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Nutrition Care > NCP DIME > Flashcards

NCP DIME Flashcards

1
Q

Diagnoses:

A

PES statements
Problem related to Etiology as evidenced by signs and symptoms

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2
Q

problem is the_____

A

nutrition diagnoses

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3
Q

etiology refers to ____

A

the cause or contributing factor and is linked to the problem/diagnoses

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4
Q

signs and symptoms_____

A

indicators used to determine nutrition diagnoses; will be used in monitoring and evaluation steps

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5
Q

Etiology tells ____
Signs & Symptoms tells___

A
  • what intervention is needed
  • indicators/markers that need to be monitored and evaluated
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6
Q

3 Domains of Nutrition diagnostic terminology:

A

Intake, Clinical, Behavioral
- Intake (excessive or inadequate) energy balance, oral/nutrition support intake, fluid intake, bioactive substances, nutrients
- Clinical (medical/physical conditions abnormal): functional, biochemical, weight
- Behavioral (problems relating to knowledge, attitude, beliefs, physical environment, access to food/food safety) knowlegde and beliefs, physical activity, food safety and access

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7
Q

When developing PES statements, RDN should focus on:

A
  • inferences
  • prioritization
  • differential diagnosing
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8
Q

Diagnosing in nutrition education setting:

A

nutrition problems more likely to be knowledge deficit on food choices or cooking

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9
Q

Diagnosing in MNT setting:

A

pertains to medical conditions resulting in admisson

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10
Q

Signs are_____
Symtoms are_____

A
  • objective and observable changes in pt health status
  • subjective changes that pt feels
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11
Q

?: purposeful planned actions intended to positively change a nutrition related behavior, environment, conditions, or aspect of health status

A

Intervention

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12
Q

RDN chooses intervention that addresses the:

A

etiology of the nutrition problem

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13
Q

4 domains for nutrition internvention:

A

1) Food and/or nutrient delivery
2) Nutrition education
3) Nutrition counseling
4) Coordination of nutrition care

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14
Q

HPDP

A

Health promotion and Disease prevention
can: improve QOL, length of life, prevent disease in a cost-effective manner, delay health care costs

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15
Q

Goals in the intervention phase should be:

A

SMART (specific, measurable, achievable, relevant and realistic, and time-defined)

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16
Q

Identifying desired outcomes and actions should be based on:

A

evidence-based practice

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17
Q

5 factors the affect nutrition status

A

human biology, lifestyle, food and nutrient, environmental, system

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18
Q

First category of nutrition intervention is:

A

food and/or nutrient delivery

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19
Q

IDDSI level 0

A

Thin: flows like water, drink through cup/straw

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20
Q

IDDSI level 1

A

Slightly Thick: thicker than water, straw and syringe

21
Q

IDDSI level 2

A

Mildly thick: flows off spoon, sippable, mild effort with straw

22
Q

IDDSI level 3

A

Moderately thick and Liquidized: can be drunk from cup, moderate effort with straw, cant be eaten with fork, can with spoon
CANT be layered or molded on plate

23
Q

IDDSI level 4

A

Extremely thick and Pureed: eaten spoon, cant be drunk, no straw, no chewing. CAN be piped, molded or layered. Falls off spoon when tilted, not sticky, liquid doesn’t separate from solid

24
Q

IDDSI level 5

A

Minced and Moist: fork/spoon, scooped and shaped on plate, soft and moist without separated thin liquid

25
Q

IDDSI level 6

A

Soft Bite Sized: fork, spoon, chopstick, mashable, no knife needed, chewing needed, moist without separated liquid,

26
Q

IDDSI level 7

A

Regular Easy to chew: don’t present food with choking hazard

27
Q

IDDSI food testing methods:

A

fork drip test, spoon tilt test, fork pressure and spoon pressure test

28
Q

Fork Drip test used for:

A

IDDSI 3-5 foods appropriate thickness and cohesiveness

29
Q

Spoon tilt test for:

A

Adhesiveness and cohesiveness of foods

30
Q

Fork/Spoon pressure test used for:

A

IDDSI 4-7, how hard the food is

31
Q

Drinks tested using:

A

gravity flow 10mL syringe test

32
Q

Nutrition intervention has 2 steps:

A

planning and implementation

33
Q

In Planning you:

A

prioritize nutrition diagnoses

34
Q

Implementation includes:

A

communicating the intervention (plan of care), carrying it out, and continuing data collection via M&E

35
Q

4 Domains of Monitoring and Evaluating:

A
  • food/nutrition related history outcomes
  • anthropometric measurement outcomes
  • biochemical data, medical tests, and procedure outcomes
  • NFPE outcomes
36
Q

Direct Nutrition Outcomes

A

food and nutrition related history, anthropometric measurements, biochemical data, medical tests, procedures, NFPE

36
Q

Healthcare utilization outcomes

A

nutrition interventions that have a measurable effect on reducing amount of healthcare pt uses

36
Q

Patient-centered outcomes

A

QOL, health related QOL, functional status, symptoms, treatment adherence

37
Q

Nutrition care outcomes

A

results of nutrition care related to the nutrition diagnoses and intervention plan goals.

38
Q

Nutrition indicators

A

markers measures and evaluated to determine how well nutrition care intervention is working

39
Q

Documentation should be:

A

transparent (date and time), accurate, objective, thorough, complete

40
Q

?: recommendations that define appropriate care for a patient with medical issue and promote consistency and quality

A

Standards of care

41
Q

?: used to identify critical elements that should occur in course of patient’s treatment and associate a timeframe

A

Critical pathways

42
Q

?: feature of patient centered care and involves evaluating pt risk, planning care plans, and coordinating/monitoring care

A

Case management

43
Q

?: shown to increase patient satisfaction with care while reducing healthcare spending and achieving positive health outcomes

A

Case management

44
Q

?: process of reducing number og unnecessary tests/procedures (completed by manager to ensure pt treatment plans adhere to Standards of care)

A

Utilization management

45
Q

Standardized nutrition indicators and nutrition care criteria increase:

A

validity and reliability of outcome

46
Q

What can aggregate nutrition care data?

A

Nutrition care outcome management system

47
Q
A

Nutrition Care (4 decks)

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