Planning the Nutrition Intervention: The Nutrition Prescription and Disease Management 63


implementation of the nutrition prescription and MNT for lipid disorders (LDs), hypertension (HTN), diabetes (DB), and weight management (WM), are as follows1


:


• Nutrition education is a formal process to instruct or train a client in a skill or to impart knowledge to help clients voluntarily manage or modify food, nutrition, and physical activity choices and behavior to maintain or improve health (see Chapter 5 for more information on nutrition education).


• Nutrition counseling is a supportive process, charac- terized by a collaborative counselor–client relationship to establish food, nutrition, and physical activity pri- orities, goals, and individualized action plans that acknowledge and foster responsibility for self-care to treat an existing condition and promote health. Evidence-based nutrition counseling strategies are summarized in Chapter 5.


• Coordination of nutrition care is consultation with, referral to, or coordination of nutrition care with other health care providers, institutions, or agencies that can assist in treating or managing nutrition-related prob- lems. Coordination of care is also summarized in Chapter 5.


Nutrition intervention is accomplished in two steps: plan-


ning and implementing. Planning the intervention involves prioritizing nutrition diagnoses; consulting the EBNPG and other practice guidelines; determining client-focused expected outcomes for each nutrition diagnosis; conferring with the client and caregivers; defining a nutrition interven- tion plan and related strategies; defining time and frequency of care; and identifying resources needed. Implementation involves communication of the nutrition care plan and car- rying out the plan.1


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