Introduction to nutritional assessment

what are the nutrition care process steps?

1. nutrition assessment

2. nutrition diagnosis

3. nutriton intervention

4. nutrition monitoring and evaluation

what is the goal of step 1: nutrition assessment?

obtain adequate information to identify nutrition-related problems

what are the ways to assess nutrition assessment?

- anthropometric measurements

- biochemical data, medical tests, procedures

- clinical methods (NFPE)

- dietary methods

- client history

what are anthropometric measurements?

- height, weight, BMI, grow patterns

- skinfold thickness

- body density

what is the dietary method of nutrition assessment?

- estimating the quantity and quality of a patient's typical intake

step 2: nutrition diagnosis

Identifies & describes a specific nutrition problem that a dietetics professional is responsible for treating

NOT a medical dx

- PES statement

- 3 domains

in the nutrition diagnosis, what are the 3 domains>

- intake

- clinical

- behavioral-environmental

what does PES stand for?

problem, etiology, signs and symptoms

a well-written diagnosis is

- simple, clear, concise

- specific to a patient

- related to a single problem

- accurately related to an etiology

- based on reliable, accurate assessment data

given a choice between 2 diagnoses from different domains, which one should you consider more?

consider the Intake Diagnosis as the one more specific to the role of the RD

what does "no nutrition diagnosis at this time" mean

if the assessment reveals that no nutrition problem currently exists that warrants intervention

what is the purpose of step 3: nutrition intervention?

resolve or improve the client's nutrition problem

when planning in step 3: nutrition intervention...

- prioritize nutrition diagnosis

- intervention should target the etiology/root cause of nutrition problem if possible

- aim to minimize/improve the symptoms

when should you establish goals with the patient?

during step 3: nutrition intervention

step 4: nutrition monitoring and evaluation

- are the goals and objectives in the intervention being met?

- identify whether the nutrition-related problem still exists

- evaluate progress made toward resolving the problem

- identify any new problems, goals, needs

nutrition care process-ongoing

- reassessment at follow-up encounters

- address parameters set during monitoring and evaluation steps

example of PES statement

swallowing difficulty related to post-stroke complications as evidenced by results of swallowing tests and reports of choking during mealtimes