1. In a few paragraphs, discuss why RDNS use data from all Assessment domains in a nutrition assessment. Review the type of data in each domain. 2. From the January 30 Canvas module, access the PowerPoint entitled “2024 Assessment Domains” and thoroughly review slides 24 through 33. The U.S. Institute of Medicine specifically advises combining nutrition/food intake data with other supporting information to lend validity to a nutrition assessment. Explain why in one to two paragraphs. Use examples. Do not repeat your response from question 1 – instead, answer why FH domain information can be lacking. Food/Nutrition History Related Domain (FH)This is where you will document all aspects ofwhat the patient is consumingBut there are issues with documenting intake....FH DomainIssues with food and nutrient intake data:Accurate measurement for dietary intake is oftendifficult due to subjective nature of assessmenttoolsSo, dietary intake data can be inaccurate orwrongAlso, an assessment of inadequate intake doesnot always lead to nutrient deficiencyFH - Issues with intake dataFrom medical charts:If a patient hasn't been eating well and feelspressure from RD, MD, RNs to eat......they might offer food to visitors......and when CNAs record 100% intake,everyone assumes the Pt ate the foodFH-Issues with intake dataFrom medical charts:FH DomainData that is present isn't always meaningful, e.g100% intake what does that mean?Switch To Dark ModeBecause of these issues:U.S. Institute of Medicine advises combiningdietary intake with:clinical,biochemical, andother supporting informationto lend validity to nutrition assessmentFH DomainA complete nutrition assessment:Looks at intake and food historyin combination with factors from the otherdomains:Client history - medical diagnosis, clinicastatusAnthropometricsBiochemical data, tests and proceduresPhysical exam findingsEtiologyPreviousFH-Issues with intake dataFor diet history at home:Switch To Dark ModePatients often don't know portion sizesPatients might tell you what they think youwant to hear:Example: a patient with diabetes mightnot tell you that they often eat desserts ordrink regular sodasFH-Issues with intake dataFrom medical charts in facilities:Inaccurate data:Example: a renal patient might not tell youabout their actual intake of foods high inK+or PO4r how much fluid they drinkfrom everyone - patients, RNS, CNAs/PCTSPreviousexcept for 0% and 100% intake, it is difficultto accurately estimate percentage intakeIncomplete / missing data as sometimes CNASdon't record intake for every mealFH DomainMeal #1:grilled chicken breastriceMeal # 2:broccolidinner roll with margarinefresh fruit cup2% milkchicken noodle soup with 6 soda crackersiced teaWill 100% intake for each meal meet yourpatient's needs?FH DomainSo due to these issues, you cannot use only Food Histordata for your Assessment per the U.S. Institute ofMedicine.This is an important concept and will appear on quizFinal Exam. 1. Nutrition AssessmentandSix domains:1.Food/nutritionrelated history2 Anthropometric measurements3.Blochemical data. medical tests, and procedures4.Nutrition focused physical findings5.Client history6. Assessment, Monitoring and Evaluation ToolsReassessmentT1.2.3.

Question

1. In a few paragraphs, discuss why RDNS use data from all Assessment domains in a nutrition assessment. Review the type of data in each domain. 2. From the January 30 Canvas module, access the PowerPoint entitled “2024 Assessment Domains” and thoroughly review slides 24 through 33.   The U.S. Institute of Medicine specifically advises combining nutrition/food intake data with other supporting information to lend validity to a nutrition assessment.  Explain why in one to two paragraphs.  Use examples.  Do not repeat your response from question 1 – instead, answer why FH domain information can be lacking. Food/Nutrition History Related Domain (FH)This is where you will document all aspects ofwhat the patient is consumingBut there are issues with documenting intake....FH DomainIssues with food and nutrient intake data:Accurate measurement for dietary intake is oftendifficult due to subjective nature of assessmenttoolsSo, dietary intake data can be inaccurate orwrongAlso, an assessment of inadequate intake doesnot always lead to nutrient deficiencyFH - Issues with intake dataFrom medical charts:If a patient hasn't been eating well and feelspressure from RD, MD, RNs to eat......they might offer food to visitors......and when CNAs record 100% intake,everyone assumes the Pt ate the foodFH-Issues with intake dataFrom medical charts:FH DomainData that is present isn't always meaningful, e.g100% intake what does that mean?Switch To Dark ModeBecause of these issues:U.S. Institute of Medicine advises combiningdietary intake with:clinical,biochemical, andother supporting informationto lend validity to nutrition assessmentFH DomainA complete nutrition assessment:Looks at intake and food historyin combination with factors from the otherdomains:Client history - medical diagnosis, clinicastatusAnthropometricsBiochemical data, tests and proceduresPhysical exam findingsEtiologyPreviousFH-Issues with intake dataFor diet history at home:Switch To Dark ModePatients often don't know portion sizesPatients might tell you what they think youwant to hear:Example: a patient with diabetes mightnot tell you that they often eat desserts ordrink regular sodasFH-Issues with intake dataFrom medical charts in facilities:Inaccurate data:Example: a renal patient might not tell youabout their actual intake of foods high inK+or PO4r how much fluid they drinkfrom everyone - patients, RNS, CNAs/PCTSPreviousexcept for 0% and 100% intake, it is difficultto accurately estimate percentage intakeIncomplete / missing data as sometimes CNASdon't record intake for every mealFH DomainMeal #1:grilled chicken breastriceMeal # 2:broccolidinner roll with margarinefresh fruit cup2% milkchicken noodle soup with 6 soda crackersiced teaWill 100% intake for each meal meet yourpatient's needs?FH DomainSo due to these issues, you cannot use only Food Histordata for your Assessment per the U.S. Institute ofMedicine.This is an important concept and will appear on quizFinal Exam. 1. Nutrition AssessmentandSix domains:1.Food/nutritionrelated history2 Anthropometric measurements3.Blochemical data. medical tests, and procedures4.Nutrition focused physical findings5.Client history6. Assessment, Monitoring and Evaluation ToolsReassessmentT1.2.3.

Accepted Answer

Registered Dietitian Nutritionists (RDNs)  - utilize data from all assessment domains in a nutrition…

1. Nutrition Assessment and Six domains: 1.Food/nutrition related history 2 Anthropomutric measurements 3.Blochemical dato, medical tests, and procedures 4.Nutrition focused physical findings 5.Client history 6. Assessment, Monitoring and Evaluation Tools Reassessment