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HUNT242 > Lecture 22 > Flashcards

Lecture 22 Flashcards

Nutrition Care process Overview

1
Q

How do we asses the nutrition status of an individual?

A

Usually through individual consultations where we ask a series of questions

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2
Q

what do the consultations require

A

-effective communication
-Accurate information gathering
-Problem solving
-Using knowledge and evidence

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3
Q

You need a framework for the consultations to guide….

A

us through this process so that we not only assess the individuals nutrition status but also provide a solution to their needs

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4
Q

the nutrition care process provides ….

A

a systematic, problem solving framework for nutrition related problems

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5
Q

the nutrition care process facilitates

A

critical thinking and decision making

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6
Q

The nutrition care process enables

A

safe, effective, high quality nutrition care

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7
Q

the nutrition care process provides a standardised

A

a standardised process but does not mean all clients get the same nutrition support

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8
Q

What does the central core of the nutrition care process diagram represent

A

Individual/Population interacts with Nutrition Professional

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9
Q

Outer rings of the nutrtion care process

A

-Individuals environment
-Strengths and weaknesses of the practitioner
-Inputs/outputs

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10
Q

Four steps of the nutrition care process

A

-Assessment
-Nutrition Diagnosis
-Intervention
-Monitoring & Evaluation

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11
Q

What is meant by the patient centered care approach

A
  • exploring clients history, needs, values and environment
  • while promoting active client participation (collaborative approach with the client)
  • via shared decision making and lifestyle education
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12
Q

communication with the client should be …

A
  • articulate
  • accessible / understandable
  • emotionally balanced
  • professional
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13
Q

Inputs to the process

A

Screening and Referral system

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14
Q

INPUTS: What are the factors of the screening and referral system of nutrition care process

A

-identify risk factors for nutrition related problems
- use appropriate tools and methods to identify these risk factors
- may involve interdisciplinary collaboration between health professionals
-May be carried out by non-nutrition health professionals

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15
Q

what does the outer ring represent in the nutrition care process

A

social and environmental factors impacting the clients ability to receive and benefit from nutrition care

  • practice settings
  • health care systems
  • economics (may not be able to afford)
  • social systems
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16
Q

What are the middle rings of the nutrition care process

A
  • Describes the qualities and attributions that differentiate nutrition professionals from other practitioners
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17
Q

what are the professional strengths and possibly weaknesses of the nutrition professional

A
  • nutrition and dietetics knowledge
  • communication
  • evidence based practice
  • critical thinking
  • documentation
  • collaboration
  • code of ethics
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18
Q

Outputs of the nutrition care process

A

-Undertaken by non-nutrition professionals e.g researchers
-Provides quality improvement of the NCP model in healthcare setting and organisations

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19
Q

what is step 1 of the nutrition care process

A

nutrition assessment (and re assessment )

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20
Q

what happens during nutrition assessment (and re assessment)

A

systematically obtains, verifies and interprets relevant information against recognised standards to identify nutrition related problems

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21
Q

what are the 5 domains of data to collect during nutritional assessment (ABCDE)

A
  • anthropometric assessment
  • biochemical data, medical tests, procedures
  • clinical - nutrition focused physical findings
  • diet - food/nutrition related history
  • extra information - client history
22
Q

Nutritional assessment (length of time)

A

The longest part of the consultation

23
Q

what can be used to ensure that there is nothing forgotten in the consultation

A

Consultation form

24
Q

data collected during nutritional assessment should be compared to

A

evidence based standards such as eating and activity guidelines, NRV’s and food composition tables, BMI or growth standards

25
Q

what is step 2 in the nutrition care process

A

nutrition diagnosis

26
Q

what is nutrition diagnosis

A

identifies the specific nutritional problem -need to think about what?

