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This 4 page Class Notes was uploaded by Harley Dinetz on Tuesday September 29, 2015. The Class Notes belongs to NSD at Syracuse University taught by Jane Uzcategui in Fall 2015. Since its upload, it has received 21 views.
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Date Created: 09/29/15
Evidence based practice 09032015 Evidence analysis A systematic proves to rigorously evaluate the applicable body of evidence 0 Model academy of nutrition and dietetics Principles of evidence based medicine A hierarchy of strength of evidence behind recommendations Judgment of the clinician when weight alternative disease management strategies considering patient values and preference and societal values Steps in the evidence analysis process Identify a speci c problem area of uncertainty Formulate problem as a question and analytical framework Search for an nd evidence Evaluate research reports and grade the evidence Form recommendation and make decisions Summarize and demise the ndings Evidence analysis and practice guidelines Once a set of evidence analysis questions around a topic have been answered create and evidence based practice guidelines Guideline it shows if a dietician can do something If there is a published evidence based guideline failure to follow it and failure to provide quality nutrition care is malpractice The pros and cons of evidence based practice Positive 0 Endorsed by healthcare providers and payers o Improves care by ensuring that best practices are based on weight of research evidence o NegaUve o It may suppress clinical decision making 0 Process is time consuming and therefore costly Medical nutrition therapy Nutritional diagnostic therapy and counseling services for the purpose of disease management that are furnished by a registered dietician or nutrition professional pursuant to a referral by a physician 0 Evidence based practice using the nutrition care process 0 Provision of nutrition therapy in the form of modi ed oral diets enteral nutrition support or parental nutrition Nutrition assessment 0 Process to obtain verify and interpret date to correctly identify nutrition related problems 0 Food nutrition history 0 Biochemical date 0 Anthropometric data 0 Physical nding 0 Clinical history 0 Where to obtain data 0 Medical records Referrals Interview Direct measures and observation COO Nutrition diagnosis 0 Identi cation and labeling that describes nutrition problem 0 Used our unique approved language to consistently name nutrition problem 0 The domains of the nutrition issue o Intake to much or not enough of something 0 Clinical a problem with there physical condition 0 Behavioral and environmental something that there unsure of such of how to maintain a certain diet 0 The pes statement 0 Problem 0 Etiology 0 Statement Critical thinking in making decision for nutrition 0 To nd patterns and relationships among data 0 To be able to rule in and out speci c nutrition diagnoses 0 Rule in create an all inclusive list 0 Rule out eliminate items on the list The 3 domains of nutrition diagnoses 0 Nutrition intake 0 energy balance 0 oral or nutrition supplement intake 0 uid intake 0 bioactive substance intake 0 Clinical domain 0 Functional 0 Biochemical 0 Weight Behavioral and environmental 0 Knowledge and belief 0 Physical activity and function 0 Food safety and access Nutrition intervention Selecting panning and implementing appropriate actions to meet patients nutritional needs and correct problems The standards of care Institutional policy and procedure manuals Critical thinking 0 Collaborating goal setting 0 Prioritizing goals 0 De ne nutrition prescription plan 0 Initiate intervention actions There are 2 components 0 Planning 0 Implementation The etiology of the problem drives the intervention Include a nutrition prescription 0 Individualize recommended dietary nutrient intake Small meals More types of meals through out the day Monitoring and evaluation Mentoring review and measurement of patients progress at a scheduled follow up appointment Evaluation comparison of current nding with previous nding goals and reference standard
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