MNT Chapter 11- Diagnosis and Intervention - Sheet1 Flashcards
MNT Yumi Petrisko (36 cards)
What is the nutrition care process?
Standardized process for nutiritonal care established by the American Dietetic Association
What are the 4 steps of the NCP?
Nutrition Assessment, Diagnosis, Intervention, Monitoring/Evaluation
Why use a nutrition screening?
To identify those who would benefit from nutrition assessment, typically conducted by nurses as a part of admission assessment
What happens if nutritional screening indicates that a patient is at risk?
They are referred to an RD for a nutritional assessment
Can a patient be re-screened for nutritional status?
Yes. Status can change if inpatient is there for a long time
What are the 3 main things that occur during a nutrition assessment?
Obtain data, analyze with evidence-based standards, document
What 3 things do you do during a nutrition diagnosis?
Identify/label problem, determine cause/contributing risk factors, cluster signs & symptoms/defining characteristics, document
What 3 things happen during nutrition intervention?
Plan intervention by setting goals & determining a plan of action, implement nutrition intervention (care delievered/actions carried out), document
What 4 things happen in nutrition monitoring and evaluation?
Monitor progress, measure outcome indicators, evaluate outcomes, document
A nutrition diagnosis includes documentation of the _____.
PES (in a clear statement)
PES stands for
Problem, etiology, signs/symptoms
During the planning phase of the _______, the RD, patient, or client, and others as needed collaborate to identify goals and objectives that will signify success.
Nutrition Intervention
What is an EBG?
Evidence based guide
SOPP stands for?
Standards of Professional Performance
What is the TJC?
The Joint Commission– peer review process, survey teams evaluate health care institutions to evaluate their compliance with w/ standards
Does TJC mandate a METHOD to accomplish the nutritonal screening?
No, as long as its done within 24 hours
TJC focuses mainly on _____ & ______.
Performance of functions and process improvement (PI)
PI stands for ____
Process Improvement
PI standards are provided in the ____
Accreditation Manual for Hospitals (revised on a yearly basis)
The 3 sections of the Accreditation Manual for Hospitals:
1)Patient-focused funtions 2)Organization-focused functions 3)Structures w/ functions, w/ departments and their roles
T/F: An RD MUST be involved in developing a NCP
TRUE
Sentinel events are ___
unintended/unwelcome events/surveys besides the TJC (ie survey from state/local health department)
POMR stands for:
Problem-oriented medical records
What is SOAP?
One of most commo forms of POMR entries (subjective, objective, assessment, plan)
