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HUNT 242 > Lecture 22 - Nutrition Care Process > Flashcards

Lecture 22 - Nutrition Care Process Flashcards

1
Q

the nutrition care process provides ….

A

a systematic, problem solving framework for nutrition related problems

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2
Q

the nutrition care process facilitates

A

critical thinking and decision making

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3
Q

the nutrition care process provides

A

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

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4
Q

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

A

relationship between the client and the nutrition professional

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5
Q

what is meant by the patient centred 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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6
Q

communication with the client should be …

A
  • articulate
  • accessible / understandable
  • emotionally balanced
  • professional
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7
Q

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
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8
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
  • social systems
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9
Q

what do the middle rings of the nutrition care process describe

A

the qualities and attributes that differentiate nutrition professionals from other practitioners

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10
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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11
Q

what is step 1 of the nutrition care process

A

nutrition assessment (and re assessment )

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12
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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13
Q

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

A
  • anthropometric assessment
  • biochemical data, medical tests, procedures
  • clinical - nutrition focused physical findings
  • diet - food/nutrition related history
  • extra information - client history
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14
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

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15
Q

what is step 2 in the nutrition care process

A

nutrition diagnosis

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16
Q

what is nutrition diagnosis

A

identifies the specific nutritional problem

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17
Q

nutrition diagnosis is not

A

a medical diagnosis

18
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
19
Q

what is aetiology

A

the root cause or origin of the problem

20
Q

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

A

PASS statements

21
Q

what does PASS statement stand for

A
  • problem (what ?)
  • aetiology (why ?)
  • signs and symptoms (how do I know ?)
22
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

23
Q

in the PASS statement what is meant by aetiology

A

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

24
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
25
Q

what is step 3 in the nutrition care process

A

nutrition intervention

26
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
27
Q

what are the four categories of the nutrition intervention strategies

A
  • nutrition intervention
  • nutrition education
  • nutrition counselling
  • coordination of nutrition care
28
Q

what are examples of nutrition intervention strategy

A
  • meals and snacks
  • oral or vitamin / mineral supplement
  • environmental
  • nutrition related medication management
  • physical activity
29
Q

what is examples of nutrition education as a nutrition intervention strategy

A
  • what was provided ?
  • what resources were given ?
30
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
31
Q

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

A

coordination of care with other health professionals or referral

32
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

33
Q

what does SMART goals stand for

A

S = specific

M = measurable

A = achievable

R = relavant

T = timely

34
Q

what is step 4 in the nutrition care process

A

nutrition monitoring and evaluation

35
Q

the nutrition monitoring and evaluation determines

A

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

36
Q

the nutrition monitoring and evaluation requires active ..

A

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

37
Q

during the nutrition care process, progress should be …

A

monitored, measured and evaluated on a planned schedule

38
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
39
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)
40
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
41
Q

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

A

ANDIME

step 1 : nutrition assessment

step 2 : nutrition diagnosis

step 3 : nutrition intervention

step 4 : nutrition monitoring and evaluation

HUNT 242 (23 decks)

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