homework

BOX 11-1

Nutrition Diagnoses and Sample Codes

Intake NI

Defined as “actual problems related to intake of energy, nutrients, fluids,

bioactive substances through oral diet or nutrition support”

Caloric Energy Balance (1)

Defined as “actual or estimated changes in energy (kcal)”

□ Not in use NI-1.1

□ Increased energy expenditure NI-1.2

□ Not in use NI-1.3

□ Inadequate energy intake NI-1.4

□ Excessive energy intake NI-1.5

Oral or Nutrition Support Intake (2)

Defined as “actual or estimated food and beverage intake from oral diet

or nutrition support compared with patient goal”

□ Inadequate oral food or beverage intake NI-2.1

□ Excessive oral food or beverage intake NI-2.2

□ Inadequate intake from enteral or parenteral nutrition infusion NI-2.3

□ Excessive intake from enteral or parenteral nutrition NI-2.4

□ Inappropriate infusion of enteral or parenteral nutrition (use with caution) NI-2.5

Fluid Intake (3)

Defined as “actual or estimated fluid intake compared against patient goal”

□ Inadequate fluid intake NI-3.1

□ Excessive fluid intake NI-3.2

Bioactive Substances (4)

Defined as “actual or observed intake of bioactive substances, including single or

multiple functional food components, ingredients, dietary supplements, alcohol”

□ Inadequate bioactive substance intake NI-4.1

□ Excessive bioactive substance intake NI-4.2

□ Excessive alcohol intake NI-4.3

Nutrient (5)

Defined as “actual or estimated intake of specific nutrient groups or single nutrients

as compared with desired levels”

□ Increased nutrient needs (specify) NI-5.1

□ Malnutrition NI-5.2

□ Inadequate protein-energy intake NI-5.3

□ Decreased nutrient needs (specify) NI-5.4

□ Imbalance of nutrients NI-5.5

Fat and Cholesterol (51)

□ Inadequate fat intake NI-51.1

□ Excessive fat intake NI-51.2

□ Inappropriate intake of food fats (specify) ______________ NI-51.3

Protein (52)

□ Inadequate protein intake NI-52.1

□ Excessive protein intake NI-52.2

□ Inappropriate intake of amino acids (specify) __________ NI-52.3

Carbohydrate and Fiber Intake (53)

□ Inadequate carbohydrate intake NI-53.1

□ Excessive carbohydrate intake NI-53.2

□ Inappropriate intake of types of carbohydrate (specify) ____________ NI-53.3

□ Inconsistent carbohydrate intake NI-53.4

□ Inadequate fiber intake NI-53.5

□ Excessive fiber intake NI-53.6

Vitamin Intake (54)

□ Inadequate vitamin intake (specify) __________ NI-54.1

□ Excessive vitamin intake (specify) ___________ NI-54.2

□ A □ C

□ Thiamin □ D

□ Riboflavin □ E

□ Niacin □ K

□ Folate □ Other _______

Mineral Intake (55)

□ Inadequate mineral intake (specify) NI-55.1

□ Calcium □ Iron

□ Potassium □ Zinc

□ Other __________

□ Excessive mineral intake (specify) NI-55.2

□ Calcium □ Iron

□ Potassium □ Zinc

Other __________

(Mahan 257)

Mahan, L. K., Sylvia Escott-Stump, Janice Raymond. Krause's Food & the Nutrition Care Process, 13th Edition. W.B. Saunders Company, 2012. VitalBook file.

The citation provided is a guideline. Please check each citation for accuracy before use.

Clinical NC

Defined as “nutritional findings or problems identified as related to

medical or physical conditions”

Functional (1)

Defined as “change in physical or mechanical functioning that interferes with or prevents desired nutritional consequences”

□ Swallowing difficulty NC-1.1

□ Chewing (masticatory) difficulty NC-1.2

□ Breastfeeding difficulty NC-1.3

□ Altered gastrointestinal function NC-1.4

Biochemical (2)

Defined as “change in capacity to metabolize nutrients as a result of

medications, surgery, or as indicated by altered lab values”

□ Impaired nutrient utilization NC-2.1

□ Altered nutrition-related laboratory values NC-2.2

□ Food medication interaction NC-2.3

Weight (3)

Defined as “chronic weight or changed weight status when compared

with usual or desired body weight”

□ Underweight NC-3.1

□ Involuntary weight loss NC-3.2

□ Overweight or obesity NC-3.3

□ Involuntary weight gain NC-3.4

(Mahan 257)

Mahan, L. K., Sylvia Escott-Stump, Janice Raymond. Krause's Food & the Nutrition Care Process, 13th Edition. W.B. Saunders Company, 2012. VitalBook file.

The citation provided is a guideline. Please check each citation for accuracy before use.

Behavioral-Environmental NB

Defined as “nutritional findings or problems identified as related to

knowledge, attitudes or beliefs, physical environment, or food supply and safety”

Knowledge and Beliefs (1)

Defined as “actual knowledge and beliefs as observed or documented”

□ Food and nutrition-related knowledge deficit NB-1.1

□ Harmful beliefs or attitudes about food or nutrition-related topics (use with caution) NB-1.2

□ Not ready for diet or lifestyle change NB-1.3

□ Self-monitoring deficit NB-1.4

□ Disordered eating pattern NB-1.5

□ Limited adherence to nutrition-related recommendations NB-1.6

□ Undesirable food choices NB-1.7

Physical Activity and Function (2)

Defined as “actual physical activity, self-care, and quality of life problems

as reported, observed or documented”

□ Physical inactivity NB-2.1

□ Excessive exercise NB-2.2

□ Inability or lack of desire to manage self-care NB-2.3

□ Impaired ability to prepare foods/meals NB-2.4

□ Poor nutrition quality of life NB-2.5

□ Self-feeding difficulty NB-2.6

Food Safety and Access (3)

Defined as “actual problems with food access or food safety”

□ Intake of unsafe food NB-3.1

□ Limited access to food NB-3.2

(Mahan 257)

Mahan, L. K., Sylvia Escott-Stump, Janice Raymond. Krause's Food & the Nutrition Care Process, 13th Edition. W.B. Saunders Company, 2012. VitalBook file.

The citation provided is a guideline. Please check each citation for accuracy before use.