood Pressure \u003C85/40mmHg, or significant abnormal bloodwork/ECG  \nMy care provider is concerned about my current patterns and their potential impact on my vitals, ECG &/or labs-you may need to be taken to the ER for medical assessment  \n2  \n Revisable/Personalized Contingency Planner    \nDate:     \nGrey Zone: Things are Scary and It’s Hard to Know What to Do C","cbCaifXBmcdNnd5u","https://ap.wps.com/l/cbCaifXBmcdNnd5u","pdf",437905,"English","# Nutrition & Activity Action Plan/Contingency Template\n## Goals/Concerns/Priorities\n## Ideas to Help\n## Green Zone: Staying on Track\n## Yellow Zone: Seek Help to Take Action\n## Red Zone: Take Action-Get Help\n## Revisable/Personalized Contingency Planner","[{\"question\":\"What determines the Green, Yellow, and Red zones in the plan?\",\"answer\":\"The plan uses nutrition and fluid adequacy, hydration targets, and clinical indicators such as vitals, ECG, and labs, along with mental preoccupation and safety concerns. Green reflects normal findings and adequate fueling; Yellow reflects a fragile or concerning status; Red reflects danger requiring immediate escalation.\"},{\"question\":\"What should be done in the Yellow Zone?\",\"answer\":\"Seek help to take action by continuing regular meals and snacks while working toward full targets, ensuring nutrition for activity, reducing activity temporarily if recommended, and attending scheduled appointments and tests. It also calls for awareness of potentially harmful behaviors and signs of medical deterioration.\"},{\"question\":\"When is emergency evaluation required according to the Red Zone section?\",\"answer\":\"Emergency assessment is needed if intake stops for extended periods (not drinking 24+ hours or not eating 48+ hours), if psychiatric safety concerns occur such as suicidal ideation or inability to maintain safety at home, or if care providers identify critical vital/ECG/lab parameters (e.g., very low heart rate or blood pressure).\"}]","Nutrition & Activity Action Plan - Contingency Template | PDF",1789189774]