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Medical Diagnosis: T2DM Nutrition Diagnosis: Inconsistent CHO distribution related to lack of meal planning as evidenced by diet history and high blood glucose Obesity Excessive energy intake related to lack of access to healthy food choices (restaurant eating) as evidenced by daily energy intake 2MJ over estimated requirements, and BMI of 35 Medical Diagnosis: Hypercholesterolaemia Inappropriate intake of saturated and trans fats related to daily high fat fast food choices as evidenced by high total cholesterol, LDL and TC Victorian ADIME/IDNT Working Party Version 3: May 2014 Refer to handout “Nutrition Diagnosis Aetiology Matrix” Lists suggested aetiologies Not specific diagnostic terminology so you can choose what you feel appropriateġ0 When to do a PES? Required for: For all NEW patients &įor REVIEWS, only when there is a change in the nutritional diagnosis Not required for: Reviews that require no change in nutritional diagnosis Palliative care Cases where nutrition diagnosis not yet confirmed Victorian ADIME/IDNT Working Party Version 3: May 2014Įxcessive energy intake Related to food and nutrition related knowledge deficit concerning energy intakes As evidenced by dietary intake of 14MJ Victorian ADIME/IDNT Working Party Version 3: May 2014Įxcessive energy intake related to poor knowledge of appropriate portion sizes as evidenced by excess weight with BMI of 40 (ie: obese) Victorian ADIME/IDNT Working Party Version 3: May 2014Įxcessive energy intake related to frequent consumption of large portions of high-fat meals as evidenced by average daily energy intake exceeding recommended amount by 2MJ and 6kg gain during the past 18 months Victorian ADIME/IDNT Working Party Version 3: May 2014 Intake: too much or too little of a food or nutrient compared to actual or estimated needs Clinical: nutrition problems that relate to medical or physical conditions Behavioural-environmental: knowledge, attitudes, beliefs, physical environment, access to food, or food safety Victorian ADIME/IDNT Working Party Version 3: May 2014 Terms divided into 3 categories: intake, clinical and behavioural-environmental. As evidenced by Signs (objective)/Symptoms (subjective)is data used to determine that the patient/client has the nutrition diagnosis specified and is linked by the words “as evidenced by” Victorian ADIME/IDNT Working Party Version 3: May 2014 Etiology may be social, situational, physical, developmental, cultural, psychological, pathological and/or environmental nature. Related to Etiology is the cause/contributing risk factors and is linked to the nutrition diagnosis label by the words “related to”. Need to describe actual problem, not potential for or risk of.
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Problem/ nutrition diagnosis label describes alterations in the patients/clients nutritional status. Problem (P) related to etiology (E) as evidenced by signs & symptoms (S) Victorian ADIME/IDNT Working Party Version 3: May 2014ħ Problem (P) related to etiology (E) as evidenced by signs and symptoms (S) A nutrition diagnosis (eg: inconsistent carbohydrate intake) is different from a medical diagnosis (eg: diabetes) Diagnoses/problems are those that dietetic professionals are responsible for treating independently Victorian ADIME/IDNT Working Party Version 3: May 2014ĥ PES = Problem, Etiology, Signs and symptoms
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The purpose is to identify and describe a specific nutrition problem that can be resolved or improved through treatment/nutrition intervention by a food and nutrition professional.
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Nutrition Assessment A Nutrition Diagnosis D Nutrition Intervention I Nutrition Monitoring M Nutrition Evaluation E Victorian ADIME/IDNT Working Party Version 3: May 2014 Victorian ADIME/IDNT Working Party Version 3: May 2014 Presented by Victorian ADIME/IDNT Working PartyĢ Content Creating a PES statement IDNT definitions PES examples In Presentation on theme: "Creating a PES statement: the nutrition diagnosis"- Presentation transcript:ġ Creating a PES statement: the nutrition diagnosis