answers
How does a dietitian decide what patients to assess? - Answer-nutrition screening done
by nurses
referrals from other health team doctors
NCP (nutrition care process) - Answer-standard process for providing quality care and
nutrition services to patients
created by AND to make a standard language
GOAL: to structure the process and create better critical thinking skills and improve the
quality and consistency of care by incorperated EBP and predictability of patient
outcomes
signs v symptoms - Answer-signs are objective (BMI, biochemical): vomiting,
hyperglycemia, etc
symptoms are subjective (pain, loss of appetite, consumption, etc): reported limited
intake of fruit, reported frequent high levels of fat
4 components of NCP - Answer-1. assessment--collect, compare, and interpret data
2. diagnosis (PES statement)
3. nutrition intervention (planning and implementing)
4. monitor and evaluate (see if its working)
NCP step 1: Assessment--sources of data collection - Answer-screening, referrals,
medicines, patient/family history
interviews, observations, measurements
gather and compare to standards
NCP step 2: diagnosis - Answer-standard terminology
PES statements: "(problem) related to (etiology) as evidency by (signs and symptoms)"
must be clear, specific, and accurately related to one problem
encpt is needed for standardized language
PES statement components: - Answer-1. problem: encpt statements that describe
alterations in nutrition status
2. etiology: root cause, intervention is aimed at resolving THIS cause
3. signs/symptoms: data used to determine that a problem exists. provide evidence
2 components of nutrition intervention (step 3 of NCP) - Answer-1: planning: prioritize
diagnoses, consult guidelines (EAL & NCM), determine outcomes, and discuss goals
with patient