II D: Nutrition diagnosis & intervention Flashcards
medical diagnosis***
DISEASE or pathology; does NOT change as condition exists
nutrition diagnosis***
NUTRITIONAL PROBLEM that DIETETICS PROFESSIONALS ARE RESPONSIBLE FOR TREATING INDEPENDENTLY; changes as response changes
relationship of the diagnosis to the NCP***
diagnosis links assessment to intervention
3 domains of nutrition diagnostic labels***
1) clinical
2) intake
3) behavioral-environmental
what diagnosis domain is the PRIORITY?***
INTAKE
clinical domain (nutrition dx)***
nutrition findings/problems that relate to the MEDICAL/PHYSICAL CONDITION
3 components of the clinical domain & meaning**
1) FUNCTIONAL balance = SWALLOWING DIFF, ALTERED GI FUNCTION
2) BIOCHEMICAL balance = LABS
3) WEIGHT balance = WEIGHT
intake domain (nutrition dx)***
problems related to INTAKE
components of the intake domain (nutrition dx)
1) calorie/energy balance
2) oral or nutrition support
3) fluid intake balance
4) bioactive substances (supplements, functional foods)
5) nutrient balance (vitamins, minerals)
what is the behavioral-enviromental domain (nutrition dx)?***
problems related to KNOWLEDGE, ACCESS TO FOOD, FOOD SAFETY
components of the behavioral-environmental domain (nutrition dx)
1) knowledge and beliefs
2) physical activity balance and function
3) food safety and access
PES statement***
PROBLEM related to ETIOLOGY/cause as evidenced by SIGNS/SYMPTOMS
PES statements- what should be addressed?**
MOST IMPORTANT AND URGENT PROBLEM- WHAT MATTERS MOST RIGHT NOW
PES statements - signs and symptoms
must be SPECIFIC enough that you can MONITOR AND DOCUMENT changes, improvements, or resolution of nutrition status
difference between Altered GI function vs. Impaired nutrient utilization***
- Altered GI fxn = INSIDE GI TRACT; CHANGES IN DIGESTION, ABSORPTION, and/or ELIMINATION
- Impaired nutrient utilization = METABOLISM OF NUTRIENTS ONCE ENTERED TO CIRCULATORY SYSTEM (pancreas, liver, kidneys, pituitary)
examples of indicators of altered GI function –>
- abonormal digestive enzyme and fecal fat studies
- abdominal distention, N/V, diarrhea, steatorrhea, constipation, malabsorption
- IBS, diverticulitis
examples of indicators of impaired nutrient utilization –>
- thin, wasted appearance
- abnormal liver function tests, pituitary hormones, hypoglycemia, hyperglycemia
- renal failure, liver failure, inborn errors of metabolism
if you cannot resolve the underlying cause of the nutrition problem, what should the intervention be targeted towards?
MINIMIZING SYMPTOMS
if the assessment indicates that no nutrition problem currently exists that warrants a nutrition intervention, then what is the diagnosis?***
“No nutrition diagnosis at this time”
what is a nutrition intervention?
purposely planned actions designed with the intent of changing a behavior, risk factor or condition, for an individual, group or community
interventions are based on?
nutrition dx and provides basis upon which outcomes are measured and evaluated
what is evidence-based dietetics practice?***
systematically reviewed SCIENTIFIC EVIDENCE used in making practice decisions
what does the Federal Trade Commission do?***
prevents against HEALTH CARE FRAUD: internet, radio, TV, bogus weight loss claims
what is the CARS checklist?
way to evaluate potentially "bad" nutrition or health care info: C redibility (author) A ccuracy (info is correct, factual) R easonableness (info is fair, balanced) S upport (references and citations)
medical record documentation is determined by?***
INDIVIDUAL FACILITY
HIPAA guidelines for the medical record- medical record is?***
PERMANENT, LEGAL DOCUMENT
when diet orders are not chosen correctly, who should be contacted?***
PERSON WHO WROTE THE ORDER
when does the discharge plan begin?***
DAY 1 OF A HOSPITAL STAY
patient information is _________
CONFIDENTAL
