University:
California State University, Northridge
Course:
BIOL 456 | Conservation Biology
Academic year:

2023
Views:

229

Pages:

39
Author:

Everly J.

NUTRITION CARE PROCESS (NCP) What Is The Nutri.on Care Process And Model? • A systema.c method that allows nutri.on professionals to provide pa.ents with quality care. • Intended to be used as framework to guide Registered Die..ans in providing consistency in care and predictability of outcomes. • Provides structure for research and data collec.on and a standardized language. Nutri.on Care Process Steps 1. Assessment: nutri.onal health status 2. Diagnosis: interpret data 3. Interven.on: develop a plan of ac.on 4. Monitor/Evaluate: monitor the eﬀec.veness of the plan ADA NUTRITION CARE PROCESS AND MODEL Step 1: Nutri.on Assessment • The founda.on of the Nutri.on Care Process • Necessary to iden.fy the cause and signiﬁcance of nutri.on related problem How Nutri.on Professionals Collect Data From individuals: • • • • Directly from pa.ents through interview Through observa.ons and measurements Medical records Referring health care provider From popula.on groups: • Data from surveys • Administra.ve data sets • Epidemiological or research studies Categories of Nutri.on Assessment Data Food and nutrition-related history • Food intake, nutrition and health awareness and management, physical activity and exercise, and food availability. Biochemical data, medical tests and procedures • Include laboratory data (e.g., electrolytes, glucose, lipid panel, and gastric emptying time). Anthropometric measurements • Include height, weight, body mass index (BMI), growth rate, and rate of weight change. Categories of Nutri.on Assessment Data Nutri.on-‐focused physical ﬁndings • Include oral health, general physical appearance, muscle and subcutaneous fat was.ng Client history • Include medica.on and supplement history, social history, medical/health history, and personal history. Cri.cal Thinking in Nutri.on Assessment • Helps o Determine appropriate data to collect and the need for addi.onal informa.on o Select assessment tools and procedures o Apply assessment tools in valid and reliable ways o Dis.nguish relevant and important data o Validate the data Step 2: Nutri.on Diagnosis/Problem • Cri.cal step between nutri.on assessment and nutri.on interven.on • Involves using standardized terminology for iden.fying and labeling the speciﬁc nutri.on-‐ related problem that nutri.on professionals are responsible for trea.ng independently • Diﬀerent than a medical diagnosis which describes a disease or pathology of organs or body systems (e.g., diabetes) Nutri.on Diagnosis/Problem • Three domains: 1. Intake – related to intake of energy, nutrients, ﬂuids, or bioac.ve substances through oral diet or NS (EN or PN) 2. Clinical – includes nutri.onal ﬁndings/problems iden.ﬁed as related to medical or physical condi.ons 3. Behavioral-‐Environmental – includes iden.ﬁed nutri.onal ﬁndings/problems that relate to knowledge; a^tudes/ beliefs; physical environment; access to food, water, or nutri.on-‐related supplies; and food safety Nutri.on Diagnosis/Problem Medical or Nutri.onal Diagnosis? • High cholesterol • Swallowing diﬃculty • Diabetes • Elevated fas.ng glucose • Altered GI func.on • Excessive fat intake • Disordered ea.ng pabern Nutrition Diagnosis/Problem • It is summarized into a structured sentence named the nutri.on diagnosis statement or the PES statement because it is comprised of a problem (P), e.ology (E), and signs and symptoms (S). • The generic format is: Nutri.on related problem (P) related to… e.ology (E) as evidenced by… signs and symptoms (S) Nutri.on Diagnosis/Problem (P) Problem (nutri.on diagnosis label) – describes altera.ons in the pa.ent/client’s nutri.onal status (E) E input by 2 L NCP Example #1 Nutri