Lecture 22: Nutrition Care Process Flashcards
What do individual consultations require?
- Effective communication
- Accurate information gathering
- Problem solving
- Using knowledge and evidence
Why do we need a framework to guide us through this process?
So that we not only assess the individuals nutrition status but also provide a solution to their needs
What does the nutrition care process provide?
a systematic, problem-solving framework for nutrition-related problems
What does the nutrition care process enable?
Safe, effective, high quality nutrition care
What does the nutrition care process facilitate?
Critical thinking and decision making
What are the rings of the nutrition care process? (3)
- Social and environmental factors
- Strengths and weaknesses of the practitioner
- Inputs/outputs
What are the four steps of the nutrition care process? (ANDIME)
- Assessment
- Nutrition Diagnosis
- Intervention
- Monitoring and Evaluation
What is the central core of nutrition care process?
Relationship between the client and nutrition professional
- Individualised and patient-centred care
What is the patient-centred care approach?
- Exploring clients history, needs, values and environment
- While promoting active client participation
- Via shared decision making and lifestyle education
How should communication with a client be?
- Articulate
- Accessible/understandable
- Emotionally-balanced
- Professional
What is emotionally-balanced?
have empathy and understanding of the what is going on, yet still keeping it professional
What are inputs to the nutrition care process?
Screening and referral system
What is the outermost ring of the nutrition care process?
Social and environmental factors
- Impact the clients ability to receive and benefit from nutrition care
What are examples of social and environmental factors?
- Practice settings
- Health care systems
- Economics (money)
- Social systems
What are the middle rings of the nutrition care process?
Strengths and weaknesses of practitioner
What are examples of strengths and weaknesses of practitioners?
- Knowledge
- Communication
- Evidence-based practice
- Critical thinking
- Code of ethics
What are outputs of the nutrition care process?
Outcomes management system
What is the outcomes management system?
- Undertaken by researchers
- Provides quality improvement of the NCP model in healthcare
What are the steps of the NCP?
- Assessment
- Diagnosis
- Intervention
- Monitoring and Evaluation
What is nutrition assessment (step 1)?
Systematically obtains, verifies and interprets relevant information against recognised standards to identify nutrition related problems
What type of data do we need to collect during nutrition assessment? (5)
A = Anthropometric measurements
B = Biochemical data, medical tests, procedures
C = Clinical - nutrition-focused physical findings
D = Diet - food/nutrition related history
E = Extra information - client history (exercise, lifestyle, medical and social history)
What evidence based standards would you compare nutrition assessment findings to?
- Eating and activity guidelines
- NRV’s and food composition tables
- BMI or growth standard charts
What is nutrition diagnosis? (step 2)
Identifies the specific nutrition problem - need to think about the “what?”
Nutrition diagnosis is NOT a….
Medical diagnosis
e.g. would say excessive sodium intake not hypertension (this is what is driving the hypertension)
