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Assessment NCP - Nutrition Care Process Assessment...

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Nutrition Care Process: Assessment
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Nutrition Assessment The purpose of nutrition assessment is to collect and interpret relevant patient/client information to identify nutrition-related problems and their causes Is the first step in the Nutrition Care Process Different from monitoring and evaluation where similar or same data may be used to determine changes in client behavior or nutrition status and the efficacy of nutrition intervention ADA IDNT Reference Manual, 2008, p. 8
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Nutrition Assessment Involves Critical Thinking Determine appropriate data to collect and selecting valid and reliable tools Distinguish relevant from irrelevant data Select appropriate norms and standards for comparing the data Organizing and categorizing the data in a meaningful way that relates to nutrition problems
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Nutrition Assessment Is Ongoing Is the first step in the Nutrition Care Process but not an isolated event A dynamic process that evolves throughout the NCP as the pt’s status changes or new information becomes available
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Nutrition Assessment In ADA’s draft Standards of Professional Practice (SOPP), nutrition assessment is a function of the registered dietitian A dietetic technician, registered, contributes by collecting data, providing some interventions, and evaluating and monitoring patient/client response Assessment parameters and possible nutrition diagnoses are listed in the IDNT manual and pocket guide
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Nutrition Assessment Data Data collected depends on the practice setting For individuals, data can come directly from pt/client through interview, observations, and measurement; from health care providers or referring agencies, medical record or laboratory tests For populations, data from surveys, administrative data sets, and epidemiological and research studies are used ADA IDNT Reference Manual, 2008, p. 8
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Categories of Nutrition Assessment Data Food/nutrition history Biochemical data, medical tests and procedures Anthropometric measurements Physical examination findings Client history IDNT Reference Manual, ADA, 2008, p. 9
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Food/Nutrition Histories: Food Intake Composition and adequacy of food and nutrient intake, meal and snack patterns, environmental cues to eating, food and nutrient tolerance, and current diets and/or food modifications ADA IDNT Reference Manual, 2008, p. 11)
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Food/Nutrition Histories: Nutrition and Health Awareness Knowledge and beliefs about nutrition recommendations, self-monitoring/ management practices, and past nutrition counseling and education ADA IDNT Reference Manual, 2008, p. 11)
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Food/Nutrition Histories: Physical Activity and Exercise Functional status, activity patterns, amount of sedentary time (TV, phone, computer) and exercise intensity, frequency, and duration ADA IDNT Reference Manual, 2008, p. 11
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Food/Nutrition Histories: Food Availability Food planning, purchasing, preparation abilities and limitations, food safety practices, food/nutrition program utilization, and food insecurity ADA IDNT Reference Manual, 2008, p. 11
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