Nutrition Care Process

Nutrition Care Process

Nutrition Care Process

by Pam Charney, phd, rd

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Nutrition Care Process

7950 Jones Branch Drive, 7th Floor, McLean, VA 22107 1-800-866-0919 (US & Canada) ? FAX:1-703-854-3752

e-mail: ce@

Nutrition Care Process

by Pam Charney, phd, rd

About the author:

Pam Charney, phd, rd has more than 20 years experience in nutrition support in a variety of care settings. She has managed clinical nutrition departments, nutrition support teams, and multidisciplinary clinics, and consults with groups to improve team effectiveness, implement nutrition informatics, evaluate healthcare quality, and develop advanced practice qualifications. She holds faculty appointments at the University of Washington and in the nutrition program at University of Medicine and Dentistry of New Jersey, where she completed her doctorate. Pam has served the American Dietetic Assn. in many capacities; she currently sits on the ADA Board of Directors and is a member of the House of Delegates Leadership Team. She has served on the Board of Directors of the American Society for Parenteral and Enteral Nutrition (ASPEN). She has received many awards and honors, including ADA's Award for Excellence in Clinical Nutrition, Dietitians in Nutrition Support's Distinguished Nutrition Support Dietitian Award, ASPEN's Outstanding Nutrition Support Dietitian Award, and the ADA Foundation Medallion Award. In 2006 she was named Outstanding Alumna by the University of Medicine and Dentistry of New Jersey. She is the first dietitian to be selected to receive a National Library of Medicine Fellowship. Her current emphasis is on developing informatics competencies for RDs, as well as to investigate knowledge sources in nutrition to ensure proper representation of dietetics in the electronic health record.

Important - Read Before Proceeding

EXPIRATION DATE: Students of all professions must submit this course for credit no later than December 31, 2015. Credit will not be awarded for this course after that date.

Course Code: RD101

This course approved for RD, DTR.................8 CPEU CDM........... 8 Clock Hours

Editing/proofreading: Dale Ames Kline, Debbie Gorgani Design/Production: Courtney Naguib/Nutrition Dimension

? 2010 OnCourse Learning Corporation No part of this course may be reproduced, duplicated or copied in any way without the written permission of the copyright holder. (See note on Page ii)

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How to Earn Continuing Education Credit

1.Read or watch the course material. Don't forget to review the course objectives and take note of course tools available to you. The objectives provide specific learning goals and an overview of the course. Read the material in the order presented. If you need help with the material, please e-mail ce@ with your specific question. We will forward your inquiry to the author, so allow adequate time for a reply.

2.CE credit will not be awarded for this course after December 31, 2015.

3.If you have an account on , , or , or NutritionDimension. com, please use that account username and password to sign in on . If you don't already have one, please sign up for a user account. Click "sign up" or "login" in the upper right hand corner of any page on . If you have a CE Direct login ID and password (generally provided by your employer), please log in as you normally would at lms.nurse. com and search for this topic title.

4.Go to the "my courses" section of "my account." Click on the title of the course you want to complete and then on "start course."

5.Click "start test" to begin the exam. To earn contact hours, you must achieve a score of 75% on your multiple-choice exam for most courses. For webinar courses, you will need to achieve a score of 100%. You may retake the test as many times as necessary to pass. Clues are not provided on the exam. Certificates will be date/time stamped with the time and date of the day the user passes the test (Eastern Time, U.S.).

6.After successfully completing your exam click, "complete required survey." In order to complete the test process and receive your certificate of completion, you must take a few moments to answer a brief survey about the course material.

7.After completing the survey, you will be taken to your transcript. Under Courses Completed, you can view, print, or e-mail your certificate.

8.Three months after you complete a course, you will receive an e-mail asking you to complete a followup survey. This is vital to our educational requirements so we can report our quality outcomes and effectiveness.

