Nutrition Care for Individuals and Groups: Topic c - planning and intervention Flashcards
Nutrition intervention
purposely planned actions designed with the intent of
changing a behavior, risk factor or condition, for an individual, group or community.
Interventions influence the etiology or effects of a diagnosis. It is based on the
nutrition diagnosis and provides the bases upon which outcomes are measured
and evaluated. Four categories: food delivery, education, counseling, coordination
of care with other providers
Institutionalized cultural knowledge is an essential element in program planning
Planning:
prioritize nutrition diagnoses, consult EAL and other practice guidelines,
determine patient-focused outcomes for each diagnosis, confer with caregivers,
define time and frequency of care, identify resources needed
Implementation
action phase (communicate and carry out the plan)
Evidence-based Dietetics Practice (EAL Evidence Analysis Library)
- systematically reviewed scientific evidence used in making food and nutrition
practice decisions; integrates best available evidence with professional expertise
and client values to improve outcomes - What nutritional interventions are most effective for different diseases?
Critical thinking skills needed
setting goals and prioritizing, defining nutrition
prescription or plan, making interdisciplinary connections, initiating interventions,
specifying time and frequency of care
Primary prevention programs
reduced exposure to a promoter of disease
(early screening for risk factors like diabetes). Health promotion
Secondary prevention
recruiting those with elevated risk factors into treatment
program (setting up an employee’s gym), reduce impact of a condition that has
already occurred. Risk reduction, slow progress to restore health
Tertiary prevention:
as disease progresses, intervention to reduce severity,
manage complications (cardiac/ stroke programs) Rehabilitation efforts
Federal Trade Commission
FTC
internet, TV, radio; bogus weight loss claims
NCAHF
National Council Against Health Fraud
When evaluating information, ask questions based on the CARS checklist:
Credibility: check credentials of author Accuracy: info is current, factual and
comprehensive Reasonableness: is information fair, balanced and consistent
Support: is supporting documentation cited for scientific statements
POMR
- problem-oriented medical record
PES
- problem, etiology, symptoms
SAP
- screen, assessment, plan
ADIME
- assess, diagnose, intervene, monitor and evaluate
HIPAA guidelines (Health Insurance Portability and Accountability Act)
a. permanent legal document; entries written in black pen or typed
b. complete, clear, concise, objective, legible, accurate
c. sign, date all entries; entered at the time of actual procedure or service
d. late entries should be identified as such; actual date, time of entry and the
date and time it should have been recorded
e. when diet orders are not chosen correctly, contact the person who wrote order
f. corrections
Never use white-out, thick markers, or remove an original and replace it with
a copy. At the time an entry is in progress: draw single line through error, then
enter the correction, initial, and date.
For omitted information, beside original entry: “see addendum”, enter date and
initial. Write the addendum in chart sequence, identify it as an addendum and
reference the original entry. Sign.
Corrections performed sometime after entry: correct minor errors (spelling,
one word) with single line drawn through, make correction, date, time, sign
Discharge plan begins on Day
1 of a hospital stay
All patient information is
confidential
