Nutrition Care Process Model

Question 1

Describe the NCPM. [4]

Answer 1

• Standardized process
• Emphasizes relationship between patient/client and nutrition professionals
• Uses current scientific evidence to inform practice in meeting individualized needs
• Most commonly used with individuals in a clinical setting

Question 2

What is at the core of the NCPM?

Answer 2

• Relationship with client

Question 3

Which systems are outside the NCPM? [2]

Answer 3

• Screening & referral: identify those who may benefit from nutrition care; refer a client to another professional
• Outcomes management: improve the NCP; informs research and further assessment (i.e., another round of ‘ADIME’)

Question 4

What is the outermost ring of the NCPM?

Answer 4

Environmental factors: environment in which the practitioner operates; impacts the client’s ability to benefit from the NCPM

e.g., practice setting; health-care system; social system; economics

Question 5

What is the innermost ring of the NCMP?

Answer 5

Capability of practitioner: what the professional brings to the client

e.g., collaborative practice; evidence-based; ethical; nutrition skills & competencies; clear communication; standardized documentation

Question 6

Describe the ‘assessment’ portion of the NCMP.

Answer 6

• Use of appropriate methods & indicators
• Determines existence & severity of problem
• Forms foundation for reassessment in Monitoring & Evaluation
• Valid & reliable data
  
  • Categorized (A, B, C, D, E)
  • Integrated
  • Leads to diagnosis

Question 7

Describe the ‘diagnosis’ portion of the NCMP.

Answer 7

• Documented with a PES statement
• “Problem” related to “cause” as evidenced by “signs & symptoms
• NOT a medical diagnosis

PES = Problem, Etiology, Signs & Symptoms

Question 8

What are the 3 domains of problems within diagnosis?

Answer 8

• Intake
• Clinical
• Behavioural/environmental

Question 9

Differentiate between signs & symptoms.

Answer 9

Signs: objective data; observable & measurable
Symptoms: subjective data; what the client feels & expresses

Question 10

Describe the ‘intervention’ portion of NCMP.

Answer 10

• Planning & implementing strategies to improve/resolve nutrition problems

Question 11

Describe the ‘monitoring & evaluation’ portion of the NCMP.

Answer 11

• Objectively determine if SMART goals/outcomes were met
• Results loop back into assessment

Question 12

The NCP model accounts for the skill set of the health care practitioner.
True or False?

Answer 12

True.

Question 13

The NCP model places the health care practitioner at the centre of providing care.
True or False?

Answer 13

False.

The NCP model places the person at the centre.

Question 14

The NCP model omits taking environmental (e.g., SDoH) factors into account.
True or False?

Answer 14

False.

Question 15

The NCP model is used for diagnostic
purposes only.
True or False?

Answer 15

False.

It’s also used to create a treatment plan, and also to monitor & evaluate.