LESSON 2 Flashcards
will bring dietetics into the forefront of quality performance and recognition of its contribution to positive patient care health outcomes
Nutrition Care Process
Nutrition Care Process Terminology
The relationship between patient/client group and the dietetic professional
Central core
strengths and abilities that dietetic professionals bring to the process
(a) dietetic knowledges, skills, and competencies
(b) critical thinking
(c) collaboration
(d) communication
(e) evidence-based practice
(Code of Ethics
Middle ring
environmental factors that influence the process
(a) practice setting
(b) health care systems
(c) social systems
(d) economics
Support systems as access to the Nutrition Care Process
Screening
Referral process
Outcomes management system
s “ a systematic problem-solving method that credentialed nutrition and dietetics practitioners use to critically think and make decisions when providing medical nutrition therapy or to address nutritional related problems and provide safe and effective quality nutrition care.
Nutrition Care Process
The Nutrition Care Process:
Nutrition Assessment
Nutrition Diagnosis
Nutrition Intervention
Nutrition Monitoring and Evaluation
“ is a systematic approach for collecting, classifying, and synthesizing important and relevant data to describe nutritional status related nutritional problems and their causes.”
Nutrition assessment (reassessment
: “ identifies and describe a specific nutrition problem{s} that can be resolved or improve through nutrition intervention.”
Nutrition Diagnosis
“ is a purposefully planned actions designed with the intent of changing a nutrition-related behavior, risk factors, environmental condition, or aspects of health status.
Nutrition intervention
“ identifies outcomes and indicators relevant to the nutrition diagnosis and nutrition intervention.”
Monitoring and evalution
e is the degree to which health services for individuals and populations increases the likelihood of desired health outcomes and are consistent with current professional knowledge.
Quality Healthcare
Relates to providing care processes and achieving outcomes as supported by scientific evidence
Effectiveness
Relates to maximizing the quality of a comparable unit of health care delivered or unit of health benefit achieved for a given unit of health care resources used.
Efficiency
Relates to providing health care of equal quality to those who may differ in personal characteristics other than their clinical condition or preferences for care.
Equity
Relates to meeting patients’ needs and preferences and
providing education and support.
Patient centeredness
Relates to actual or potential bodily harm
Safety
Relates to obtaining needed care while minimizing delays.
Timeliness
The Institute of medicine core principles of health care
safe
effective
patient centered
timely
efficient
effective
IOM Consumer’s Perspective of Quality Health Care
Staying healthy
Getting Better
Living with Illness or Disability
Coping with the End of Life
Getting help to avoid illness and remain well.
staying healthy
Getting help to recover from an illness or injury
getting better
Getting help with managing an ongoing, chronic condition or dealing with a disability that affects function.
Living with Illness or Disability.
Getting help to deal with a terminal illness.
Coping with the End of Life
You will have the care you need when you need it . . . whenever you need it. You will find help in many forms, not just in face-to-face visits. You will find help on the Internet, on the telephone, from many sources, by many routes, in the form you want it.
Beyond patient visits
: You can know what you wish to know, when you wish to know it. Your medical record
is yours to keep, to read, and to understand. The rule is: “Nothing about you without you.”
Information
You will be known and respected as an individual. Your choices and preferences
will be sought and honored. T
Individualization
You will have care based on the best available scientific knowledge. The system promises you excellence as its standard. Your care will not vary illogically from doctor to doctor or
from place to place
Science
: Your care will be confidential, but the care system will not keep secrets from you.
You can know whatever you wish to know about the care that affects you and your loved ones.
Transparency
Your care will anticipate your needs and will help you find the help you need. You will experience proactive help, not just reactions, to help you restore and maintain your health.
Anticipation
Your care will not waste your time or money. You will benefit from constant innovations,
which will increase the value of care to you.
Value
● “Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical
decisions.
patient-centered care
is the principle of professional practice, identifying the ability of the provider to administer safe and reliable service on a consistent basis.”
Competence
is a combination of measurable and observable knowledge, attitudes, skills, abilities, behaviors, and other characteristics that an individual needs to perform work roles
or occupational functions successfully;”
Competency
“ Legal scope of practice for the health care profession establish which health professionals may provide which health care services, in which setting, and under which guidelines or
parameters.
Statutory Scope of Practice
“ Encompasses the range of roles, activities, and regulations within which nutrition and dietetics practitioners perform.”
Scope of Practice in Nutrition and Dietetics
is a set of official standards of conduct that the members of a group are expected to uphold…an individual’s personal values or sense of right or wrong
Code of Ethics
An Act Regulating the Practice of Nutrition and Dietetics in the
Philippines
RA No. 10862
is a set of official standards of conduct that the members of a group are expected to uphold…an individual’s personal values or sense of right or wrong.”
code of ethics
Pertains to the factors that affect the context in which care is delivered which includes the physical facility, equipment and
human resources as well as the organizational characteristics
such as staff training and payment methods
Structure
Is the sum of all actions that make up healthcare. This include diagnosis, treatment, preventive care, and patient education but may be expanded to include actions taken by the patients or their
families.
Process
Contains all the effects of healthcare on patients or populations, including changes to health status, behavior, or knowledge as well as patient satisfaction and health-related quality of life.
Outcomes
described the concept of care pathway to have evoloved in
1950 in the defense industry, then known as Critical Path Method
Guus Schrijiver
are methodologies/tools used/developed in the care process to help Multi-Disciplinary Team (MDT) to re (organize) their care process and ensures the coordination of the appropriate medical/social services provided to patients/population that meets their health needs and resolution of their health
Care Pathway
are document-based tools that provide a link between the best
available evidence and clinical practice
Clinical Pathways
Ensures that client has an identifiable method of being linked to the dieteticprofessionals who will ultimately provide the nutrition care or medical nutrition therapy
Referral Process
Evaluates the effectiveness and efficiency of the entire system (assessment, diagnosis, intervention, cost etc). The goal of which is to utilize collected data to improve the quality of care rendered in the future
Outcomes management system
