Nutrition Care Process Lecture (2026) - University of Santo Tomas PDF

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University of Santo Tomas

2026

Ailyn Mae K. Del Rio

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nutrition nutrition care process dietetics medical nutrition

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This document is a lecture on the nutrition care process for the BS in Nutrition and Dietetics program at the University of Santo Tomas in 2026. It includes an introduction to the topic, background information on dietetics, the role of a clinical dietitian, and the nutrition care process model.

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‭UNIVERSITY OF SANTO TOMAS‬ ‭BS IN NUTRITION AND DIETETICS BATCH 2026‬ ‭ UTRITION CARE PROCESS (LECTURE)‬ N ‭PROF. AILYN MAE K. DEL RIO‬ ‭ADAPTED FROM:‬‭POWERPOI...

‭UNIVERSITY OF SANTO TOMAS‬ ‭BS IN NUTRITION AND DIETETICS BATCH 2026‬ ‭ UTRITION CARE PROCESS (LECTURE)‬ N ‭PROF. AILYN MAE K. DEL RIO‬ ‭ADAPTED FROM:‬‭POWERPOINT/LECTURE‬ ‭COURSE OUTLINE: PRELIMS‬ ‭ rofessional‬ ‭competence‬ ‭of‬ ‭nutritionist-dietitians‬ p ‭through continuing professional development‬ ‭ NIT 1&2:‬‭Introduction to Nutrition Care Process‬ U ‭UNIT 3:‬‭Nutrition Assessment‬ ‭UNIT 4:‬‭Nutrition Diagnosis‬ ‭DOH AO 2019-0033‬ ‭‬ ‭ uidelines‬ ‭on‬ ‭the‬ ‭implementation‬ ‭of‬ ‭NCP‬ ‭in‬ G ‭Hospitals‬ ‭‬ ‭Rationale:‬ ‭Republic‬ ‭Act‬ ‭No.10862‬ ‭or‬ ‭the‬ ‭Nutrition‬ ‭and‬‭Dietetics‬‭Law‬‭of‬‭2016‬‭was‬‭enacted‬‭to‬‭regulate‬ ‭and‬ ‭standardize‬ ‭the‬ ‭practice‬ ‭of‬ ‭nutrition‬ ‭and‬ ‭dietetics‬ ‭in‬ ‭the‬ ‭Philippines,‬ ‭with‬ ‭a‬ ‭provision‬ ‭on‬ ‭NUTRITION CARE PROCESS‬ ‭Medical‬ ‭Nutrition‬ ‭Therapy‬ ‭(MNT)‬ ‭through‬ ‭the‬ ‭application‬ ‭of‬ ‭Nutrition‬ ‭Care‬ ‭Process‬ ‭(NCP)‬ ‭for‬ ‭(LECTURE)‬ ‭purposes‬ ‭of‬ ‭disease‬ ‭prevention,‬ ‭treatment,‬ ‭and‬ ‭management.‬ ‭UNIT 1&2: INTRODUCTION TO NUTRITION CARE‬ ‭‬ ‭This‬ ‭Order‬ ‭provides‬ ‭guidelines‬ ‭in‬ ‭the‬ ‭implementation‬ ‭of‬ ‭Nutrition‬ ‭Care‬ ‭Process‬ ‭(NCP)in‬ ‭PROCESS‬ ‭public and private hospitals.‬ ‭BRIEF BACKGROUND OF DIETETICS‬ ‭THE ROLE OF A CLINICAL DIETITIAN‬ ‭‬ ‭ t. Bartholomew Hospital‬ S ‭‬ ‭Florence Nightingale‬ ‭‬ ‭ he‬ ‭practice‬ ‭of‬ ‭clinical‬ ‭nutrition‬ ‭is‬ ‭called‬ ‭nutrition‬ T ‭‬ ‭Alexis Soyer‬ ‭therapy.