Module 6 Flashcards
Retain info to help with upcoming projects + final exam. (26 cards)
4 Key Areas of Nutrition Assessment
- Food and nutrient intake
- Social, medical and family history
- Anthropometric and physical assessment
- Biochemical indicators
What is the nutrition care process?
Step 1: Referral
Step 2: Assessment
Step 3: Diagnosis
Step 4: Intervention
Step 5: Monitoring and evaluation
Criteria for making a nutrition diagnosis
Diagnose the top priority issue given the data/circumstances. Make sure it is a NUTRITION diagnosis that can be intervened with using a PES statement
What are the 3 areas of nutrition diagnosis (standardized diagnostic terms?)
- Food/Nutrient Intake
- Clinical
- Behavioral/Environmental
What is an example of each area of nutrition diagnosis?
Inadequate energy intake (food/nutrient intake)
Malnutrition/altered lab values (clinical)
Inadequate food access (behavioral/environmental)
What is a PES statement?
P- Problem: main issue, described using standardized terms
E- Etiology: underlying cause of the problem (can be multiple)
S- Signs/symptoms: evidence that problem exists and indicates severity of the problem (can be multiple)
What is the purpose of a PES statement?
It helps us manage the case so we are able to track our client’s progress in comparison to what we originally listed on the statement
How is a PES statement worded?
It links the problem to the etiology and the signs/symptoms with the words “related to” and “as evidenced by”
Ex: Excessive energy intake (P) related to frequent consumption of high calorie meals (E), as evidenced by daily caloric intake exceeding estimated energy needs by 750 kcal and 16 lb weight gain in past 3 months (S)
What is the most accurate way to measure energy requirements?
The most accurate way to measure energy requirements is indirect calorimetry
If indirect calorimetry isn’t possible to be taken, what can be used to measure RMR?
The Mifflin St. Jeor Equation
What factors affect energy and protein requirements?
Age, activity level
What range of DRI is usually considered to be adequate?
70-120%
Regarding activity, what does the CDC recommend?
150 mins of moderate intensity/75 mins of high intensity (weekly)
Muscle strengthening twice a week
Limit sedentary time
What are the 2 major types of health care insurance? Give examples of each.
Government Health Insurance Plans (Medicare, Medicaid, CHIP)
Private Health Insurance Plans (Blue Cross Blue Shield, Aetna)
What is Medicare?
Medicare is the federal health insurance provided to people 65+, certain disabilities, and end-stage renal disease.
What does Medicare consist of?
Part A (hospital)
Part B (outpatient)
Part C (A+B “Advantage Plan”)
Part D (prescriptions)
What is Medicaid?
Medicaid is state-run health insurance for low income adults, pregnant women, children, the elderly, disabilities.
MNT is not a Medicaid benefit.
What are third party payers?
Payers that can compensate organizations/RDNs if they provide MNT outside of an inpatient setting under certain conditions
What are HSAs and FSAs?
Health Savings Accounts and Flexible Saving Accounts, sometimes available to employees through their work to pay for high medical expenses.
What is an NPI?
National Provider Identifier, a 10 digit number registered to the name of an RDN. Only need to apply once
What is a superbill?
A superbill is an itemized receipt for health care services provided, paid directly by the patient, if they aren’t covered for the MNT they’ve received.
What are CPT codes?
Current Procedural Terminology, 5 digit procedure codes describing the service rendered by the healthcare professional.
What 3 CPT codes describe MNT?
97802- initial assessment and intervention (15 mins)
97803- reassessment and intervention (15 mins)
97804- group (30 mins)
What is the HCPCS?
Healthcare Common Procedure Coding System, G codes that describe services provided when extra sessions are needed