We report course completions to National Commission for Health Education Credentialing (NCHEC) quarterly and The Association of Nutrition & Foodservice (ANFP, formerly DMA) monthly. Other professions should follow their certifying organization's reporting instructions. We keep a record of course completions for 7 years.

A Word About Copyrights:

We encourage health professionals to use material from this course in their practice. Please follow these guidelines: (1) Credit the author, OnCourse Learning Corporation and any referenced source. (2) Course material may not be sold, published, or made part of any program for which a fee is charged, without written

permission from OnCourse Learning Corporation. (3) Inform OnCourse Learning Corporation by letter if you wish to make significant use of material from this course

(e.g. if you wish to duplicate Appendix pages for a training session or patient handout).

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Chapter

Contents

Introduction

Chapter One: The Nutrition Care Process Overview Why use a care process? ? Care processes used by other providers ? What is the nutrition care process and model? ? A brief description of the NCP

Chapter Two: Nutrition Assessment Current Practice in Nutrition Assessment ? ADA's Terminology for Nutrition Assessment

Chapter Three: Focused Nutrition Assessment Physical examination ? Conducting the nutrition focused physical assessment (NFPA) ? Initial observation and vital signs? System specific nutrition focused physical assessment ? Systems requiring auscultation

Chapter Four: Nutrition Diagnosis ADA's Terminology for Nutrition Diagnosis ? What is a Diagnostic Thought Process? ? Diagnosing Nutrition Problems ? Communicating the nutrition diagnosis ? Using Terminology to Document Diagnoses

Chapter Five: Nutrition Intervention Planning ? Nutrition prescription ? Goal setting ? Implementing nutrition interventions ? Using the IDNT to document nutrition interventions ?

Chapter Six: Nutrition Monitoring and Evaluation Components of monitoring & evaluation ? Outcomes ? Global health outcomes ? Indicators ? Using IDNT for monitoring & evaluating nutrition care outcomes

Chapter Seven: Clinical Case Study Nutrition Assessment ? Diagnosis ? Prescription ? Intervention ? Monitoring and Evaluation

Chapter Eight: Community Nutrition Case Study Nutrition Assessment ? Diagnosis ? Prescription ? Intervention ? Monitoring and Evaluation

Chapter Nine: NCP and Electronic Medical Records What is nutrition informatics? ? Regulatory influence ? What does this mean to dietetics professionals? ? Healthcare informatics is more than just the EMR! ? Are you computer literate? ? Finding and evaluating healthcare information ? Database nuts and bolts ? Computers and healthcare: where do people find health information? ? Electronic medical records ? Clinical system life cycle ? Managing personal health information ? Safety and security ? Social networking: should you "friend" your patients?

Appendices

Examination

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Learning Objectives

Upon successful completion of the course, learners will be able to:

1. Relate the developments in health care that support use of a care process by dietitians. 2. Describe each of the components of the Nutrition Care Process and Model. 3. Discuss the benefits associated with using a standardized terminology in dietetics practice. 4. Identify the components of nutrition assessment as described in the Nutrition Care Process. 5. Gather information from a patient history using a case study. 6. Critically evaluate patient information to complete a nutrition assessment. 7. Discuss the differences between the medical diagnosis and the nutrition diagnosis. 8. Given a case scenario, correctly diagnose nutrition problems. 9. Write clear, concise P-E-S statements for brief case scenarios. 10. Given a case scenario, select interventions appropriate for a given nutrition diagnosis 11. Discuss rationale for selecting a nutrition intervention. 12. Determine own level of autonomy for implementing nutrition interventions depending on

practice setting and level of experience. 13. Describe how goals are set for nutrition intervention. 14. List at least 2-3 goals for a given nutrition intervention. 15. Identify standards for comparison when selecting monitoring and evaluation parameters. 16. Define nutrition informatics. 17. Locate nutrition-related information using a search engine. 18. Critically evaluate appropriateness of web page content. 19. Develop an understanding of critical thinking skills.

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