‬ ‭‬ ‭‬ ‭Clinical‬ ‭dietitians‬ ‭are‬ ‭the‬ ‭educated‬ ‭and‬ ‭trained‬ ‭1952‬ ‭-‬ ‭The‬ ‭Philippine‬ ‭General‬ ‭Hospital‬ ‭revamped‬ ‭its‬ ‭organization,‬ ‭separating‬ ‭the‬ ‭Dietetic‬ ‭Service‬ ‭professionals‬‭who‬‭can‬‭best‬‭deliver‬‭nutrition‬‭therapy‬ ‭by using the nutrition care process (NCP).‬ ‭from‬ ‭the‬ ‭Nursing‬ ‭Department.‬ ‭Mrs.‬ ‭Preciosa‬ ‭Irma‬ ‭‬ ‭Optimize‬ ‭the‬ ‭health‬ ‭and‬ ‭well-being‬ ‭of‬ ‭PinedaFlorentin‬ ‭became‬ ‭the‬ ‭head‬ ‭of‬ ‭the‬ ‭new‬ ‭Dietary‬ ‭Department,‬ ‭and‬ ‭she‬ ‭established‬ ‭the‬ ‭patients/clients‬ ‭through‬ ‭the‬ ‭delivery‬ ‭of‬ ‭quality‬ ‭following:‬ ‭products, programs and services.‬ ‭‬ ‭Promotes‬ ‭nutritional‬ ‭health‬ ‭and‬ ‭well-being‬ ‭of‬ ‭o‬ ‭A. First dietetic internship program.‬ ‭o‬ ‭B. First hospital based-Nutrition Clinic.‬ ‭individuals, groups, communities and populations.‬ ‭o‬ ‭C. First metabolic unit‬ ‭‬ ‭Sets‬ ‭standards,‬ ‭guidelines‬ ‭and‬‭policies‬‭that‬‭create‬ ‭‬ ‭1957‬ ‭-Senator‬ ‭Pacita‬ ‭M.‬ ‭Gonzales‬ ‭and‬ ‭and‬ ‭encourage‬ ‭an‬ ‭environment‬ ‭that‬ ‭supports‬ ‭nutritional health.‬ ‭Congresswoman‬ ‭Tecla‬ ‭San‬ ‭Adres-Ziga‬ ‭sponsored‬ ‭a‬ ‭bill‬ ‭in‬ ‭Congress‬ ‭on‬ ‭regulation‬ ‭of‬ ‭the‬ ‭practice‬ ‭of‬ ‭Dietetics‬ ‭CLINICAL NUTRITION TEAM‬ ‭‬ ‭1960‬ ‭President‬ ‭Carlos‬ ‭P.‬ ‭Garcia‬ ‭signed‬ ‭into‬ ‭law‬ ‭‬ ‭ ometimes called “Nutrition Support Team”‬ S ‭Republic‬ ‭Act‬ ‭(RA)‬ ‭2674‬ ‭“An‬ ‭Act‬ ‭to‬ ‭Regulate‬ ‭the‬ ‭‬ ‭In‬ ‭the‬ ‭health‬‭care‬‭setting,‬‭individuals‬‭from‬‭different‬ ‭Practice of Dietetics in the Philippines.”‬ ‭disciplines‬‭communicate‬‭with‬‭each‬‭other‬‭regularly‬‭in‬ ‭‬ ‭DAP,‬ ‭now‬ ‭known‬ ‭as‬ ‭Nutritionist-Dietitians‬ ‭order to best care for their patients.‬ ‭Association‬ ‭of‬ ‭the‬ ‭Philippines‬ ‭(NDAP)‬ ‭became‬ ‭a‬ ‭‬ ‭Dietitians‬ ‭are‬ ‭integral‬ ‭members‬ ‭of‬ ‭the‬ ‭patient’s‬ ‭member‬ ‭of‬ ‭the‬ ‭International‬ ‭Committee‬ ‭of‬ ‭Dietetic‬ ‭health‬ ‭care‬ ‭team‬ ‭and‬ ‭collaborate‬ ‭with‬ ‭physicians,‬ ‭Association.‬ ‭pharmacists,‬ ‭nurses,‬ ‭speech‬ ‭pathologists,‬ ‭‬ ‭1977‬‭– PD 1286 – creation of BOND‬ ‭occupational‬ ‭therapists,‬ ‭social‬ ‭workers,‬ ‭and‬ ‭many‬ ‭‬ ‭2016‬‭– RA 10862 – ND Law‬ ‭others when providing nutritional treatment.‬ ‭‬ ‭2019‬‭- NCP practice mandated in the Philippines‬ ‭‬ ‭Nutritional‬ ‭care‬ ‭requires‬ ‭collaboration‬ ‭among‬ ‭members‬ ‭of‬ ‭the‬ ‭entire‬ ‭health‬ ‭care‬ ‭team.‬ ‭RA 10862‬ ‭Interprofessional‬ ‭teams‬ ‭work‬ ‭together‬ ‭to‬ ‭provide‬ ‭‬ ‭ n‬ ‭Act‬ ‭Regulating‬ ‭the‬ ‭Practice‬ ‭of‬ ‭Nutrition‬ ‭and‬ A ‭optimal patient care.