II D: Nutrition diagnosis & intervention

Question 0

medical diagnosis***

Answer 0

DISEASE or pathology; does NOT change as condition exists

Question 1

nutrition diagnosis***

Answer 1

NUTRITIONAL PROBLEM that DIETETICS PROFESSIONALS ARE RESPONSIBLE FOR TREATING INDEPENDENTLY; changes as response changes

Question 2

relationship of the diagnosis to the NCP***

Answer 2

diagnosis links assessment to intervention

Question 3

3 domains of nutrition diagnostic labels***

Answer 3

1) clinical
2) intake
3) behavioral-environmental

Question 4

what diagnosis domain is the PRIORITY?***

Answer 4

INTAKE

Question 5

clinical domain (nutrition dx)***

Answer 5

nutrition findings/problems that relate to the MEDICAL/PHYSICAL CONDITION

Question 6

3 components of the clinical domain & meaning**

Answer 6

1) FUNCTIONAL balance = SWALLOWING DIFF, ALTERED GI FUNCTION
2) BIOCHEMICAL balance = LABS
3) WEIGHT balance = WEIGHT

Question 7

intake domain (nutrition dx)***

Answer 7

problems related to INTAKE

Question 8

components of the intake domain (nutrition dx)

Answer 8

1) calorie/energy balance
2) oral or nutrition support
3) fluid intake balance
4) bioactive substances (supplements, functional foods)
5) nutrient balance (vitamins, minerals)

Question 9

what is the behavioral-enviromental domain (nutrition dx)?***

Answer 9

problems related to KNOWLEDGE, ACCESS TO FOOD, FOOD SAFETY

Question 10

components of the behavioral-environmental domain (nutrition dx)

Answer 10

1) knowledge and beliefs
2) physical activity balance and function
3) food safety and access

Question 11

PES statement***

Answer 11

PROBLEM related to ETIOLOGY/cause as evidenced by SIGNS/SYMPTOMS

Question 12

PES statements- what should be addressed?**

Answer 12

MOST IMPORTANT AND URGENT PROBLEM- WHAT MATTERS MOST RIGHT NOW

Question 13

PES statements - signs and symptoms

Answer 13

must be SPECIFIC enough that you can MONITOR AND DOCUMENT changes, improvements, or resolution of nutrition status

Question 14

difference between Altered GI function vs. Impaired nutrient utilization***

Answer 14

• 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)

Question 15

examples of indicators of altered GI function –>

Answer 15

• abonormal digestive enzyme and fecal fat studies
• abdominal distention, N/V, diarrhea, steatorrhea, constipation, malabsorption
• IBS, diverticulitis

Question 16

examples of indicators of impaired nutrient utilization –>

Answer 16

• thin, wasted appearance
• abnormal liver function tests, pituitary hormones, hypoglycemia, hyperglycemia
• renal failure, liver failure, inborn errors of metabolism

Question 17

if you cannot resolve the underlying cause of the nutrition problem, what should the intervention be targeted towards?

Answer 17

MINIMIZING SYMPTOMS

Question 18

if the assessment indicates that no nutrition problem currently exists that warrants a nutrition intervention, then what is the diagnosis?***

Answer 18

“No nutrition diagnosis at this time”

Question 19

what is a nutrition intervention?

Answer 19

purposely planned actions designed with the intent of changing a behavior, risk factor or condition, for an individual, group or community

Question 20

interventions are based on?

Answer 20

nutrition dx and provides basis upon which outcomes are measured and evaluated

Question 21

what is evidence-based dietetics practice?***

Answer 21

systematically reviewed SCIENTIFIC EVIDENCE used in making practice decisions

Question 22

what does the Federal Trade Commission do?***

Answer 22

prevents against HEALTH CARE FRAUD: internet, radio, TV, bogus weight loss claims

Question 23

what is the CARS checklist?

Answer 23

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)

Question 24

medical record documentation is determined by?***

Answer 24

INDIVIDUAL FACILITY

Question 25

HIPAA guidelines for the medical record- medical record is?***

Answer 25

PERMANENT, LEGAL DOCUMENT

Question 26

when diet orders are not chosen correctly, who should be contacted?***

Answer 26

PERSON WHO WROTE THE ORDER

Question 27

when does the discharge plan begin?***

Answer 27

DAY 1 OF A HOSPITAL STAY

Question 28

patient information is _________

Answer 28

CONFIDENTAL