Chapter 15: NCP Flashcards

1
Q

designed to improve the consistency and quality of individualized care for patients/clients or groups and the predictability of the patient/client outcomes

A

nutrition care process

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2
Q

it is not intended to standardize nutrition care for each patient/client, but to establish a standardized process for providing care

A

nutrition care process

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3
Q

ncp - concepts

a systematic approach to providing high-quality nutrition care visually summarized by the Nutrition Care Model

A

nutrition care process

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4
Q

ncp - concepts

ncp is adopted from?

formerly American Dietetic Association (ADA)

A

Academy of Nutrition and Dietetics

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5
Q

this provides a framework for the RDN to individualize care, taking into account the patient/client’s _____ (2)

A

needs and values

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6
Q

ncp - concepts

concerns the identification of nutritional needs of patients/clients

A

ncp

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7
Q

involves providing adequate diets and attaining proper eating habits

A

ncp

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8
Q

has application across ALL practice areas, including community, hospital, private practice, management, food service, research, and education

A

ncp

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9
Q

ncp goals

-standardization of nut care
-propel evolution of dietetic profession
-provide concrete evidence to dietetic practice

A

-

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10
Q

ncp - evolution

evolved from the demands of promoting the _____

A

dietetic profession

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11
Q

through a technical working group, the ncp model was designed to improve consistency and quality of _____ patient/client care and predictability of patient/client outcomes

A

individualized

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12
Q

to make sure that nutrition care is documented properly and measured at the same scale, a unique standardized language for the Nutrition Care Process called _____ (NCPt) were created

A

Nutrition Care Process terminologies

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13
Q

ncp - steps

4 steps of ncp: ADIME

A

assessment, diagnosis, intervention, monitoring and evalutation

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14
Q

ncp - steps

purpose is to obtain, verify, and interpret data needed to identify nutrition-related problems, their causes, and significance

A

step 1: nutrition assessment

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15
Q

ncp - steps

an ongoing, nonlinear, and dynamic process that involved data collection and continual analysis of the patient/client’s status compared to specified criteria

A

step 1: nutrition assessment

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16
Q

ncp - steps

contrasts with nutrition monitoring and evaluation where food and nutrition professionals use the same data to determine changes in patient/client behavior, nutritional status, and the efficacy of nutrition intervention

A

step 1: nutrition assessment

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17
Q

5 domains of nutrition assessment terminologies (ABCD)

A

-anthropometric data/measurements
-biochemical data, medical tests, and procedures
-clinical data (nutrition-focused physical findings and client history)
-dietary data (food and nutrition-related history)

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18
Q

sources of data:

-screening/referral forms
-medical/health record
-consultation from a caregiver and/or family member
-community-based surveys
-fgd
-statistical reports
-admin data
-epidemiological studies

A

nutrition assessment

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19
Q

ncp - steps

the purpose of this is to identify and describe a specific nutrition problem that can be resolved or improved through treatment/nutrition intervention by a food and nutrition professional

A

nutrition diagnosis

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20
Q

3 domains of nutrition diagnosis

A

intake
clinical
behavioral-environmental

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21
Q

P-E-S format for nutrition diagnosis

problem or nutrition diagnosis term

A

problem

22
Q

P-E-S format for nutrition diagnosis

cause/contributing risk factor

A

etiology

23
Q

P-E-S format for nutrition diagnosis

indicator used to determine nutrition diagnosis

A

signs/symptoms

24
Q

ncp - steps

purpose is to resolve or improve the nutrition diagnosis or nutrition problem by provision of advice, education, or delivery of the food component of a specific diet or meal plan tailored to the patient/client’s needs

A

step 3: nutrition intervention

25
Q

nutrition diagnosis and its _____ drives the selection of a nutrition intervention

A

etiology

26
Q

nutrition intervention strategies are selected to change nutritional intake, nutrition-related knowledge or behavior, environmental conditions, or access to supportive care and services

A

-

27
Q

nutrition intervention goals provide the basis for _____ progress and measuring _____

A

progress; outcomes

28
Q

4 domains of intervention

A

-food and/or nutrient delivery
-nutrition education
-nutrition counseling
-coordination of nutrition care

29
Q

purpose is to determine and measure the amount of progress made for the nutrition intervention and whether the nutrition related goals/expected outcomes are being met

A

nutrition monitoring and evaluation

30
Q

aim is to promote more uniformity within the dietetics profession in assessing the effectiveness of nutrition intervention

A

nutrition monitoring and evalutaion

31
Q

practitioners should select nutrition care indicators that will reflect a change as a result of nutrition care

A

nutrition monitoring and evaluation

32
Q

this phase should be considered during the assessment phase, while determine the nutrition diagnosis and the nutrition intervention

A

monitoring and evaluation

33
Q

factors to consider are the medical diagnosis, health care outcome goals, nutrition quality management goals, practice setting, patient/client population, and disease state and/or severity

A

monitoring and evalutation

34
Q

4 domains of nutrition monitoring and evaluation

A

-food/nutrition-related history
-anthropometric measurements or outcome
-biochemical data, medical tests, and procedure outcomes
-nutrition-focused physical finding outcome

35
Q

documentation of ncp

a form of documentation used by healthcare professional to record a patient’s visit or consultation

A

soap note

36
Q

documentation of ncp

an ongoing system to support the steps of the nutrition care process (ncp) in the capacity of a hospital, long-term care facility, and other similar agencies

A

soap note

37
Q

soap meaning

S

A

subjective

38
Q

soap meaning

O

A

objective

39
Q

soap meaning

A

A

assessment

40
Q

soap meaning

P

A

plan

41
Q

soap meaning

the healthcare provider enters all patient information or data collected from the patient or caregiver

information would also include a diet recall and any food allergies that the patient reports

A

subjective

42
Q

soap meaning

based more on physical evidence about the patient

information in this section would include height, weight, bmi, weight change over a period of time, labs, pmh, medications currently using, or nay other trending values (TG levels over the past 6 months)

A

objective

43
Q

signs/symptoms

felt by the patient, subjective

A

symptom

44
Q

signs/symptoms

manifestation of disease that the physician perceives, objective

A

signs

45
Q

where the nutrition diagnosis is made

diagnosis is referred to by healthcare professionals with a nutrition background, as a PES statement

PES (problem, etiology, signs/symptoms)

A

assessment (a)

46
Q

the section where an outline of interventions is made necessary to treat the nutrition problem(s)

goals are made, short-term and long-term, using the SMART format

A

plan

47
Q

DAP

A

diagnosis, assessment, plan

48
Q

PIE

A

problem, intervention, evaluation

49
Q

IER

A

intervention, evaluation, revision

50
Q

HOAP

A

history, observation, assessment, plan

51
Q

is the process of providing professional advice to a patient to guide him/her in meeting proper nutritional requirement

A

diet counseling or nutrition counseling

52
Q

can serve as both an intervention and monitoring and evaluation

A

diet counseling or nutrition counseling