‬ ‭Dietetics‬ ‭in‬ ‭the‬ ‭Philippines,‬ ‭Repealing‬ ‭for‬ ‭the‬ ‭purpose‬ ‭Presidential‬ ‭Decree‬ ‭No.‬ ‭1286,‬ ‭known‬ ‭as‬ ‭NUTRITION CARE PROCESS‬ ‭the‬ ‭"Nutrition‬ ‭and‬ ‭Dietetics‬ ‭Decree‬ ‭of‬ ‭1977",‬ ‭‬ ‭ he‬ ‭Nutrition‬ ‭Care‬ ‭Process‬ ‭is‬ ‭a‬ ‭systematic‬ T ‭appropriating‬ ‭Funds‬ ‭therefor‬ ‭and‬ ‭for‬ ‭other‬ ‭related‬ ‭problem-solving‬ ‭method‬ ‭that‬ ‭food‬ ‭and‬ ‭nutrition‬ ‭purposes.‬ ‭professionals‬ ‭use‬ ‭to‬ ‭think‬ ‭critically‬ ‭and‬ ‭make‬ ‭‬ ‭This‬‭Act,‬‭consisting‬‭of‬‭46‬‭sections‬‭divided‬‭into‬‭nine‬ ‭decisions that address practice-related problems.‬ ‭articles,‬‭aims‬‭at‬‭regulating‬‭the‬‭nutrition‬‭and‬‭dietetics‬ ‭‬ ‭Application‬‭of‬‭individualized‬‭care‬‭and‬‭the‬‭use‬‭of‬‭the‬ ‭matters.‬‭It‬‭shall‬‭govern:‬‭(a)‬‭the‬‭standardization‬‭and‬ ‭best available evidence to inform practice decisions.‬ ‭regulation‬ ‭of‬ ‭nutrition‬ ‭and‬ ‭dietetics‬ ‭education;‬ ‭(b)‬ ‭‬ ‭Improved‬ ‭health‬ ‭outcomes‬ ‭should‬ ‭enhance‬ ‭the‬ ‭examination,‬ ‭registration‬ ‭and‬ ‭licensing‬ ‭of‬ ‭recognition of Nutrition and Dietetics professionals.‬ ‭nutritionist-dietitians;‬ ‭(c)‬ ‭the‬ ‭standardization,‬ ‭‬ ‭The‬ ‭Nutrition‬ ‭Care‬ ‭Process‬ ‭provides‬ ‭the‬ ‭structure‬ ‭supervision,‬ ‭control,‬ ‭and‬ ‭regulation‬ ‭of‬ ‭the‬ ‭practice‬ ‭for‬‭customized‬‭care‬‭to‬‭be‬‭the‬‭most‬‭efficient‬‭plan‬‭in‬ ‭of‬ ‭nutrition‬ ‭and‬ ‭dietetics;‬ ‭(d)‬ ‭the‬ ‭development‬ ‭of‬ ‭a‬ ‭dietitian's‬ ‭“toolbox”‬ ‭.‬ ‭The‬ ‭set‬ ‭framework‬ ‭of‬ ‭the‬ ‭1‬ ‭I‬ ‭BSND-3N3‬ ‭UNIVERSITY OF SANTO TOMAS‬ ‭BS IN NUTRITION AND DIETETICS BATCH 2026‬ ‭ UTRITION CARE PROCESS (LECTURE)‬ N ‭PROF. AILYN MAE K. DEL RIO‬ ‭ADAPTED FROM:‬‭POWERPOINT/LECTURE‬ ‭ odel‬‭allows‬‭the‬‭RND‬‭to‬‭“fill‬‭in‬‭the‬‭blanks”‬‭for‬‭each‬ m ‭‬ ‭ rovided‬ ‭a‬ ‭consistent‬ ‭framework‬ ‭that‬ ‭enabled‬ P ‭patient.‬ ‭comprehensive‬‭and‬‭individualized‬‭solutions‬‭to‬‭case‬ ‭‬ ‭1970-1986‬ ‭-‬ ‭One‬ ‭of‬ ‭the‬ ‭early‬‭visions‬‭of‬‭an‬‭NCPM‬ ‭studies and practice issues‬ ‭diagram‬‭emerged‬‭when‬‭Marian‬‭Hammond,‬‭MS,‬‭RD,‬ ‭‬ ‭Made‬‭teaching‬‭and‬‭learning‬‭more‬‭efficient‬‭because‬ ‭created‬ ‭a‬ ‭series‬ ‭of‬ ‭visual‬ ‭diagrams‬ ‭called‬ ‭the‬ ‭components‬ ‭were‬ ‭easy‬ ‭to‬ ‭picture,‬ ‭internalize,‬ ‭and‬ ‭Hammond models.