Exam 3 Notes

Exam 3 Notes - NFS 443 Exam 3 Notes NUTRITION CARE PROCESS:...

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NFS 443 Exam 3 Notes NUTRITION CARE PROCESS: -Assessment, Diagnosis, Intervention, Monitoring and Evaluation -Standardized Language: Diagnostic Terminology -Remember: Not a medical diagnosis ADIME to ADI INITIAL FORMAT: -Assessment -Diagnosis (Nutrition) -Intervention -Monitoring -Evaluation MODIFIED AFER USE TO: -Assessment (Reassessment) – Included Evaluation in follow-up notes -Diagnosis (Nutrition) -Intervention: Includes specific plan for follow-up monitoring and evaluation NUTRITION DIAGNOSIS: PURPOSE: -To identify and label a nutritional problem -Involves critical thinking about assessment data and formulating a “Nutrition Diagnostic Statement” –PES Statement PES STATEMENT: -Describes alterations in the patient’s nutritional status and usually has 3 components: (1) PROBLEM: (Nutritional Diagnosis NOT medical diagnosis- This is the terminology from the sheet) (2) ETIOLOGY: -Causes or contributing risk factors to problem (3) SIGNS/SYMPTOMS: (Defining characteristics) -A PES statement is formatted as follows: *PROBLEM related to ETIOLOGY as evidenced by SIGNS/SYMPTOMS STEP 1) IDENTIFY THE “P”: -After collecting patient/client data you are ready to make an assessment of the situation -ASK – ‘what is the NUTRITION related problem?’ -NOTE: Select a problem that you as the practitioner can intervene and set goals toward resolving i.e. inadequate fiber intake -There will be times when there is no NUTRITION related problem
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ETIOLOGY: -If possible, the etiology should be nutrition related as well – something that we can resolve i.e. RT limited intake of fruits, vegetables, and whole grains. – These are what you use to identify your P and E – in other words your EVIDENCE based knowledge i.e. AEB intake averaging less that 10 grams fiber per day -REFER TO NUTRITION DIAGNOSIS MANUAL SAMPLE PES STATEMENTS: (1) Excessive energy intake RELATED TO frequent consumption of high fat meals AS EVIDENCED BY average daily intake of calories exceeding recommended amount by 500 kcal and 12-pound wt gain during the past 18 months.” (2) Obesity RELATED TO lack of readiness for diet/lifestyle changes AEB 242% IBW, sedentary lifestyle, and patient’s stated disinterest in nutritional recommendations. (3) Inadequate intake from enteral nutrition RT tube feeding infusing as 25 mls AEB patient receiving 636 kcals compared to estimated needs of 1600 kcals. THIS INFO GOES IN THE A (ASSESSMENT): -Energy and Protein needs -Intake data -Pertinent labs -Meds -Verbal remarks -Medical history WHEN REVIEWING PES STATEMENTS ASK THE FOLLOWING QUESTIONS: -Can the RD resolve or improve the nutrition diagnosis? -Can you envision and intervention that would address the etiology and thus resolve or improve the problem? -If not, is your intervention targeted to reducing or eliminating the signs and symptoms?
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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 3 Notes - NFS 443 Exam 3 Notes NUTRITION CARE PROCESS:...

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