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HUNT242 > Lecture 22: Nutrition Care Process > Flashcards

Lecture 22: Nutrition Care Process Flashcards

1
Q

What do individual consultations require?

A
  • Effective communication
  • Accurate information gathering
  • Problem solving
  • Using knowledge and evidence
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2
Q

Why do we need a framework to guide us through this process?

A

So that we not only assess the individuals nutrition status but also provide a solution to their needs

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3
Q

What does the nutrition care process provide?

A

a systematic, problem-solving framework for nutrition-related problems

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4
Q

What does the nutrition care process enable?

A

Safe, effective, high quality nutrition care

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5
Q

What does the nutrition care process facilitate?

A

Critical thinking and decision making

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6
Q

What are the rings of the nutrition care process? (3)

A
  • Social and environmental factors
  • Strengths and weaknesses of the practitioner
  • Inputs/outputs
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7
Q

What are the four steps of the nutrition care process? (ANDIME)

A
  • Assessment
  • Nutrition Diagnosis
  • Intervention
  • Monitoring and Evaluation
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8
Q

What is the central core of nutrition care process?

A

Relationship between the client and nutrition professional
- Individualised and patient-centred care

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9
Q

What is the patient-centred care approach?

A
  • Exploring clients history, needs, values and environment
  • While promoting active client participation
  • Via shared decision making and lifestyle education
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10
Q

How should communication with a client be?

A
  • Articulate
  • Accessible/understandable
  • Emotionally-balanced
  • Professional
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11
Q

What is emotionally-balanced?

A

have empathy and understanding of the what is going on, yet still keeping it professional

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12
Q

What are inputs to the nutrition care process?

A

Screening and referral system

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13
Q

What is the outermost ring of the nutrition care process?

A

Social and environmental factors
- Impact the clients ability to receive and benefit from nutrition care

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14
Q

What are examples of social and environmental factors?

A
  • Practice settings
  • Health care systems
  • Economics (money)
  • Social systems
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15
Q

What are the middle rings of the nutrition care process?

A

Strengths and weaknesses of practitioner

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16
Q

What are examples of strengths and weaknesses of practitioners?

A
  • Knowledge
  • Communication
  • Evidence-based practice
  • Critical thinking
  • Code of ethics
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17
Q

What are outputs of the nutrition care process?

A

Outcomes management system

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18
Q

What is the outcomes management system?

A
  • Undertaken by researchers
  • Provides quality improvement of the NCP model in healthcare
19
Q

What are the steps of the NCP?

A
  1. Assessment
  2. Diagnosis
  3. Intervention
  4. Monitoring and Evaluation
20
Q

What is nutrition assessment (step 1)?

A

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

21
Q

What type of data do we need to collect during nutrition assessment? (5)

A

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)

22
Q

What evidence based standards would you compare nutrition assessment findings to?

A
  • Eating and activity guidelines
  • NRV’s and food composition tables
  • BMI or growth standard charts
23
Q

What is nutrition diagnosis? (step 2)

A

Identifies the specific nutrition problem - need to think about the “what?”

24
Q

Nutrition diagnosis is NOT a….

A

Medical diagnosis
e.g. would say excessive sodium intake not hypertension (this is what is driving the hypertension)

25
Q

What are the range of possible reasons for the nutrition diagnosis?

A
  • Intake
  • Clinical
  • Behavioural/environmental
26
Q

Decide on the best nutritional diagnosis based on the….

A

Aetiology that fits your clients situation

27
Q

Need to communicate the nutrition diagnosis in a….

A

Standardised, clear and effective manner - PASS Statements!!

28
Q

What is Aetiology?

A

the root cause or the origin of the disease/problem

29
Q

What are PASS statements?

A
  1. Problem (What?)
  2. Aetiology (Why?)
  3. Signs and Symptoms (How do I know?)
30
Q

How do you communicate the problem? (PASS)

A

State the problem - if you can’t solve it however there is no point in stating it

31
Q

How do you communicate the aetiology? (PASS)

A

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

32
Q

How do you communicate signs and symptoms? (PASS)

A

State the quantifiable data as a basis for monitoring and evaluation outcomes

33
Q

Signs vs Symptoms

A

Signs = Objective data (e.g. lab data)
Symptoms = Subjective data (e.g. how someone feels)

34
Q

What is nutrition intervention?

A

Selection of nutritional stratagies to resolve or improve the nutrition diagnosis
- You’ve done all of the assessments and are now going to make some goals for the client

35
Q

How should nutrition intervention be communicated?

A

Using SMART goals

36
Q

What does SMART goal stand for?

A

Specific
Measurable
Achievable
Relevant
Timely

37
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

38
Q

What are the 4 categories of Nutrition intervention stratagies?

A
  • Nutrition intervention (food, supplements, PA)
  • Nutrition Education
  • Nutrition Counselling
  • Co-ordination of nutrition care (referall)
39
Q

What is choice point?

A

their decisions mark whether they are moving away or towards the goals/values

40
Q

What is nutrition monitoring and evaluation? (step 4)

A

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

41
Q

Progress should be ??, ?? and ?? on a planned schedule for nutrition monitoring and evaluation

A

Monitored, measured and evaluated

42
Q

What does monitoring involve? (step 4)

A

Identifying any changes in the clients condition
- May require gathering additional information
- May require diagnosis and intervention changes

43
Q

What needs to be measured during monitoring and evaluation?(step 4)

A
  • Direct nutrition outcomes
  • Clinical/health outcomes
  • Client-centred outcomes
  • Health-care cost outcomes

HUNT242 (24 decks)

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