‬ ‭recall‬ ‭‬ ‭2003‬‭-‬‭Academy‬‭of‬‭Nutrition‬‭and‬‭Dietetics,‬‭adopted‬ ‭‬ ‭Promoted‬ ‭quick‬‭cross-checks‬‭and‬‭targets‬‭for‬‭study‬ ‭a‬ ‭Nutrition‬ ‭Care‬ ‭Process‬ ‭and‬ ‭Model‬ ‭(NCPM)‬ ‭that‬ ‭and practice updates through a visual image‬ ‭identifies‬ ‭the‬ ‭unique‬ ‭contribution‬ ‭of‬ ‭dietetics‬ ‭‬ ‭Allowed‬ ‭patient-specific‬ ‭data‬ ‭to‬ ‭vary‬ ‭across‬ ‭practitioners‬ ‭to‬ ‭health‬ ‭care‬ ‭outcomes‬ ‭and‬ ‭patients/clients, health issues, and settings‬ ‭establishes‬ ‭a‬ ‭global‬ ‭standard‬ ‭for‬ ‭provision‬ ‭of‬ ‭‬ ‭Encouraged‬ ‭flexibility‬ ‭and‬ ‭creativity‬ ‭by‬‭adapting‬‭to‬ ‭nutrition care by dietetics practitioners‬ ‭different‬ ‭student/practitioner‬ ‭skill‬ ‭levels,‬ ‭learning/practice styles, and practice environments‬ ‭ OMPARISON‬ ‭OF‬ ‭HAMMOND‬ ‭MODELS‬ ‭AND‬ C ‭‬ ‭Demonstrated‬ ‭commonalities‬ ‭among‬ ‭clinical‬ ‭ACADEMY‬ ‭OF‬ ‭NUTRITION‬ ‭AND‬ ‭DIETETICS‬ ‭dietitians and other health care professionals‬ ‭‬ ‭Showed‬ ‭potential‬ ‭for‬‭providing‬‭a‬‭common‬‭base‬‭for‬ ‭MODELS‬ ‭introductory‬ ‭applied‬ ‭nutrition‬ ‭courses‬ ‭with‬ ‭minor‬ ‭changes in languages‬ ‭‬ ‭Showed‬ ‭potential‬ ‭for‬ ‭standardizing‬ ‭dietetics‬ ‭instruction‬‭across‬‭academia‬‭and‬‭practice‬‭across‬‭the‬ ‭dietetics profession‬ ‭‬ ‭Portrayed‬‭dietetics‬‭care‬‭as‬‭a‬‭stimulating‬‭integration‬ ‭of biological and behavioral science‬ ‭NCP MODEL‬ ‭‬ ‭ escribes‬ ‭the‬ ‭NCP‬ ‭by‬ ‭presenting‬ ‭the‬ ‭workflow‬ ‭of‬ D ‭professionals‬ ‭in‬ ‭diverse‬ ‭individual‬ ‭and‬ ‭population‬ ‭care delivery settings.‬ ‭‬ ‭Implementation‬ ‭of‬ ‭the‬ ‭NCPM‬‭has‬‭been‬‭associated‬ ‭with‬ ‭several‬ ‭advantages,‬ ‭including‬ ‭use‬ ‭of‬ ‭a‬ ‭common‬‭framework‬‭for‬‭nutrition‬‭care‬‭and‬‭research,‬ ‭promotion‬‭of‬‭critical‬‭thinking,‬‭more-focused‬‭nutrition‬ ‭care‬ ‭documentation,‬ ‭increased‬ ‭acknowledgement‬ ‭of‬ ‭the‬ ‭value‬ ‭of‬ ‭nutrition‬ ‭care‬ ‭by‬ ‭other‬ ‭health‬ ‭care‬ ‭professionals,‬‭and‬‭improved‬‭application‬‭of‬‭evidence‬ ‭based guidelines.‬ ‭‬ ‭NCPM‬‭incorporates‬‭scientific‬‭evidence‬‭and‬‭aims‬‭to‬ ‭move‬ ‭professionals‬ ‭from‬ ‭experience-based‬ ‭to‬ ‭evidence-based practice.‬ ‭‬ ‭The‬ ‭NCPM‬ ‭strives‬ ‭to‬ ‭provide‬ ‭quality,‬ ‭consistent‬ ‭practice‬ ‭and‬ ‭to‬ ‭achieve‬ ‭expected‬ ‭outcomes‬ ‭at‬ ‭all‬ ‭levels‬ ‭of‬ ‭career‬ ‭development.‬ ‭If‬ ‭the‬ ‭NCPM‬ ‭is‬ ‭applied‬ ‭consistently,‬ ‭quality‬ ‭of‬ ‭care‬ ‭and‬ ‭improved‬ ‭health‬ ‭outcomes‬ ‭should‬ ‭enhance‬ ‭recognition‬ ‭for‬ ‭professionals on multidisciplinary teams.