Nutrition Intervention

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Elaine L. Bañares, RND
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intervention
Approaches to Nutrition Care
Long Term
 Determine the individual’s readiness for
change.
 Emphasize what to eat, rather than what not
to eat.
 Suggest only one or two changes at a time.
Nutrition Education
Follow–up Care
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Elaine L. Bañares, RND
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Documenting Nutrition Care
ADIME
 Assessment – medical problem, historical information,
height, weight, BMI, laboratory test results, and relevant
symptoms.
 Diagnosis – lists and prioritizes the nutrition diagnoses.
 Intervention – treatment goals and expected outcomes,
specific interventions, and the patient’s responses to
nutrition care.
 Monitoring and evaluation – records the patient’s
progress, changes in the patient’s condition, and
adjustments in the care plan. 4
Elaine L. Bañares, RND
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Elaine L. Bañares, RND
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intervention
Alternate Feeding Route
 In most cases, patients can meet their nutrient
needs by consuming regular foods.
 If their nutrient needs are high or their
appetites poor, liquid supplements can be
added to their diets to improve their intakes.
 Sometimes, a person’s medical condition
makes it difficult to meet nutrient needs orally.
 Two options remain: tube feedings and
parenteral nutrition. 10
Elaine L. Bañares, RND
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Tube Feeding
Nutritionally complete formulas can
be delivered through a tube placed
directly into the stomach or
intestine.
Tube feedings are preferred to
parenteral nutrition if the GI tract is
functioning normally. 11
Elaine L. Bañares, RND
 Nutrition
intervention
Parenteral Nutrition
 A person’s medical condition sometimes
prohibits the use of the GIT to deliver
nutrients.
 If the person is malnourished and the GI
tract cannot be used for a significant
period of time, parenteral nutrition, in
which nutrients are supplied
intravenously, can meet nutritional needs.
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NPO
 An order to not give a patient anything at
all—food, beverages, or medications—is
indicated by NPO
 An abbreviation for non per os, meaning
“nothing by mouth”.
 The NPO order is commonly used during
certain acute illnesses or diagnostic tests
involving the GI tract. 14
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Elaine L. Bañares, RND
 Nutrition
intervention
Documenting Nutrition Care
SOAP
 Subjective – information obtained in an interview with the
patient or caregiver and includes the chief medical problem and
relevant symptoms.
 Objective – information includes nutrition screening or
assessment data, such as the results of anthropometric and
laboratory tests and the physical examination.
 Assessment – a brief evaluation of the subjective and objective
data and provides concise diagnoses of the nutrition problems.
 Plan – includes recommendations that can help solve the
problem, including the nutrition prescription, plan for nutrition
education and counseling, and referrals to other professionals or
agencies. 21
Elaine L. Bañares, RND
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Thank you… – ELBañares, 23

Elaine L. Bañares, RND