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324


CHAPTER 11 | Apply Standards of Nutrition Care & Review Effectiveness of the Nutrition Care Plan


Nutrition-related questions to address during each consecutive care plan conference include but are not limited to:


• Client goals and wishes: > What is the client’s understanding of their goals?


> Is there an understanding by the team of the client’s advance directives as they pertain to nutrition?


• Current diet therapy:


> Is the client tolerating and accepting of the current diet texture? If not, why?


> Is the client consuming adequate fluids? How is this known?


> Is the client tolerating artificial nutrition, if provided? How is this known?


> Does the client wish to have snacks, supplements throughout the day?


> Does the client accept or reject any supplements ordered?


> Is the client able to eat independently? If not, what assist needs to be provided?


> Where does the client wish to eat? • Diet history: VIEW RESOURCE:


Nutrition Critical Element Pathway


> Does the client have any documented food allergies or intolerances?


> Has the client experienced any adverse reactions to food allergies or intolerances? What was the outcome?


> Does the client have specific cultural or religious preferences or avoidances?


• Weight history:


> Has the client’s weight changed since the last conference? By how much? What interventions are in place, if any? Are those interventions accepted by the client?


> Is the client on diuretic medications which will affect significant weight changes?


• Nutrition education:


> What concerns does the client have that would best be addressed through nutrition education?


> Does the client want or need nutrition education? Was it provided? When? Was it effective?


Putting it


into Practice Refer to the Supplemental Materials for answer.


4. If a care plan goal was to have the client maintain weight, and after one month the client is continuing to lose weight, what steps should the CDM, CFPP take? What questions should be asked?


Nutrition Fundamentals and Medical Nutrition Therapy


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