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Remember the aim of your Nutrition Intervention is to resolve (ideally) the Nutrition Diagnosis. The clinical category covers the areas of functional changes or impairments, biochemical changes (altered ability to metabolize nutrients) and weight.Įxamples: altered GI function, impaired nutrient utilization, overweight/obesity.īehavioral-Environmental: this category covers the nutritional problems associated with nutrition knowledge and belief (including attitude), physical activity and function (e.g., ability to self care) and food access and safety).Įxamples: undesirable food choices, physical inactivity and limited access to food or water.Īs a general rule (as with most rules there are exceptions) choose from Intake related Nutrition Diagnosis first, Clinical related Nutrition Diagnosis second and Behavioral-Environmental last.ĭiagnosis should be specific to the role of dietitians. Behavioral-Environmental related Nutrition Diagnosis often fit better as the etiology (E) (the cause of the nutrition problem), and not the Nutrition Diagnosis itself. Intake diagnosis cover the areas including energy balance, fluid intake, bioactive substances and nutrient intake.Įxamples: excessive energy intake, less than optimal intake of types of carbohydrate, inadequate calcium intake.Ĭlinical: these diagnosis include medical or physical conditions that have a nutritional impact. Intake: these diagnosis relate to intake and nutrition related problems (oral, enteral and parenteral nutrition). The Nutrition Diagnosis terms are classified into three categories: The Nutrition Diagnosis comes from specific terminology found in eNCPT (previously the IDNT Reference Manual) . The Nutrition Diagnosis, identifies the specific nutrition problem that the dietitian is responsible for treating and works towards resolving. I discussed the Nutrition Diagnosis in my previous post, it’s worth a read for a quick refresher. Now lets discuss each component of the PES statement. The client’s BMI equals 45kg/m2 (obesity class III). The Signs and Symptoms (S) (the evidence that the nutrition problem (or Nutrition Diagnosis) exists: the client’s estimated intake of energy (9 500kJ/day) is in excess of his estimated energy needs (7 500kJ/day). Healthful (e.g., adequate amounts of fresh fruit and vegetables) food choices are not provided as an option by the carer. The Etiology (E) ( the cause/s of the nutrition problem/Nutrition Diagnosis): is that the client has limited access to healthful food choices. This is the s pecific nutrition problem that the Nutrition Intervention aims to treat and resolve. The Problem (P) (Nutrition Diagnosis): is excessive energy intake (NI-1.3). An ExampleĮxcessive energy intake, related to limited access to healthful food choices (healthful food choices not provided as an option by carer), as evidenced by estimated intake of energy (9 500kJ/day) is in excess of estimated energy needs (7 500kJ/day) and BMI equals 45kg/m2. The Signs and Symptoms (the evidence that the nutrition problem or Nutrition Diagnosis exists). T he Etiology ( the cause/s of the problem or Nutrition Diagnosis) Nutrition Diagnosis term (the nutrition problem) The PES statement is a structured sentence, hence has a specific format: The Signs and Symptoms (S)– the evidence that the nutrition problem (Nutrition Diagnosis) exists.The Etiology (E)- the cause/s of the nutrition problem (Nutrition Diagnosis).
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The Problem (P)– the Nutrition Diagnosis.Hence three components make up the PES statement : So here goes… A PES statement (or Nutrition Diagnosis Statement) is a structured sentence that describes the specific nutrition problem that you (the dietitian) is responsible for treating and working toward resolving, the cause/s of the problem and the evidence that this problem exists. Definitions help to check that we’re all on the same page before progressing further. When discussing any topic, I like to start with a definition. So it is time to delve deeper into the PES Statement. They can even limit the need to learn and memorize standardized terminology. Electronic documentation systems like Kalix make charting a lot quicker. Kalix‘s electronic documentation feature was built on the back of the nutrition care process. The Nutrition Care Process is the systematic approach to providing high-quality nutrition care developed the Academy of Nutrition & Dietetics. I hope you enjoyed Part 1 Nutrition Assessment and Part 2 Nutrition Diagnosis. Welcome to Part 3 of my journey through the of IDNT and the Nutrition Care Process.