What are the 4 steps involved in the NCP ANS✔✔ Nutrition Assessment
Nutrition Diagnosis
Nutrition Intervention
Nutrition monitoring and evaluation
SOAP ANS✔✔ Subjective Objective Assessment Plan
ADIME ANS✔✔ (Nutrition) Assessment Diagnosis Intervention Monitoring and
Evaluation
Nutrition Assessment ANS✔✔ collect and organize information
Identify medical problems and issues that may impact nutritional status
Prioritize the problems
Assess educational needs of the patient
Analyze data to identify nutritional needs
Nutrition Diagnosis ANS✔✔ Organize and evaluate data using professional
judgment
Identify and label an actual occurrence, risk of, or potential for developing a
nutritional problem that dietetics professionals are responsible for treating
independently
, Solution 2024/2025
Pepper
Nutrition Intervention ANS✔✔ Collect additional info as needed
Establish objects/goals; make a plan to meet them
Modify the diet/nutrition support regimen
Counsel/educate as appropriate
Provide referrals as appropriate
Schedule follow ups as appropriate
Nutrition Monitoring and Evaluation ANS✔✔ Monitor intake, tolerance and
adequacy of NS or dietary regimen
Assess knowledge after education by evaluating behavioral and/or food
selection
Monitor biochemical/anthropometric data
Monitor patient's progress towards goals
Adjust goals/objectives as needed
When do you write a PES statement? ANS✔✔ In step 2: Nutrition Diagnosis
What does P stand for in PES? ANS✔✔ Problem
What does E stand for in PES? ANS✔✔ Etiology
What does S stand for in PES? ANS✔✔ Signs and symptoms
, Solution 2024/2025
Pepper
Problem (P) ANS✔✔ Describes alterations in the patient/client/group's
nutritional status. An adjective that describes/qualifies the human responses
such as: altered, impaired, increased, ect
Factors contributing to the existence of or maintenance, cultural, &/or
environmental problems
Signs/Symptoms (S) ANS✔✔ Defining characteristics
A cluster of subjective & objective signs & symptoms established for each
nutrition diagnostic category
What does the overall outline of a PES statement look like? ANS✔✔ "_____
(P) related to (E) ______ as evidenced by (signs and symptoms)___________."
What is the purpose of the medical record (MR)? ANS✔✔ Documentation of
a patient's ongoing medical care
Facilitation of communication between members of the patient's health care
team
Evaluation tool of health care
S of SOAP ANS✔✔ Subjective
Information obtained from the patient (pt) or family or significant other
O of SOAP ANS✔✔ Objective
Factual info relevant to the problem that can be reproduced or confirmed by
others such as:
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