Académique Documents
Professionnel Documents
Culture Documents
Anthropometric Measurements
1. Height/length
2. Weight
3. Frame size
4. Weight change
5. Body mass index
6. Growth pattern indices/percentile ranks
7. Body composition estimates
Biochemical Data, Medical Tests and
Procedures
63 year-old female.
1. Personal history
2. Patient/client/family medical/health
history
3. Social history
Comparative Standards
1.
2.
3.
4.
5.
Energy needs
Macronutrient needs
Fluid needs
Micronutrient needs
Weight and growth recommendations
Critical thinking:
1. Determine appropriate data to collect
2. Select valid and reliable tools for data collection
3. Select appropriate norms and standards for comparing data
4. Organizing the data in a meaningful way that relates to the nutrition problem
5. Categorizing the data in a meaningful way that relates to the nutrition
problem
Class of
Diagnosi
s
Related to
(E) Etiology
Complex diet needs
As Evidenced by
(S) Signs/Symptoms
Pt report of food intake after d/c
Expanded Nutrition
Diagnostic Terminology
found in the eNCPT located
at:
https://ncpt.webauthor.com/
Nutrition Prescription
As needed, consult RD on the difference between peritoneal dialysis diet vs. the hemodialysis
diet. Education patient on the importance of a low phosphorus and sodium diet, and shopping
tips and label reading for HD.
Intervention
Meals/Snacks
#1
Goal
Renal/Diabetic diet 3gm K; 3-4 gm Na; Low phosphorus; 150 gm CHO con; 1500 ml
#1
Goal
fluid;
Pt consume >50% x3 meal/day
#2
Goal
#3
Intervention
#2
Nutrition Education
Goal
#1
Goal
May consider referral to outpatient RD to address pts concerns for weight loss while
#2
Goal
#3
being on HD diet
Diagnostic Terminology
found in the eNCPT located
at:
https://ncpt.webauthor.com
/
Comparative Standards
1.
2.
3.
4.
5.
Energy needs
Macronutrient needs
Fluid needs
Micronutrient needs
Weight and growth recommendations
Weight/Weight Change
outcome
Indicat Maintain weight
Criteri
or
Indicat
a
Criteri
Maintain weight
or
Indicat
a
Criteri
or
outcome
Indicat Phosphorus
Criteri
2.5-4.5 mg/dL
or
Indicat
BUN
a
Criteri
10-20 mg/dL
or
Indicat
Creatinine
a
Criteri
0.5-1.1 mg/dL
or
outcome
Indicat Per pt conversation
Criteri
or
Indicat
Per pt conversation
a
Criteri
Per pt conversation
a
Criteri
or
Indicat
or