‬ ‭BENEFITS ATTRIBUTED TO HAMMOND MODEL‬ ‭‬ ‭ efined‬ ‭key‬ ‭concepts‬ ‭and‬ ‭systematized‬ ‭Nutrition‬ D ‭Counseling/Nutrition Care Planning‬ ‭‬ ‭Integrated‬ ‭practice‬ ‭components‬ ‭(counseling,‬ ‭procedural,‬ ‭and‬ ‭environmental‬‭influences)‬‭into‬‭one‬ ‭focus‬ ‭2‬ ‭I‬ ‭BSND-3N3‬ ‭UNIVERSITY OF SANTO TOMAS‬ ‭BS IN NUTRITION AND DIETETICS BATCH 2026‬ ‭ UTRITION CARE PROCESS (LECTURE)‬ N ‭PROF. AILYN MAE K. DEL RIO‬ ‭ADAPTED FROM:‬‭POWERPOINT/LECTURE‬ ‭o‬ ‭.‬ ‭Root‬‭cause‬‭(or‬‭etiology)‬‭of‬‭the‬‭nutrition‬ a ‭problem‬‭and‬‭aimed‬‭at‬‭alleviating‬‭the‬‭signs‬ ‭and symptoms of the diagnosis.‬ ‭‬ ‭Nutrition Diagnosis‬ ‭o‬ ‭a.‬ ‭Data‬ ‭collected‬ ‭during‬ ‭the‬ ‭nutrition‬ ‭assessment‬ ‭guides‬ ‭the‬‭RD‬‭in‬‭selection‬‭of‬ ‭the‬‭appropriate‬‭nutrition‬‭diagnosis(es)‬‭(i.e.,‬ ‭naming the specific problem)..‬ ‭‬ ‭Nutrition Intervention‬ ‭‬ ‭Monitoring & Evaluation‬ ‭o‬ ‭a.‬ ‭Determine‬ ‭if‬ ‭the‬ ‭patient/client‬ ‭has‬ ‭achieved‬‭or‬‭is‬‭making‬‭progress‬‭toward‬‭the‬ ‭planned goals.‬ ‭‬ ‭If‬ ‭patient/client‬ ‭reveals‬ ‭another‬ ‭piece‬ ‭of‬ ‭new‬ ‭assessment‬‭data/information,‬‭that‬‭will‬‭cause‬‭the‬‭RD‬ ‭to‬ ‭reassess,‬ ‭re-diagnose‬ ‭and‬ ‭perhaps‬ ‭modify‬ ‭the‬ ‭plan‬ ‭that‬ ‭he/she‬ ‭had‬ ‭started‬ ‭discussing‬ ‭with‬ ‭the‬ ‭client‬ ‭NUTRITION CARE PROCESS TERMINOLOGY‬ ‭‬ ‭ tandardized language for nutrition and dietetics‬ S ‭‬ ‭To‬ ‭provide‬ ‭a‬ ‭dictionary‬ ‭of‬ ‭terms,‬ ‭codes‬ ‭and‬ ‭definitions‬ ‭specific‬ ‭to‬ ‭dietary‬ ‭practice‬‭necessary‬‭to‬ ‭document the delivery and study of nutrition care.‬ ‭‬ ‭Nutrition‬ ‭problems‬ ‭and‬ ‭interventions‬ ‭were‬ ‭often‬ ‭charted using broad, nonspecific language.‬ ‭‬ ‭e.g.,‬ ‭“poor‬ ‭nutritional‬ ‭status,”‬ ‭“at‬ ‭risk‬ ‭for‬ ‭malnutrition,”‬ ‭or‬‭“nutritional‬‭imbalance”‬‭might‬‭mean‬ ‭change‬ ‭in‬ ‭weight,‬ ‭poor‬ ‭intake,‬ ‭or‬ ‭difficulty‬ ‭with‬ ‭chewing or swallowing.‬ ‭‬ ‭In‬ ‭2014,‬ ‭International‬ ‭Dietetics‬ ‭and‬ ‭Nutrition‬ ‭Terminology‬ ‭was‬ ‭converted‬ ‭to‬ ‭an‬ ‭electronic‬ ‭database, called the eNCPT‬ ‭STEPS IN NUTRITION CARE PROCESS‬ ‭UNIT 3: NUTRITION ASSESSMENT‬ ‭NUTRITION ASSESSMENT‬ ‭‬ I‭t‬ ‭is‬ ‭initiated‬ ‭by‬ ‭the‬ ‭referral‬ ‭and/or‬ ‭screening‬ ‭of‬ ‭individuals or groups for nutritional risk factors.‬ ‭‬ ‭“A‬ ‭systematic‬ ‭process‬ ‭of‬ ‭obtaining,‬ ‭verifying,‬ ‭and‬ ‭interpreting‬ ‭data‬ ‭in‬ ‭order‬ ‭to‬ ‭make‬ ‭decisions‬‭about‬ ‭the nature and cause of nutrition-related problems.”