Chapter 15: NCP Flashcards
designed to improve the consistency and quality of individualized care for patients/clients or groups and the predictability of the patient/client outcomes
nutrition care process
it is not intended to standardize nutrition care for each patient/client, but to establish a standardized process for providing care
nutrition care process
ncp - concepts
a systematic approach to providing high-quality nutrition care visually summarized by the Nutrition Care Model
nutrition care process
ncp - concepts
ncp is adopted from?
formerly American Dietetic Association (ADA)
Academy of Nutrition and Dietetics
this provides a framework for the RDN to individualize care, taking into account the patient/client’s _____ (2)
needs and values
ncp - concepts
concerns the identification of nutritional needs of patients/clients
ncp
involves providing adequate diets and attaining proper eating habits
ncp
has application across ALL practice areas, including community, hospital, private practice, management, food service, research, and education
ncp
ncp goals
-standardization of nut care
-propel evolution of dietetic profession
-provide concrete evidence to dietetic practice
-
ncp - evolution
evolved from the demands of promoting the _____
dietetic profession
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
individualized
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
Nutrition Care Process terminologies
ncp - steps
4 steps of ncp: ADIME
assessment, diagnosis, intervention, monitoring and evalutation
ncp - steps
purpose is to obtain, verify, and interpret data needed to identify nutrition-related problems, their causes, and significance
step 1: nutrition assessment
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
step 1: nutrition assessment
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
step 1: nutrition assessment
5 domains of nutrition assessment terminologies (ABCD)
-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)
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
nutrition assessment
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
nutrition diagnosis
3 domains of nutrition diagnosis
intake
clinical
behavioral-environmental
P-E-S format for nutrition diagnosis
problem or nutrition diagnosis term
problem
P-E-S format for nutrition diagnosis
cause/contributing risk factor
etiology
P-E-S format for nutrition diagnosis
indicator used to determine nutrition diagnosis
signs/symptoms
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
step 3: nutrition intervention
nutrition diagnosis and its _____ drives the selection of a nutrition intervention
etiology
nutrition intervention strategies are selected to change nutritional intake, nutrition-related knowledge or behavior, environmental conditions, or access to supportive care and services
-
nutrition intervention goals provide the basis for _____ progress and measuring _____
progress; outcomes
4 domains of intervention
-food and/or nutrient delivery
-nutrition education
-nutrition counseling
-coordination of nutrition care
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
nutrition monitoring and evaluation
aim is to promote more uniformity within the dietetics profession in assessing the effectiveness of nutrition intervention
nutrition monitoring and evalutaion
practitioners should select nutrition care indicators that will reflect a change as a result of nutrition care
nutrition monitoring and evaluation
this phase should be considered during the assessment phase, while determine the nutrition diagnosis and the nutrition intervention
monitoring and evaluation
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
monitoring and evalutation
4 domains of nutrition monitoring and evaluation
-food/nutrition-related history
-anthropometric measurements or outcome
-biochemical data, medical tests, and procedure outcomes
-nutrition-focused physical finding outcome
documentation of ncp
a form of documentation used by healthcare professional to record a patient’s visit or consultation
soap note
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
soap note
soap meaning
S
subjective
soap meaning
O
objective
soap meaning
A
assessment
soap meaning
P
plan
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
subjective
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)
objective
signs/symptoms
felt by the patient, subjective
symptom
signs/symptoms
manifestation of disease that the physician perceives, objective
signs
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)
assessment (a)
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
plan
DAP
diagnosis, assessment, plan
PIE
problem, intervention, evaluation
IER
intervention, evaluation, revision
HOAP
history, observation, assessment, plan
is the process of providing professional advice to a patient to guide him/her in meeting proper nutritional requirement
diet counseling or nutrition counseling
can serve as both an intervention and monitoring and evaluation
diet counseling or nutrition counseling
