Nutrition Care Plan: Stakeholder Call Call #2: Nutrition Assessment 2017-10-09
Overall Agenda + Roll Call Updates Alignment of care plan models Nutrition Screening Template creation Care Plan Relationship Diagram - Overlap with Nutrition Diagram Main Topic: Nutrition Assessment Overall Structure and model Food/Nutrition Related History Anthropometric Measurements Biochemical Data, Medical Tests, and Procedures Nutrition Focused Physical Findings Client History Follow-Up: Terminology and Vocabulary Sets
Update: Alignment of Care Plan Models Data Relationship Model
Update: Alignment of Care Plan Models Process Model Observation (Examination, Assessment) Evaluation & Outcome Health Concerns (Relevant Diagnoses) Goals (based on prognosis) Planned Interventions Performed Enter the cycle of care Exit the cycle of care
Update: Nutrition Screening Nutrition Screening vs. Nutrition Assessment Screening: risk of a problem Assessment: presence of a problem Proposed: Nutrition Screening Observation within the Risk concern act Preserves supplemental template modelling Clear place to record, rather than indirectly (referral reason, etc..) Does not force documents to require a screening
Nutrition Assessment: General Questions How long are assessments? How much information does one realistically have? Are there types/classes of nutrition assessments? Existing standard forms or checklists that are used? Is there an overall summary for a nutrition assessment? Based off of the step narrative: Upon completion, it is possible a problem may not be identified or that further information is needed, or that the current problem may not be addressed through nutrition care Reason for discharge/discontinuation if appropriate
Nutrition Assessment: 5 Domains Food/Nutrition related history Anthropometric Measurements Structured: Should create a set Biochemical Data, Medical tests, procedures Does the nutritionist order any of these? Nutrition focused physical findings Client history Dietary Reference Intakes
Follow Up: Vocabulary and Valuesets