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    NCP Step 2. Nutrition Diagnosis: Snapshot

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    Falguni
    The document discusses the purpose and process of developing a nutrition diagnosis as part of the Nutrition Care Process. A nutrition diagnosis identifies a specific nutrition problem that can be addressed through dietetic intervention. Dietitians use data from a nutrition assessment to determine a diagnosis using standard terminology organized into intake, clinical, and behavioral categories. The diagnosis is documented using a PES statement describing the problem, etiology, and signs/symptoms as evidence. Guidelines for selecting the most important diagnosis and writing a clear PES statement include evaluating whether the problem, etiology, and signs/symptoms can be measured and improved through dietetic intervention. While standard terms are used, dietitians can propose additions to the controlled vocabulary.

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    NCP Step 2. Nutrition Diagnosis: Snapshot

    Uploaded by

    Falguni
    60 views2 pages
    The document discusses the purpose and process of developing a nutrition diagnosis as part of the Nutrition Care Process. A nutrition diagnosis identifies a specific nutrition problem that can be addressed through dietetic intervention. Dietitians use data from a nutrition assessment to determine a diagnosis using standard terminology organized into intake, clinical, and behavioral categories. The diagnosis is documented using a PES statement describing the problem, etiology, and signs/symptoms as evidence. Guidelines for selecting the most important diagnosis and writing a clear PES statement include evaluating whether the problem, etiology, and signs/symptoms can be measured and improved through dietetic intervention. While standard terms are used, dietitians can propose additions to the controlled vocabulary.

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    NCP_SNAP Diagnosis (2)

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    The document discusses the purpose and process of developing a nutrition diagnosis as part of the Nutrition Care Process. A nutrition diagnosis identifies a specific nutrition problem that can be addressed through dietetic intervention. Dietitians use data from a nutrition assessment to determine a diagnosis using standard terminology organized into intake, clinical, and behavioral categories. The diagnosis is documented using a PES statement describing the problem, etiology, and signs/symptoms as evidence. Guidelines for selecting the most important diagnosis and writing a clear PES statement include evaluating whether the problem, etiology, and signs/symptoms can be measured and improved through dietetic intervention. While standard terms are used, dietitians can propose additions to the controlled vocabulary.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    60 views2 pages

    NCP Step 2. Nutrition Diagnosis: Snapshot

    Uploaded by

    Falguni
    The document discusses the purpose and process of developing a nutrition diagnosis as part of the Nutrition Care Process. A nutrition diagnosis identifies a specific nutrition problem that can be addressed through dietetic intervention. Dietitians use data from a nutrition assessment to determine a diagnosis using standard terminology organized into intake, clinical, and behavioral categories. The diagnosis is documented using a PES statement describing the problem, etiology, and signs/symptoms as evidence. Guidelines for selecting the most important diagnosis and writing a clear PES statement include evaluating whether the problem, etiology, and signs/symptoms can be measured and improved through dietetic intervention. While standard terms are used, dietitians can propose additions to the controlled vocabulary.

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    of 2

    SNAPshot

    NCP Step 2. Nutrition Diagnosis


    What is the purpose of a Nutrition Diagnosis? The purpose is to identify and describe a specific nutrition problem that can be
    resolved or improved through treatment/nutrition intervention by a dietetics practitioner. A nutrition diagnosis (e.g., inconsistent
    carbohydrate intake) is different from a medical diagnosis (e.g., diabetes).

    How does a dietetics practitioner determine a Nutrition Diagnosis? Dietetics practitioners use the data collected in the
    nutrition assessment to identify and label the patient/client’s* nutrition diagnosis using standard nutrition diagnostic terminology.
    Each nutrition diagnosis has a reference sheet that includes its definition, possible etiology/causes and common signs or symptoms
    identified in the nutrition assessment step.

    How are the Nutrition Diagnoses organized? In three categories:


    Intake Clinical Behavioral-Environmental

    Too much or too little of a food or Nutrition problems that relate to medical Knowledge, attitudes, beliefs, physical
    nutrient compared to actual or estimated or physical conditions environment, access to food, or food safety
    needs

    How is the Nutrition Diagnosis documented? Dietetics practitioners write a PES statement to describe the problem, its root cause,
    and the assessment data that provide evidence for the nutrition diagnosis. The format for the PES statement is “Nutrition problem
    label related to ____ as evidenced by ____.”

    (P) Problem or Nutrition (E) Etiology (S) Signs/Symptoms


    Diagnosis Label Cause/Contributing Risk Factors Data used to determine that the
    Describes alterations in the Linked to the nutrition diagnosis label by patient/client has the nutrition
    patient/client’s nutritional status. the words “related to.” diagnosis specified.
    Linked to the etiology by the words “as
    evidenced by.”

    The most important and


    What are the guidelines for selecting the nutrition diagnosis and writing a clear PES statement?
    urgent problem to be addressed is selected. When specifying the nutrition diagnosis and writing the
    PES statement; dietetics practitioners ask themselves a series of questions that help clarify the
    nutrition diagnosis. (See the critical thinking box).
    Critical thinking during this step…
    Evaluate your PES statement by using the following
    P – Can the nutrition professional resolve or improve the nutrition diagnosis for this individual, group or population? When all
    things are equal and there is a choice between stating the PES statement using two nutrition diagnoses from different
    domains, consider the Intake nutrition diagnosis as the one more specific to the role of the RD.
    E – Evaluate what you have used as your etiology to determine if it is the “root cause” or the most specific root cause that the
    RD can address with a nutrition intervention. If as an RD you can not resolve the problem by addressing the etiology, can
    the RD intervention at least lessen the signs and symptoms?
    S – Will measuring the signs and symptoms indicate if the problem is resolved or improved? Are the signs and symptoms
    specific enough that you can monitor (measure/evaluate changes) and document resolution or improvement of the nutrition
    diagnosis?
    PES Overall – Does the nutrition assessment data support a particular nutrition diagnosis with a typical etiology and signs and
    symptoms?

    Are dietetics practitioners limited to the Nutrition Diagnosis terms? Nutrition diagnosis terms and definitions were
    developed with extensive input and should fit most situations; however, food and dietetics practitioners can submit proposals for
    additions or revisions using the Procedure for Nutrition Controlled Vocabulary/Terminology Maintenance/Review available from
    ADA.
    Detailed information about this step can be found in the American Dietetic Association’s International Dietetics and Nutrition Terminology (IDNT)
    Reference Manual: Standardized Language for the Nutrition Care Process, Second Edition.
    *Patient/client refers to individuals, groups, family members, and/or caregivers.

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