Nutrition Care for Individuals and Groups: Topic d - monitoring and evaluation

Question 1

Monitoring and Evaluation

Answer 1

Is the nutrition intervention strategy working to resolve the nutrition diagnosis, the
etiology, and or signs and symptoms?

Question 2

Nutrition monitoring:

Answer 2

review or measurement of a nutrition care indicator.

Question 3

Nutrition evaluation

Answer 3

compare findings with goals or standards. It determines the
degree to which progress is being made, and outcomes are being met.

Question 4

Critical thinking skills needed:

Answer 4

select appropriate indicators, use appropriate
reference standards, define where patient is now in terms of expected outcomes,
explain variance from expected outcomes, determine factors that help/hinder
progress, decide between discharge or continuation of care.

Question 5

Data is used to create

Answer 5

an outcomes management system. It is collected and
analyzed timely, so performance can be adjusted and improved

Question 6

Measuring outcome indicators

Answer 6

Evidenced based outcomes research documents clinical effectiveness of MNT
a. example: Multidisciplinary diabetes education programs that include nutrition
therapy have been shown to be effective in improving glycemic control, with n..itrition
interventions observed to have the largest statistically significant effect.

Question 7

Outcome categories that evaluate the quality of patient care

Answer 7

a. Direct nutrition outcomes, Clinical and health status outcomes
Patient-centered outcomes, Health care use and cost outcomes.

Question 8

Nutrition care outcome indicators

Answer 8

a. provide information about the type of progress made, when the nutrition
problem is resolved, and what aspects of nutrition intervention are not working.

Question 9

Nutrition care outcomes prove the value of our intervention

Answer 9

a. represent results that the practitioner and nutrition care impacted
independently
b. can be linked to nutrition intervention goals
c. are measurable with tools and resources available
d. occur in a reasonable time period and can be attributed to the nutrition care
e. are logical and biologically or psychologically plausible stepping stones to
other health care outcomes
f. distinct from health care outcomes because they represent the nutrition
professional’s specific contribution to care (outcomes we measure)
Food/nutrition related history (intake), Lab data and medical tests,
Anthropometrics, Nutrition-focused physical findings

Question 10

Health care outcomes

Answer 10

Health care outcomes - of interest to health care providers, and payers
- health & disease outcomes
- cost outcomes
- patient-centered outcomes

Question 11

Health and disease outcomes

Answer 11

reduced readmissions, changes in severity,
duration or course of a condition or disease, changes in risk level, maintenance
of health

Question 12

Cost outcomes

Answer 12

changes in length of stay, ICU days, number of outpatient
visits, treatment procedures, medications, reduced readmissions

Question 13

Patient-centered outcomes

Answer 13

changes in indicators that reflect functional level,
disability, quality of life

Question 14

Documentation includes

Answer 14

a statement of where the patient is now in terms of
expected outcomes, date and time
a. indicators measured, results, and method for obtaining the measurement
b. criteria to which the indicator is compared
c. factors facilitating or hampering progress, other positive or negative outcomes
d. further plans for nutrition care, monitoring and follow-up or discharge

Question 15

Determine continuation of care or discharge

Answer 15

a. If care is to be continued, the nutrition care process cycles back as necessary
to assess, diagnose and/or intervene as needed.