Nutrition Diagnosis and Intervention Flashcards
PES statement- P
problem
diagnostic label
could be excessive, inadequate, inappropriate nutrient intake
used for coding
PES statement- E
etiology
factors contributing to the cause
drives the intervention
PES statement- S
symptoms (diagnosis classes)
characteristics from subjective and objective assessment data
used for monitoring
examples of PES statements
involuntary weight loss (P) related to inadequate energy intake (E) as evidenced by eight pound weight loss within 4 weeks (S)
inadequate vitamin D intake (P)
related to
inappropriate consumption of dairy products (E)
as evidenced by
intake of 65 IU compared to the recommended 600 IU/day (S)
how to calculate saturated fat
48gSFA x (9cal/1g)= 432 cal/3200cal= .135 13.5% SFA
do you give your number goals to your patients?
No! It will freak them out!
behavior modification ABCs
Antecedent of behavior- environmental cue that triggers behavior
Behavior itself
Consequence of behavior
transtheroetical model of change
precontemplation contemplation preparation action maintenance
precontemplation
no changes necessary
my diet is fine
contemplation
weight pros and cons
preparations
planning
action
positive behavior is observed
miantenance
behavior change has become habit
how to assess patient’s readiness to change
VAS scale
“On a scale of 1 to 10, how ready are you to add some new stretching exercises?”
how can you help a patient who is not ready to change
plant seeds of considering change
identify barriers for changing
identify behaioral steps that may facilitate change