NCP 103: Nutrition Diagnosis
1 Introduction to the Nutrition Care Process FNU 425 هـ1436- 1435 الفصل الدراسي الثاني هـ1436 / 4 /12 Outline 2 NCP NCP vs MNT NCP Model Critical Thinking NCP supports development of critical thinking skills NCP step#1- Nutrition Assessment 12/ 4/ 1436هـ 1 What is the Nutrition Care Process? 3 A standardized model, a systematic problem-solving method that uses critical thinking to make decisions about nutrition problems and provide safe and effective high quality nutrition care. 12/ 4/ 1436هـ Why use Nutrition Care Process? 4 ADA Quality Management Committee appointed the Nutrition Care Model workgroup in 2002 Promote demand for RD services Help RD become more competitive Developed the Nutrition Care Process and Model Improve consistency and quality of care provided Enhance predictability of outcomes The NCP provides a framework and consistent structure regardless of the care setting or client/patient 12/ 4/ 1436هـ 2 What is the Medical Nutrition Therapy (MNT)? 5 MNT is a specific application of the NCP in clinical settings that is focused on the management of diseases. MNT involves in-depth individualized nutrition assessment at a duration and frequency of care using the Nutrition Care Process to manage disease. 12/ 4/ 1436هـ Medical Nutrition Therapy (MNT) 6 Medical Nutrition Therapy includes: 1. performing a comprehensive nutrition assessment determining the nutrition diagnosis 2. planning and implementing a nutrition intervention using evidence-based nutrition practice guidelines 3. monitoring and evaluating an individual’s progress over subsequent visits with the RD. 12/ 4/ 1436هـ 3 NCP vs. MNT 7 NCP is the process whereby MNT is provided NCP outlines the steps in providing MNT NCP is the framework and MNT is the nuts and bolts 12/ 4/ 1436هـ The Nutrition Care Process Model 8 12/ 4/ 1436هـ 4 The Outer Ring 9 Environmental Factors Positive or negative impact on outcomes 12/ 4/ 1436هـ 10 5 The Inner Ring RD Skills and Knowledge 11 Dietetics Knowledge Code of Ethics Communication Collaboration Critical Thinking Skills & Competencies Evidence-based Practice 12/ 4/ 1436هـ What is Critical Thinking? 12 “A complex set of cognitive skills employed in problem-solving” Ability to analyze a problem and develop potential solutions Determining appropriate data to collect Distinguishing relevant from irrelevant data Validating data Organizing data to relate to nutrition problems Provide Potential solutions 12/ 4/ 1436هـ 6 A Four-Step Process 1. 2. 3. 4. 1 2 4 3 13 Nutrition Assessment Nutrition Diagnosis Nutrition Intervention Nutrition Monitoring and Evaluation 12/ 4/ 1436هـ The Four Steps Gather & evaluate data that help identify a nutrition problem Nutrition Diagnosis Identification and labeling a nutrition problem Nutrition Assessment 12/ 4/ 1436هـ Nutrition 14 Intervention Activities and actions aimed at addressing the problem Nutrition Monitoring and Evaluation Review and measurement of status at regular intervals 7 Step One: Nutrition Assessment 12/ 4/ 1436هـ Obtain, 15 verify and interpret data Data used might vary according to setting Food and nutrition history Biochemical data, test results, procedures Anthropometric measurements Physical exam findings Client history Nutrition Assessment Step One: Nutrition Assessment Is there a nutrition problem? Is more information needed? What is the probability of finding the problem with more information? Without more information? How Do 12/ 4/ 1436هـ Nutrition Assessment much will this cost? we need information at this point? 16 8 Step One: Nutrition Assessment-cont’d Assessment Food data organization / Nutrient related history Biomedical data, medical tests, procedures Anthropometrics Nutrition-Focused Physical findings Nutrition Assessment Client History 12/ 4/ 1436هـ 17 Step One: N A- Terminology Food /Nutrition related history Anthropometric Biomedical measurements data, medical tests, procedures Nutrition-Focused Comparative 12/ 4/ 1436هـ Physical findings Standards 18 9
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