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Nutrition Care Process Cheat Sheet (DRAFT) by [deleted]

Nutrition Care Process

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Introd­uction

The Nutrition Care Process, also known as the NCP, as defined by the Academy of Nutrition and Dietetics is, “syste­matic approach to providing high-q­uality nutrition care”

The Nutrition Care Process provides the structure for customized care to be the most efficient plan in the RD’s “toolbox” . The set framework of the model allows the RD to “fill in the blanks” for each patient.

Nutrit­ionaal Care Process

Nutrition Care Process

4 distinct, interr­elated steps:
1. Nutrition assessment
 ­ ­ ­ a. Data collected during the nutrition assessment guides the RD in selection of the approp­riate nutrition diagno­sis(es) (i.e., naming the specific problem).
2. Nutrition interv­ention
 ­ ­ ­ a. Root cause (or etiology) of the nutrition problem and aimed at allevi­ating the signs and symptoms of the diagnosis.
3. Nutrition Diagnosis
4. Monitoring & Evaluation
 ­ ­ ­ a. Determine if the patien­t/c­lient has achieved or is making progress toward the planned goals.

A.D.I.M.E

Code
Mean­ing
A
Assessment
D
Diagnosis
I
Interv­ention
M
Monitoring
E
Evaluation
 

Assessment ABCD’s

The assessment is a dynamic and ongoing evaluation of data that includes medical, health, social, dietary, nutrit­ional, medica­tion, supple­mental or herbal history, physical, anthro­pom­etrics, and labora­tory. The purpose is to make profes­sional judgement about nutrition status, and this is the foundation of nutrition care.

Anth­rop­ome­trics Physical measur­ements that can be compared to standards in order to reveal the nutrit­ional status, growth, and health of an indivi­dual.
Ht., Wt., age, and gender are commonly used. Others?
This data provides the means to establish energy, protein, and fluid needs.

Bioc­hem­ical medical tests and procedures
May include Na, K, BUN, Creat, Gluc, LDL-chol, Alb, Prealb, or others.

Clinical
Physical exam conducted on the patient. The exam is used to assess everything from eyesight and reflexes to movement on the body and medical history.

Diet­ary
Dietary reports begin with a 24hr recall on what the patient has consumed. This assessment may include questi­onn­aires, surveys, worksheets and more in order to obtain an accurate amount of food related history from the patient.

Diagnosis

Categories
Intake (NI): Too much or too little of a food or nutrient compared to actual or estimated needs.

Clinical (NC):
Nutrition problems that relate to medical or physical condit­ions.

Beha­viora (NB)l: Knowledge, attitudes, beliefs, physical enviro­nment, access to food, or
safety

P.E.S. Statement

-Names the nutrition problem (P)
-Ident­ifies its cause (or etiology) (E)
-Lists the assessment data (signs and symptoms) (S) that justify the problem.
-Written as:
Nutrition diagnosis term “ related to ” etiology “ as evidenced by ” signs and
symptoms of the nutrition diagnosis.