‬ ‭STEPS IN NCP MODEL‬ ‭‬ ‭Initiates‬ ‭the‬ ‭data‬ ‭collection‬ ‭process‬ ‭that‬ ‭is‬ ‭‬ ‭Nutrition assessment‬ ‭continued‬ ‭throughout‬ ‭the‬ ‭NCP‬ ‭and‬ ‭forms‬ ‭the‬ ‭3‬ ‭I‬ ‭BSND-3N3‬ ‭UNIVERSITY OF SANTO TOMAS‬ ‭BS IN NUTRITION AND DIETETICS BATCH 2026‬ ‭ UTRITION CARE PROCESS (LECTURE)‬ N ‭PROF. AILYN MAE K. DEL RIO‬ ‭ADAPTED FROM:‬‭POWERPOINT/LECTURE‬ f‭oundation‬ ‭for‬ ‭reassessment‬ ‭and‬ ‭reanalysis‬ ‭of‬‭the‬ ‭o‬ ‭ utrition-Related‬ ‭Patient/Client‬ ‭Centered‬ N ‭data in Nutrition Monitoring and Evaluation (Step 4).‬ ‭Measures‬ ‭‬ ‭It‬‭is‬‭an‬‭ongoing,‬‭dynamic‬‭process‬‭that‬‭involves‬‭not‬ ‭‬ ‭e.g.,‬‭Total‬‭energy‬‭intake,‬‭fat‬‭and‬‭cholesterol‬‭intake,‬ ‭only‬ ‭initial‬ ‭data‬ ‭collection,‬ ‭but‬ ‭also‬ ‭continual‬ ‭meal/snack‬ ‭pattern,‬ ‭area‬ ‭and‬ ‭level‬ ‭of‬ ‭knowledge,‬ ‭reassessment‬ ‭and‬ ‭analysis‬‭of‬‭a‬‭client’s‬‭needs‬‭and‬ ‭eligibility‬ ‭for‬ ‭community‬ ‭programs,‬‭type‬‭of‬‭physical‬ ‭condition.‬ ‭activity‬ ‭‬ ‭Each‬‭piece‬‭of‬‭nutrition‬‭assessment‬‭data‬‭is‬‭collected‬ ‭for‬‭a‬‭specific‬‭purpose.‬‭It‬‭helps‬‭answer‬‭the‬‭following‬ ‭ANTHROPOMETRIC MEASUREMENTS (AD)‬ ‭types of questions:‬ ‭‬ ‭ eight, weight,‬ H ‭o‬ ‭1.‬ ‭What‬ ‭can‬ ‭be‬ ‭determined‬ ‭about‬ ‭this‬ ‭‬ ‭body mass index (BMI),‬ ‭person’s‬ ‭nutritional‬ ‭status‬ ‭and‬ ‭all‬ ‭of‬ ‭the‬ ‭‬ ‭growth pattern indices/percentile ranks, and‬ ‭possible‬ ‭factors‬ ‭that‬ ‭contribute‬ ‭to‬ ‭‬ ‭weight history‬ ‭nutritional balance?‬ ‭‬ ‭e.g., Weight, weight change, body mass index‬ ‭o‬ ‭2.‬‭What‬‭possible‬‭nutrition‬‭diagnosis/es‬‭are‬ ‭supported by the available evidence?‬ ‭ IOCHEMICAL‬ B ‭DATA,‬ ‭MEDICAL‬ ‭TESTS,‬ ‭o‬ ‭3.‬ ‭What‬ ‭additional‬ ‭data‬ ‭might‬ ‭be‬ ‭PROCEDURES (BD)‬ ‭necessary‬ ‭to‬ ‭validate‬ ‭the‬ ‭suspected‬ ‭nutrition diagnoses?‬ ‭‬ ‭ ab data (e.g., electrolytes, glucose) and‬ L ‭‬ ‭As‬ ‭dietetics‬ ‭practitioners‬ ‭collect‬ ‭data,‬ ‭they‬ ‭should‬ ‭‬ ‭Tests‬‭(e.g.,‬‭gastric‬‭emptying‬‭time,‬‭resting‬‭metabolic‬ ‭simultaneously‬‭be‬‭thinking‬‭about‬‭the‬‭“why”‬‭(factors‬ ‭rate)‬ ‭that‬ ‭contribute‬ ‭to‬ ‭or‬ ‭cause‬ ‭imbalance‬‭in‬‭nutritional‬ ‭‬ ‭e.g.,‬ ‭BUN‬ ‭:‬ ‭creatinine‬ ‭ratio;‬ ‭fasting‬ ‭glucose;‬ ‭status)‬ ‭and‬ ‭the‬ ‭“what”‬ ‭(possible‬ ‭nutrition‬ ‭cholesterol, HDL‬ ‭diagnoses).