27
Q

nutrition diagnosis is not

A

a medical diagnosis

28
Q

In a nutritional diagnosis do we say hypertension or excessive sodium intake

A

excessive sodium intake

29
Q

what are the range of possible reasons for a nutrition diagnosis

A
  • intake : energy, macronutrient, fluid, fibre etc
  • clinical : test results, anthropometry, observations
  • behavioural / environmental : lifestyle, social, knowledge, access to food
  • other
30
Q

Decide on the best nutritional diagnosis based on the

A

Aetiology (root cause or origin of the problem)

31
Q

how do we communicate the nutritional diagnosis in a standardised, clear and effective manner

A

PASS statements

32
Q

what does PASS statement stand for

A

problem (what ?)
aetiology (why ?)
signs and symptoms (how do I know ?)

33
Q

what is meant by the problem in a PASS statement

A

state the problem

can the practitioner impact, improve or resolve the nutrition : if they can’t they shouldn’t provide advice on what to do

34
Q

in the PASS statement what is meant by aetiology

A

state the nutrition related factors that are contributing to or causing the problem

35
Q

what is meant by signs and symptoms in PASS statement

A
  • quantifiable data, basis for monitoring and evaluation outcomes
  • will they indicate if the problem is resolved or improved
  • signs are objective data, whilst symptoms are subjective
36
Q

what is step 3 in the nutrition care process

A

nutrition intervention

37
Q

what is the basic characteristics of the nutrition intervention

A
  • selection of nutritional strategies to resolve or improve the nutrition diagnosis
  • formulate SMART goals and determine a plan of action with the client
38
Q

what are the four categories of the nutrition intervention strategies

A
  • nutrition intervention
  • nutrition education
  • nutrition counselling
  • coordination of nutrition care
39
Q

hat are examples of nutrition intervention strategy

A
  • meals and snacks
  • oral or vitamin / mineral supplement
  • environmental
  • nutrition related medication management
  • physical activity
40
Q

what is examples of nutrition education as a nutrition intervention strategy

A
  • what was provided ?
  • what resources were given ?
41
Q

what are examples of nutrition counselling as a nutrition intervention strategy

A
  • theoretical basis, such as Cognitive Behavioural Therapy, RAVES etc
  • strategies, such as counselling and goal setting
42
Q

what is examples of coordination of nutrition care as a nutrition intervention strategy

A

coordination of care with other health professionals or referral

43
Q

what are SMART goals

A

a framework for designing goals so that they are attainable within a certain time frame and meaningful to the client

44
Q

what does SMART goals stand for

A

S = specific

M = measurable

A = achievable

R = relavant

T = timely

45
Q

what is step 4 in the nutrition care process

A

nutrition monitoring and evaluation

46
Q

the nutrition monitoring and evaluation determines

A

progress being made by the client and whether goals and outcomes are being achieved

47
Q

the nutrition monitoring and evaluation requires active ..

A

commitment to measuring and recording appropriate outcomes and indicators relevant to signs and symptoms

48
Q

during the nutrition care process, progress should be …

A

monitored, measured and evaluated on a planned schedule

49
Q

what are the aspects of monitoring progress

A
  • is the intervention working ?
  • does the client understand what they are supposed to do?
  • identify any changes in the clients condition

->

  • may require gathering additional information
  • May require diagnosis and intervention changes
50
Q

when measuring outcomes, what needs to be measured

A
  • direct nutrition outcomes (knowledge gained, behaviour changes, food and nutrient intake changes, improved nutritional status)
  • clinical / health outcomes (lab values, anthropometry, body composition, blood pressure etc)
  • client centred outcomes (satisfaction, self management)
  • health care cost outcomes (medication changes, health care visits, special procedures)
51
Q

what is meant by evaluating outcomes

A
  • have any or what changes have occurred as a result of the intervention you put in place?
  • were these effective ?
  • explore why changes may not have been effective
  • document the outcome for the client
52
Q

what is a useful way to remember the steps of nutrition care process and what does it stand for

A

(ANDIME)
Step 1:Assessment
Step 2:Nutritional diagnosis
Step 3:Interventions
Step 4:Monitor &Evaluate

HUNT242 (23 decks)

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