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Chapter 5 Nutrition Care Process BOX 5.1 Four Steps in the Nutrition Care Process
Step 1: Nutrition assessment—To obtain, verify, and interpret data to identify a nutrition-related diagnosis. Step 2: Nutrition diagnosis—To identify nutrition diagnoses that are clear within and outside the profession that the food and nutrition professional is responsible for treating independently. The nutrition diagnosis is conveyed in a problem-etiology-symptoms (PES) statement. Step 3: Nutrition intervention—To plan and implement the nutrition interventions needed to improve or resolve the nutrition-related diagnosis. The interventions are directed at the etiology of the diagnosis (PES statement). Step 4: Nutrition monitoring and evaluation—To determine and measure the amount of progress made for the interventions and to see if related goals/outcomes are met, thus determining the effectiveness of the interventions by selecting care indicators and the criteria to which the indicator is compared.
Source: Academy of Nutrition and Dietetics. Nutrition assessment introduction. Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care. Nutrition Care Process Introduction. http://ncpt.webauthor.com/pubs/idnt-en. Accessed January 25, 2016..
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Figure 5.1 The Nutrition Care Process Model e S e SCREENING & REFERRAL SYSTEM
• Identify risk factors • Use appropriate tools and methods • Involve interdisciplinary collaboration
Nutrition Assessment & Reassessment
• Obtain/collect important and relevant data
• Analyze/interpret collected data
04
Individual/Population Interacts with
Nutrition Professional
Nutrition Monitoring & Evaluation
• Select or identify quality indicators
• Monitor and evaluate resolution of diagnosis
03 Nutrition Intervention
• Determine intervention and prescription
• Formulate goals and determine action • Implement action
02 c n 01 Nutrition Diagnosis
• P - Identify problem • E - Determine etiology/cause • S - State signs & symptoms
i
OUTCOMES MANAGEMENT SYSTEM
• Research NCP • Use aggregated data to conduct research • Conduct continuous quality improvement • Calculate and report quality indicators
l S y
Source: Reprinted with permission from the Academy of Nutrition and Dietetics. Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care. http://ncpt.webauthor.com.Accessed January 25, 2016.
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