Marywood University/Dietetic Internship Clinical Case Study Presentation Evaluation Form tntem Name_ Maya Yoder Des iption of Case: Please evaluate each statement by checking the box. Exceptional Complete Inadequate T,_| Ability to deseribe patient profile and background information: + Personal data + Reason for admission + Psycho/social/economic information + Medical history + Family history + Health history SS 2, _| Skill at developing background of disease: + Definition + Pathophysiology with emphasis on mutrtional implications | \// + Symptoms/clinieal manifestations + Etiology + Treatment + Notritional intervention + Prognosis + Application to patient 3._| Ability to describe factors surrounding current admission: + Diagnosis Vv + Diagnostic tests, procedures with interpretations + Treatments. + Medications, OTCs, supplements pee DnExceptional Complete adequate “Application ofthe Nutrition Care Process + Appropriate nutrition assessment + Diet order + Anthropometries ‘Biochemical data + Diet history + Food!shopping/cooking habits + Previous MNT, instruction, outcome, compliance + Evaluation of intake, current and PTA + Assessment, level of risk + Macronutrent needs + Determination of Nutrition Diagnosis, including development of PES Statements + Development of Nutrition Intervention/Care Plan + Monitoring and follow up to measure patient's response << ',_| Skill at focusing presentation on nutritional factors. w 6._| Ability to summarize and review key points va 7._| Overall organization of presentation '8._| Professional content level wv Additional Comments: Reviewer Signature: