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22 Cards in this Set
- Front
- Back
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What is A-D-I-M-E ?
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the steps in the nut care process: assessment, diagnosis, intervention, monitoring and evaluation
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What precedes the NCP? what is its purpose?
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nutrition screening- identifies pt's who would benefit from nut assessment
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What organization requires a nutrition risk be identified in hospitalized patients
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The joint commission
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How long do hospitals have to do some form of nutrition screening?
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within 24 hours
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What is nutrition assessment?
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the gathering and evaluation of medical, family, and genetic history, social info, nutritional, herbal and medical histories, physical exam and lab data
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What is the nut diagnosis?
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identification of the problem, etiology, and signs/symptoms (PES) in a clear, simple statement
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What are types of nutrition interventions?
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food and nutrition therapies
nutrition education counseling or coordination of care like referrals for financial or food resources |
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Why must MNT be documented in the medical record?
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because the record is a legal document and if interventions aren't recorded, its assumed they never occurred. also allows entire health care team to understand the NCP
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What serves as a communication tool among members of the health care team?
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the medical record
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What finances and delivers care through a contracted network of providers in exchange for a monthly premium?
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Managed care organizations
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What types of organizations are managed care organizations?
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Preferred provided organizations (PPO's)
Health maintenance organizations (HMO's) |
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What is the intent of HMO's PPO's and MCO's
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heath care cost containment while providing efficient and effective care
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what is an essential component of MCO and HMO?
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case management
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what identifies essential elements that should occur in the patients care and defines a timeframe in which each activity should occur to maximize pt outcomes?
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critical pathways
*essential to case management |
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What is the goal of disease management?
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to prevent disease progression or exacerbations and to reduce the frequency and severity of disease symptoms and complications
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what is utilization management
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a system that strives for cost efficiency by eliminating or reducing unnecessary tests, procedures or services
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How does the DRG reimbursement system work?
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the facility receives reimbursement a pt's admission based on the principal diagnosis, secondary diagnosis, surgical procedures and age and gender of pt
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What conditions may alter protein needs?
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infections, fever, trauma, burns, and surgery
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What is the water requirement for a healthy adult at rest and not perspiring?
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1800 - 2500 ml/day (2+ quarts or 1ml/ kcal consumed)
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For the regular/house diet, what is the amount of kcals, protein, fat, and carbs provided?
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kcals: 1600-2200
protein: 60-80g fat: 80-100 g CHO: 180-300g |
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What is a clear liquid diet inadequate in?
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fluid, electrolytes, and energy
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How much calories, protein, and CHO does a clear liquid typically provide?
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cals: 500-600
protein: 5-10g CHO: 120-130g |
