1. Victorian ADIME/IDNT Working Party Version 3: May 2014
Facilitator Notes
Prior to presenting to your group, print out the final slide in A4 size and use this for your participants worksheet.
It is recommended not to print out the presentation for use during the presentation
The presentation will provide 1 refresher example for your participants and then proceed with case example.
The presentation is designed so that your participants complete the diagnosis section first followed with a discussion about the most appropriate diagnosis to use. The completion of the PES statement should only be completed after this discussion.
Victorian ADIME/IDNT Working Party Version 3: May 2014

2. Low Fibre and Diverticulitis Case Example
Presented by
Victorian ADIME/IDNT Working Party Version 3: May 2014

3. Refresher Example of PES statement
Excessive energy intake (NI-1.5) related to frequent consumption of large portions of high-fat meals as evidenced by average daily energy intake exceeding recommended amount by 2000kj & 6kg gain during the past 18 months
Victorian ADIME/IDNT Working Party Version 3: May 2014

4. Victorian ADIME/IDNT Working Party Version 3: May 2014
Name of Case Study
45 y.o. Male referred for diet advice to assist with a new diagnosis for
management of Diverticulitis
Anthropometry:
70kg, 155cm, BMI: 29kg.m2. Pt is weight stable
Clincial
Pain, abdominal distension, nausea, diarrhoea, chills and a fever
Victorian ADIME/IDNT Working Party Version 3: May 2014

5. Victorian ADIME/IDNT Working Party Version 3: May 2014
Name of Case study
Social Hx:
Married with 1 child.
Work full time as a teacher
Exercise
½ hour daily of walking
Intake in hospital:
Consuming 90% of hospital meals and drinking quite well.
The hospital dietary intake is providing ~30-35g fibre
No prior counselling received
Victorian ADIME/IDNT Working Party Version 3: May 2014

6. Victorian ADIME/IDNT Working Party Version 3: May 2014
Using the nutrition diagnosis reference sheet Identify possible nutrition diagnoses that could fit this case study
1. ____________________________________________________________
2. ____________________________________________________________
3. ____________________________________________________________
4. ____________________________________________________________
5. ____________________________________________________________
6. ____________________________________________________________
7. ____________________________________________________________
8. ____________________________________________________________
9. ____________________________________________________________
10. ___________________________________________________________
Learners should find at least 9.
Victorian ADIME/IDNT Working Party Version 3: May 2014

7. All Possible Diagnoses
Excessive fibre intake (NI-5.8.6)
Excessive Bioactive substance intake (NI-4.3)
3. Food and nutrition-related knowledge deficit (NB-1.1)
Victorian ADIME/IDNT Working Party Version 3: May 2014

8. Victorian ADIME/IDNT Working Party Version 3: May 2014
Key Diagnoses
Most appropriate diagnoses for this case study:
Excessive fibre intake (NI-5.8.6)
Food and nutrition-related knowledge deficit (NB-1.1)
Victorian ADIME/IDNT Working Party Version 3: May 2014

9. Other diagnoses and reason/s why you might not use them
Excessive Bioactive substance intake (NI-4.3)
You could use this diagnosis in place of the low fibre diagnosis, however considering there is a diagnosis specific to fibre, it is better to use the specific diagnosis.
Victorian ADIME/IDNT Working Party Version 3: May 2014

10. Based on the above case study write 2 to 3 possible PES Statements
___________________ as related to
E:______________________________
_________________as evidenced by
S/S:_____________________________
______________________________
Victorian ADIME/IDNT Working Party Version 3: May 2014

11. Evaluating your PES Statement
When developing your PES statements, think about the following:
{ } can the dietitian resolve the nutrition diagnosis?
{ } if tossing up between 2 diagnoses, attempt to select the INTAKE domain first
{ } is the aetiology the “root cause” (ask “but why”)
{ } will measuring the ‘signs and symptoms’ tell you if the problem is resolved?
{ } are the signs and symptoms specific enough that you can measure them?
Victorian ADIME/IDNT Working Party Version 3: May 2014

12. Victorian ADIME/IDNT Working Party Version 3: May 2014
PES statement 1
Excessive fibre intake (NI-5.8.6)
as related to
knowledge deficit regarding recommended dietary
changes for diverticulitis
as evidenced by
symptoms including pain, abdominal distension,
nausea, diarrhoea, hospital dietary intake of ~30-35g
of fibre
Victorian ADIME/IDNT Working Party Version 3: May 2014

13. Victorian ADIME/IDNT Working Party Version 3: May 2014
PES statement 2
Food and nutrition-related knowledge deficit (NB-1.1)
related to
no prior counselling received related to diverticulitis
as evidenced by
hospital dietary intake of ~30-35g of fibre
Victorian ADIME/IDNT Working Party Version 3: May 2014

14. Victorian ADIME/IDNT Working Party Version 3: May 2014
References
PowerPoint Presentations
Ferguson M, et al. Webinar 3: Implementation, DAA IDNT Working Party,
Vivanti A, Micallef N. Webinar 2: Diagnoses, PES statements and Case Study, DAA IDNT Working Party,
Capra S, Ferguson M, et al. Standardised Language: A powerful tool for dietetic professionals,
Manuals
ADA, (2013) International Dietetics and Nutrition Terminology (IDNT) Reference Manual: Standardized Language for the Nutrition Care Process, Fourth Edition, American Dietetic Association, 2013
ADA, (2010) International Dietetics and Nutrition Terminology (IDNT) Reference Manual: Standardized Language for the Nutrition Care Process, American Dietetic Association, 2010
PES FAQ and Terminology IDNT Edition 3, v4, Nutrition and Dietetics Department, Princess Alexandra Hospital, Queensland
Victorian ADIME/IDNT Working Party Version 3: May 2014

15. Contacts Alison Qvist alison.qvist@wh.org.au
Ai Vee Lim
Anna Cardamis
Anna Whitley
Annika Dorey
Caitlyn Green
Lina Breik
Loretta Bufalino
Kate Furness
Rubina Raja
Sonia Brockington

16. Low Fibre and Diverticulitis
45 y.o. Male referred for diet advice to assist with a new diagnosis for management of Diverticulitis
Social Hx:
Married with 1 child.
Work full time as a teacher
Anthropometry:
70kg, 155cm, BMI: 29kg.m2. Pt is weight stable
Clincial:
Pain, abdominal distension, nausea, diarrhoea, chills and a fever.
Exercise:
½ hour daily of walking
Intake in hospital:
Consuming 90% of hospital meals and drinking quite well.
The hospital dietary intake is providing ~30-35g fibre
No prior counselling received
Using the nutrition diagnosis reference sheet, identify possible nutrition diagnoses that could fit this case study
1. _______________________________________________ ____________________________________________________
2. _______________________________________________ ____________________________________________________
3. _______________________________________________ ____________________________________________________
4. _______________________________________________ ____________________________________________________
Based on the above case study write three possible PES statements
PES Statement 1:
P:__________________________________________________________________________________________as related to
E:________________________________________________________________________________________as evidenced by
S/S:___________________________________________________________________________________________________
PES Statement 2:
PES Statement 3:
A4 working sheet, write in font 12, when printing print to A4 size