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Is there a nutrition diagnosis from one of the 3 Domains?
Intake Domain? No Yes Yes Go to Nutrition Diagnosis PES Statement.
Nutrition Diagnosis PES Statement P: (Problem):
E: (Etiology):
S: (Signs & Symptoms):
Step 3: Nutrition Intervention
Nutrition Prescription (Rx):
Intervention(s): Recommended dietary intake.
Use standard IDNT terms. The intervention(s) should be aimed at addressing the etiology.
Goal(s):
Step 4: Nutrition Monitoring and Evaluation Indicator(s):
Establish expected goals. They should align with care plan goals.
Use standard IDTN terms. Monitoring indicators should align with the signs and symptoms of your nutrition problem.
Criteria:
Reference standards to evaluate change.
Source: Reprinted with permission from Academy of Nutrition and Dietetics. Long-Term Care Nutrition Care Process Tool- kit. Chicago, IL: Academy of Nutrition and Dietetics; 2011:54.
Clinical Domain? No
Behavioral- Environmental Domain?
Yes No
If unable to determine a domain, there is No nutrition diagnosis at this time (NO-1.1).
No
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Document that there is No nutrition Dx at this time (NO-1.1).
Related to (R/T)
As evidenced by (AEB)
Only use standard IDNT terms.
The root cause of the nutrition problem that can be addressed by the nutrition professional.
Use the data collected in Step 1: Assessment which supports the existence of the nutrition problem.