‬ ‭NUTRITION FOCUSED PHYSICAL FINDINGS‬ ‭OBTAIN AND VERIFY APPROPRIATE DATA‬ ‭‬ ‭ indings from evaluation of body systems,‬ F ‭‬ ‭ ata‬ ‭can‬ ‭vary‬‭depending‬‭on‬‭the‬‭practice‬‭setting‬‭or‬ d ‭‬ ‭muscle and subcutaneous fat wasting,‬ ‭present health status ‬ ‭‬ ‭oral health, suck/swallow/breathing ability,‬ ‭o‬ ‭e.g.,‬ ‭RND‬ ‭working‬ ‭in‬ ‭a‬ ‭pediatric‬ ‭clinic‬ ‭–‬ ‭‬ ‭appetite, and affect‬ ‭head‬ ‭circumference,‬ ‭height,‬ ‭and‬ ‭weight‬ ‭‬ ‭e.g., Body language, skin‬ ‭plotted‬ ‭on‬ ‭a‬ ‭growth‬ ‭charts‬ ‭to‬ ‭assess‬ ‭development.‬ ‭CLIENT HISTORY (CH)‬ ‭o‬ ‭Outpatient‬ ‭clinic‬ ‭-‬ ‭obtain‬ ‭height,‬ ‭weight,‬ ‭‬ ‭ urrent‬ ‭and‬ ‭past‬ ‭information‬ ‭related‬ ‭to‬ ‭personal,‬ C ‭percentage‬ ‭body‬ ‭fat,‬ ‭and‬ ‭skinfold‬ ‭medical, family, and social history‬ ‭thickness‬ ‭‬ ‭e.g.,‬ ‭education,‬ ‭medical‬ ‭treatment/therapy,‬ ‭o‬ ‭Lipid‬ ‭profiles‬ ‭–‬ ‭for‬ ‭patients‬ ‭with‬ ‭type‬ ‭2‬ ‭socioeconomic factors‬ ‭diabetes and cardiovascular diseases‬ ‭o‬ ‭BUN‬‭and‬‭serum‬‭phosphorus‬‭–‬‭for‬‭patients‬ ‭ VALUATE‬ ‭THE‬ E ‭DATA‬ ‭USING‬ ‭RELIABLE‬ ‭with renal diseases‬ ‭STANDARDS‬ ‭‬ ‭Know‬ ‭the‬ ‭most‬ ‭appropriate‬ ‭data‬ ‭to‬ ‭collect‬ ‭and‬ ‭‬ ‭Comparative standards‬ ‭determine validity and accuracy.‬ ‭o‬ ‭Compare‬ ‭the‬ ‭obtained‬ ‭data‬ ‭to‬ ‭reliable‬ ‭o‬ ‭Stated‬ ‭weight‬ ‭=‬ ‭usual‬ ‭weight‬ ‭or‬ ‭actual‬ ‭weight?‬ ‭standards or ideal goals.‬ ‭o‬ ‭Identify‬ ‭the‬ ‭appropriate‬ ‭reference‬ ‭‬ ‭Establish‬‭a‬‭trusting‬‭and‬‭nonthreatening‬‭relationship‬ ‭with the client‬ ‭standards‬ ‭to‬ ‭determine‬ ‭nutrient‬ ‭needs‬ ‭–‬ ‭energy,‬ ‭macronutrient,‬ ‭fluid,‬ ‭micronutrients,‬ ‭body‬ ‭weight‬ ‭computation,‬ ‭CLUSTER AND ORGANIZE ASSESSMENT DATA‬ ‭and growth.‬ ‭o‬ ‭Used‬‭to‬‭formulate‬‭nutrition‬‭prescriptions‬‭or‬ ‭‬ ‭ luster‬‭and‬‭organize‬‭the‬‭data‬‭according‬‭to‬‭the‬‭five‬ C ‭for reevaluation after an intervention.‬ ‭domains‬ ‭to‬ ‭reveal‬ ‭possible‬ ‭nutrition‬ ‭problem‬ ‭‬ ‭Important in making nutrition diagnosis‬ ‭domains‬ ‭and‬ ‭specify‬ ‭accurately‬ ‭the‬ ‭nutrition‬ ‭o‬ ‭Data‬ ‭gathered‬ ‭are‬ ‭evaluated‬ ‭and‬ ‭diagnosis statement.‬ ‭compared‬ ‭to‬ ‭the‬ ‭reference‬ ‭standards‬ ‭or‬ ‭recommendation (individual needs).