Exam 1 Notes

Exam 1 Notes - NFS 443 Exam 1 Notes NUTRITION CARE PROCESS:...

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Unformatted text preview: NFS 443 Exam 1 Notes NUTRITION CARE PROCESS: (Nutrition Screening- Support System)- Nurses/ Diet Techs do this STEPS: (1) Nutrition Assessment (2) Nutrition Diagnosis (3) Nutrition Intervention (4) Nutrition Monitoring and Evaluation NUTRITION SCREENING:-Supporting systems for Nutrition Care Process-Identifies individuals who require a more comprehensive nutrition assessment and who are at nutritional risk. NUTRITION ASSESSMENT:-Systematic process of obtaining, (interviewing, family members, medical records) verifying, and interpreting data to make decisions about the nature and cause of the nutrition-related problems. SUBJECTIVE INFORMATION: (1) MEDICAL HISTORY- When patient tells you something (high blood pressure, high blood sugar, surgeries) (2) NUTRITION HISTORY:-Allergies-24 Hour Recall-FFQ-Special Diet Restrictions-Past Diets-Cultural and Religious Affiliations (Kosher)-Chewing and Swallowing history-Medications-Weight gain/loss OBJECTIVE PARAMETERS:-Physical Exam: Skin, hair, eyes-Anthropometrics: Height, Weight, Waist Circumference-Labs-Tests NUTRITION DIAGNOSIS: (New step in nutrition care process)-Identify and label what nutrition problem is (Diagnosis)-Developed after analyzing assessment data-Provides the link between the assessment and setting realistic and measureable expected outcomes. (Selecting appropriate intervention)-NOT a medical diagnosis-EX: Type 2 Diabetes/ Heart Failure = Medical Diagnosis-Example of Nutrition Diagnosis:-Undesirable overweight status-Excessive/ Inadequate carbohydrate intake-Excessive/ Inadequate intake of saturated fat *PES STATEMENTS:* P = Problem E = Etiology S = Signs/ Symptoms NUTRITION INTERVENTIONS:-Specific to the nutrition diagnosis-All interventions must be based on scientific principles and, when available, evidence- based practice. NUTRITION MONITORING AND EVALUATION:-Periodic measurement and review of the individuals assessment data for the purpose of modifying the intervention as needed- to achieve desired clinical outcomes. INTERVIEWING AND COLLECTING DIETARY INFO: COMMUNICATION SKILLS: STEP 1: Need to engage the client to assess nutrition problems STEP 2: Need high level communication in step 1 to determine accurate diagnosis STEP 3: Crucial for client behavior change to be successful STEP 4: Critical to determine if goals were met INTERVIEWING:-Basis for getting info needed for nutrition assessment:-Diet History-Weight History-Family History-Social History-Medical History-Communication b/w 2 people for a predetermined purpose-Collect valid info while maintaining an interpersonal environment conducive to disclosure INTERVIEW SETTING:-Private-Free of interruption-Comfortable-Room arranged to facilitate communication-Eye contact-Distance b/w people CHARACTERISTICS OF SUCCESSFUL INTERVIEWER:-Good Listener-Objective:-Control personal feelings and preferences-Ability to accept differences-Aware of own prejudices RAPPORT:-Personal relationship b/w interviewer and interviewee-Trust-Understanding...
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This note was uploaded on 12/22/2009 for the course NFS 444 taught by Professor Koness during the Spring '09 term at Rhode Island.

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Exam 1 Notes - NFS 443 Exam 1 Notes NUTRITION CARE PROCESS:...

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