 |
During Nutrition Monitoring and Evaluation, the patient and dietitian together determine criteria to measure whether the goals established during the consultation are achieved. Criteria should be specific, measurable, realistic and time-limited. Several clear outcomes/indicators are selected that reflect both short-term (usually Behavior, Knowledge/Beliefs/Attitudes or Food and Nutrient Intake) and long-term goals (Anthropometric). These are used to measure the effectiveness of the approach and strategies used during the consultation and in follow-up visits.
OUTCOMES/INDICATORS/MEASURES
The patient should be reviewed after two weeks and on an ongoing basis. The following outcomes will be assessed in the review consultations.
Select the Nutrition Monitoring and Evaluation domain below to go directly to that section.
- Food/Nutrition-Related History (FH)
- Anthropometric Measurements (AD)
- Biochemical Data, Medical Tests and Procedure (BD)
- Nutrition-Focused Physical Findings (PD)
- Assessment, Monitoring and Evaluation Tools (AT)
- Etiology Category (EY)
- Progress Evaluation (EV)
| FOOD/NUTRITION-RELATED HISTORY (FH) |
| FOOD AND NUTRIENT INTAKE (FH-1) Energy intake determination (FH-1.1) · Estimated energy intake - Total energy estimated intake in 24 hours, approximate intake Food and beverage intake determination (FH-1.2) · Fluid intake - Estimated fluid intake - Total fluid estimated intake in 24 hours - Fluid estimated intake from oral nutrition in 24 hours - Liquid meal replacement estimated oral intake in 24 hours · Food intake - Amount of food - Types of food - Meal/snack pattern Macronutrient intake determination (FH-1.5) · Protein intake - Estimated protein intake - Total protein estimated intake in 24 hours FOOD AND NUTRIENT ADMINISTRATION (FH-2) Diet history (FH-2.1) · Eating environment KNOWLEDGE BELIEF ATTITUDE DETERMINATION (FH-4) Food and nutrition knowledge (FH-4.1) Food and nutrition skill (FH-4.2) Belief and attitude determination (FH-4.3) · Behavioral beliefs, motivation/changes in self-rating of desire to change - Nutrition self-efficacy score (Self efficacy: the strength of one’s belief in one’s personal ability to complete tasks and achieve goals) - Self-rated, 1=very low confidence to 7 = very high confidence in ability - Readiness to change nutrition related behavior stage, changes in self-reported stage of change - Precontemplation stage (present/absent) - Contemplation stage (present/absent) - Preparation stage (present/absent) - Action stage (present/absent) - Maintenance stage (present/absent) - Relapse stage (present/absent) - Readiness to change nutrition related behavior score - Self-rated on scale of 1 to 10; 1 = not ready to 10 = fully ready to change - Negative emotions about food and nutrition (present/absent), changes in emotions prior to, or after eating - Positive emotions about food and nutrition (present/absent), changes in emotions prior to, or after eating - Unrealistic nutrition related goals (present/absent), changes in perceptions about acceptable weight gain and time frames - Negative nutrition self talk (present/absent), changes in thoughts - Positive nutrition self talk (present/absent), changes in thoughts BEHAVIOR DETERMINATION (FH-5) Adherence behavior (FH-5.1) · Nutrition encounter ratio · Ability to recall nutrition goals · Nutrition self monitoring at agreed upon rate Social network behavior (FH-5.5) · Ability to build and utilize social network PHYSICAL ACTIVITY AND FUNCTION (FH-7) Physical activity (FH-7.3) · Frequency, enjoyment · Duration · Intensity |
| ANTHROPOMETRIC MEASUREMENTS (AD) |
|
Nutrition focused anthropometric measurements (AD-1) Body composition/growth/weight history (AD-1.1) |
| BIOCHEMICAL DATA, MEDICAL TESTS AND PROCEDURES (BD) |
|
Nutrition focused biochemical data, tests, and procedures (BD-1) Electrolyte and renal profile (BD-1.2) |
| ASSESSMENT, MONITORING AND EVALUATION TOOLS (AT) |
| NUTRITION ASSESSMENT, MONITORING AND EVALUATION TOOL RATINGS (AT-1) Subjective global assessment (SGA) rating (AT-1.1) The scored patient generated subjective global assessment (PG-SGA) rating (AT-1.3) · pt-global.org The scored patient generated subjective global assessment (PG-SGA) score (AT-1.4) |
| ETIOLOGY CATEGORY (EY) |
|
NUTRITION DIAGNOSIS ETIOLOGY CATEGORY IDENTIFICATION (EY-1) Beliefs attitudes etiology (EY-1.1) Cultural etiology (EY-1.2) Knowledge etiology (EY-1.3) Physical function etiology (EY-1.4) Physiologic metabolic etiology (EY-1.5) Psychological etiology (EY-1.6) Social personal etiology (EY-1.7) Treatment etiology (EY-1.8) Access etiology (EY-1.9) Behavior etiology (EY-1.10) |
| PROGRESS EVALUATION (EV) |
|
INTERVENTION GOAL STATUS (EV-1) New goal identified (EV-1.1) Goal achieved (EV-1.2) Goal discontinued (EV-1.3) Goal not achieved (EV-1.4) Some progress toward goal (EV-1.5) Some digression away from goal (EV-1.6)
New nutrition diagnosis (EV-2.1) Active nutrition diagnosis (EV-2.2) Resolved nutrition diagnosis (EV-2.3) Discontinued nutrition diagnosis (EV-2.4) |
References
1. Academy of Nutrition and Dietetics. Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care. 2023. Accessed 4 July 2024. Available from: https://www.ncpro.org/.
2. Academy of Nutrition and Dietetics. Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care. NCP Step 4: Nutrition Monitoring and Evaluation. 2023; Accessed 4 July 2024. Available from: https://www.ncpro.org/pubs/2020-encpt-en/page-015a