ADIME Charting Flashcards

ADIME Charting Overview

• ADIME is an acronym representing the stages of nutrition care: Assessment, Diagnosis, Intervention, Monitoring & Evaluation.

Assessment Categories

• Five key categories for assessment include:
  • Food/Nutrition-related History
  • Anthropometric Measurements
  • Biochemical Data, Medical Tests & Procedures
  • Nutrition-Focused Physical Findings
  • Client History

Purpose of Assessment

• Aims to obtain, verify, and interpret data essential for identifying nutrition-related issues, their root causes, and significance.

Data Sources for Assessment

• Data is gathered from the patient/client through interviews, observations, measurements, medical records, and referrals from healthcare providers.

Purpose of Diagnosis

• To pinpoint and describe a specific nutrition problem that can be addressed or improved through intervention by a nutrition professional.
• Nutrition diagnosis differentiates from medical diagnosis (e.g., inconsistent carbohydrate intake versus diabetes).

Diagnosis Categories

• Three main diagnosis categories include:
  • Intake: Assessment against actual or estimated needs
  • Clinical: Nutrition problems related to medical conditions
  • Behavioral-Environmental: Issues surrounding knowledge, attitudes, beliefs, access to food, and food safety

PES Framework

• PES stands for:
  • Problem or Nutrition Diagnosis Label
  • Etiology (cause or contributing factors)
  • Signs/Symptoms: Evidence supporting the diagnosis.

PES Statement Format

• The structure for a PES statement is:
  • "Nutrition problem label related to ________ as evidenced by ________."

Evaluating PES Statements

• Evaluate whether the nutrition assessment data correlates with a specific diagnosis, its typical etiology, and accompanying signs/symptoms.

Purpose of Intervention

• To resolve or enhance the identified nutrition problem through tailored planning and implementation of appropriate interventions guided by the nutrition diagnosis and its causes.

Intervention Categories

• Four categories of interventions:
  • Food and/or Nutrient Delivery
  • Nutrition Education
  • Nutrition Counseling
  • Coordination of Nutrient Care

Components of Intervention

• Intervention involves two interrelated steps:
  • Planning
  • Implementing
• Emphasizes setting SMART goals and prioritizing actions.

Purpose of Monitoring & Evaluation

• To assess the amount of progress made and determine if goals and expected outcomes are being achieved.

Monitoring & Evaluating Categories

• Four categories for monitoring and evaluation include:
  • Food/Nutrition-related History outcomes
  • Anthropometric Measurement outcomes
  • Biochemical data, medical tests, and procedure outcomes
  • Nutrition-focused physical findings outcomes

SMART Goals Explained

• SMART is an acronym for:
  • Specific
  • Measurable
  • Attainable
  • Realistic
  • Timely (tangible)