‬ ‭FOOD/NUTRITION RELATED HISTORY (FH)‬ ‭‬ ‭Food and Nutrient Intake‬ ‭CRITICAL THINKING‬ ‭o‬ ‭Food and Nutrient Administration‬ ‭‬ ‭ bserving‬ ‭verbal‬ ‭and‬ ‭non-verbal‬ ‭cues‬ ‭to‬ ‭guide‬ O ‭o‬ ‭Medication‬ ‭and‬ ‭interviewing methods‬ ‭Complementary/Alternative Medicine Use‬ ‭‬ ‭Determining appropriate data to collect‬ ‭o‬ ‭Knowledge/Beliefs/Attitudes‬ ‭‬ ‭Selecting‬ ‭assessment‬ ‭tools‬ ‭and‬ ‭procedures‬ ‭and‬ ‭o‬ ‭Behavior‬ ‭applying in valid and reliable ways‬ ‭o‬ ‭Factors‬ ‭Affecting‬ ‭Access‬ ‭to‬ ‭Food‬ ‭and‬ ‭‬ ‭Distinguishing relevant from irrelevant data‬ ‭Food/ Nutrition-Related Supplies‬ ‭‬ ‭Organizing data to relate to nutrition problems‬ ‭o‬ ‭Physical Activity and Function‬ ‭4‬ ‭I‬ ‭BSND-3N3‬ ‭UNIVERSITY OF SANTO TOMAS‬ ‭BS IN NUTRITION AND DIETETICS BATCH 2026‬ ‭ UTRITION CARE PROCESS (LECTURE)‬ N ‭PROF. AILYN MAE K. DEL RIO‬ ‭ADAPTED FROM:‬‭POWERPOINT/LECTURE‬ ‭‬ ‭Determining when problems require referral‬ ‭RESULTS OF THE NUTRITION ASSESSMENT‬ ‭‬ ‭ eads‬ ‭to‬ ‭appropriate‬ ‭initial‬ ‭determination‬ ‭that‬ ‭a‬ L ‭nutrition diagnosis/problem exists‬ ‭‬ ‭If‬ ‭a‬ ‭nutrition‬ ‭problem‬ ‭is‬ ‭not‬ ‭identified,‬ ‭further‬ ‭information‬‭or‬‭testing‬‭may‬‭be‬‭necessary‬‭to‬‭make‬‭a‬ ‭determination‬ ‭‬ ‭If‬ ‭the‬ ‭assessment‬ ‭indicates‬ ‭that‬ ‭no‬ ‭nutrition‬ ‭problem‬ ‭currently‬ ‭exists‬ ‭that‬ ‭warrants‬ ‭a‬ ‭nutrition‬ ‭intervention,‬‭the‬‭term‬‭“No‬‭nutrition‬‭diagnosis‬‭at‬‭this‬ ‭time” may be documented‬ ‭‬ ‭If‬‭a‬‭nutrition‬‭diagnosis‬‭can‬‭be‬‭made,‬‭the‬‭RND‬‭labels‬ ‭the‬‭problem‬‭and‬‭creates‬‭a‬‭PES*‬‭statement‬‭in‬‭Step‬ ‭2 of the Nutrition Care Process‬ ‭SUMMARY‬ ‭‬ ‭ utrition Assessment is the first step of the NCP‬ N ‭‬ ‭Nutrition‬ ‭assessment‬ ‭should‬ ‭ensure‬ ‭that‬ ‭appropriate‬‭and‬‭reliable‬‭data‬‭are‬‭collected‬‭for‬‭use‬‭in‬ ‭determining‬ ‭the‬ ‭existence‬ ‭of‬ ‭specific‬ ‭nutrition‬ ‭problems.‬ ‭‬ ‭Organizing‬ ‭and‬ ‭categorizing‬ ‭data‬ ‭utilizing‬ ‭the‬ ‭five‬ ‭domains‬ ‭of‬ ‭the‬ ‭assessment‬ ‭standardized‬ ‭terms‬ ‭improves‬ ‭the‬ ‭efficiency‬ ‭and‬ ‭effectiveness‬ ‭of‬ ‭nutrition assessment and nutrition diagnosis‬ ‭‬ ‭Dynamic process that develops throughout the NCP‬ ‭‬ ‭Data is used for all other steps of the NCP‬ ‭‬ ‭New‬ ‭information‬ ‭may‬ ‭provide‬ ‭reason‬ ‭for‬ ‭reassessment‬ ‭or‬ ‭change‬ ‭in‬ ‭approach‬ ‭and‬ ‭intervention‬ ‭5‬ ‭I‬ ‭BSND-3N3‬ ‭UNIVERSITY OF SANTO TOMAS‬ ‭BS IN NUTRITION AND DIETETICS BATCH 2026‬ ‭ UTRITION CARE PROCESS (LECTURE)‬ N ‭PROF. AILYN MAE K. DEL RIO‬ ‭ADAPTED FROM:‬‭POWERPOINT/LECTURE‬ ‭UNIT 4: NUTRITION DIAGNOSIS‬ ‭TERM‬ ‭‬ ‭definition‬ ‭TERM‬ ‭‬ ‭definition‬ ‭TERM‬ ‭‬ ‭definition‬ ‭6‬ ‭I‬ ‭BSND-3N3‬

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