ncp

• Nutrition Care Process (NCP)


  • A systematic method to providing high-quality nutrition care
  • Provides a framework for the dietitians to customize care, considering the client's needs and values and using the best evidence available to make decisions
• Nutrition Care Process

  1. Nutrition Assessment/Reassessment

  2. Nutrition Diagnosis

  3. Nutrition Intervention

  4. Nutrition Monitoring and Evaluation
• Domains of Nutrition Assessment

  • Food/nutrition-related history
  • Anthropometric measurement
  • Biochemical data, medical tests, and procedures
  • Nutrition-focused physical findings
  • Client history
  • Assessment, Monitoring, and Evaluation Tools
  • Etiology category
  • Progress evaluation
• Nutrition Assessment/Reassessment

  • Systematic approach to collect, classify, and synthesize important and relevant data needed to identify nutrition-related problems and their causes
  • Relevant, complete and adequate
  • Systematic process of obtaining, verifying and interpreting data
• Data gathered, or indicators, are compared to reference standards, recommendations, or goals which may be national, institutional, or regulatory
• Findings are then communicated in nutrition diagnosis (problem) statements and nutrition intervention goal setting
• Nutrition Diagnosis


  Identification and labeling of an existing nutrition problem(s) that the practitioner is responsible for treating
• Categories of Nutrition Diagnosis

  • Intake - too much or too little compared to requirements
  • Clinical - related to medical or physical conditions
  • Behavioral/Environmental - knowledge, attitude, beliefs, access to food, etc.
• • Problem can be resolved or improved by nutrition interventions
  • Etiology should be the specific root cause
  • Signs and symptoms can be used to monitor or evaluate changes
  • PES should be supported by the Nutrition Assessment
• Nutrition Intervention


  Purposely planned action designed with the intent of changing a nutrition-related behavior, risk factor, environmental condition, or aspect of health status to resolve or improve the identified nutrition diagnosis or nutrition problem
• Categories of Nutrition Intervention

  • Food and Nutrient Delivery - food/nutrient provision
  • Nutrition Education - instruct/impart knowledge
  • Nutrition Counseling - client-counselor collaboration
  • Coordination of Nutrition Care - referral, collaboration with other healthcare team
  • Population-based Nutrition Action - designed for population
• • Nutrition Intervention is prioritized based on urgency, impact and resources
  • Patient-focused; collaborate with client to identify goals; customize interventions
  • Evidence-based
  • Timeframe, frequency, intensity, duration, follow-up and revision
• Nutrition Monitoring and Evaluation

  • Determine and measure the amount progress made for the nutrition intervention and whether the nutrition related goals/expected outcomes are being met
  • Identifies outcomes/indicators relevant to the diagnosis and nutrition intervention plans and goals
• • Nutrition assessment is an ongoing dynamic process that involves initial data collection and continual reassessment and analysis of the client's status compared to accepted standards, recommendations, and/or goals
  • Monitoring and evaluation is the process wherein the RND uses the same data to determine changes in client behavior, nutritional status, and the efficacy of nutrition intervention
• Nutrition Care Process Model (NCPM)


  • Workflow of professionals in diverse individual and population care delivery settings
  • Steps of NCP
  • Internal and external factors affecting its application
• Components of the NCPM

  • Central component - relationship between the individual/population and RND
  • 4 steps of NCP
  • Skills and abilities of the RND
  • Environmental factors
  • Screening and referral process
  • Outcomes management system
• Nutrition Care Process Terminology (NCPT)


  • Standardized language used by RNDs to describe all activities performed in the 4 steps of NCP
  • Intended to enable clear and reliable narratives of the services provided by RNDs
  • Used to facilitate communication between and among RNDs
  • The specific vocabulary allows for data gathering for nutrition research and documentation of quality measures