scholarly journals Consenso sobre a terminologia padronizada do processo de cuidado em nutrição para pacientes adultos com doença renal crônica

2021 ◽  
Vol 4 (35) ◽  
pp. 311-328
Author(s):  
Cristina Martins ◽  
Simone L. Saeki ◽  
Marcelo Mazza do Nascimento ◽  
Fernando Lucas Júnior ◽  
Maria Vavruk ◽  
...  

This consensus represents the first collaboration between three professional organizations focused on nutrition: Brazilian Association of Nutrition (ASBRAN), Brazilian Society of Nephrology (SBN) and Brazilian Society of Parenteral and Enteral Nutrition (Braspen/SBNPE), with the objective of identifying internationally standardized terminology and instruments for the nutrition care process. The focus is to facilitate the training of nutritionists who work with adult patients with chronic kidney diseases (CKD). Eleven issues related to nutrition screening, care and management of outcomes were raised. Recommendations were based on international guidelines and electronic databases such as PubMed, EMBASE™, CINHAL, Web of Science and Cochrane. From the sending of lists of internationally standardized terms, 20 nutrition specialists selected those they considered very clear and relevant for clinical practice with CKD outpatients. The content validity index (CVI) was calculated, with 80% agreement in the responses. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) was used to assign evidence strength to the recommendations. A total of 107 terms were selected for Nutrition Assessment and Reassessment, 28 for Nutrition Diagnosis, 9 for Nutrition Intervention, and 94 for Nutrition Monitoring and Evaluation in Nutrition. The list of selected terms and identification of instruments will assist in training planning and implementation of standardized nutrition terminology in Brazil for nutritionists working with CKD patients.

2011 ◽  
Vol 72 (4) ◽  
pp. 178-180 ◽  
Author(s):  
Holly van Heukelom ◽  
Valli Fraser ◽  
Jiak-Chin Koh ◽  
Kay McQueen ◽  
Kara Vogt ◽  
...  

The American Dietetic Association Nutrition Care Process (NCP) is designed to improve patient care and interdisciplinary communication through the consistent use of standardized nutrition language. Supported by Dietitians of Canada, the NCP has been gaining prominence across Canada. In spring 2009, registered dietitians at Providence Health Care, an academic, multisite health care organization in Vancouver, British Columbia, began using the NCP with a focus on nutrition diagnosis. The success of nutrition diagnosis at Providence Health Care has depended on support from the Clinical Nutrition Department leadership, commitment from the NCP champions, regularly scheduled lunch-and-learn sessions, revised nutrition assessment forms with a section for nutrition diagnosis statements, and the Pocket Guide for International Dietetics & Nutrition Terminology (IDNT) Reference Manual. Audit results from June through August 2010 showed a 92% nutrition diagnosis completion rate for acute-care and long-term care sites within Providence Health Care. Ongoing audits will be used to evaluate the accuracy and quality of nutrition diagnosis statements. This evaluation will allow Providence Health Care dietitians to move forward with nutrition intervention.


Author(s):  
Cristina Martins ◽  
Simone L. Saeki ◽  
Marcelo Mazza do Nascimento ◽  
Fernando M. Lucas Júnior ◽  
Ana Maria Vavruk ◽  
...  

Abstract This nutrition consensus document is the first to coordinate the efforts of three professional organizations - the Brazilian Association of Nutrition (Asbran), the Brazilian Society of Nephrology (SBN), and the Brazilian Society of Parenteral and Enteral Nutrition (Braspen/SBNPE) - to select terminology and international standardized tools used in nutrition care. Its purpose is to improve the training delivered to nutritionists working with adult patients with chronic kidney disease (CKD). Eleven questions were developed concerning patient screening, care, and nutrition outcome management. The recommendations set out in this document were developed based on international guidelines and papers published in electronic databases such as PubMed, EMBASE(tm), CINHAL, Web of Science, and Cochrane. From a list of internationally standardized terms, twenty nutritionists selected the ones they deemed relevant in clinical practice involving outpatients with CKD. The content validity index (CVI) was calculated with 80% agreement in the answers. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) framework was used to assess the strength of evidence and recommendations. A total of 107 terms related to Nutrition Assessment and Reassessment, 28 to Diagnosis, nine to Intervention, and 94 to Monitoring and Evaluation were selected. The list of selected terms and identified tools will be used in the development of training programs and the implementation of standardized nutrition terminology for nutritionists working with patients with chronic kidney disease in Brazil.


2010 ◽  
Vol 63 (11-12) ◽  
pp. 816-821
Author(s):  
Budimka Novakovic ◽  
Jelena Jovicic ◽  
Ljiljana Pavlovic-Trajkovic ◽  
Maja Grujicic ◽  
Ljilja Torovic ◽  
...  

Introduction. Diet has vital, preventive and therapeutic functions. Medical nutrition therapy is a part of the Standardized Nutrition Care Process integrated in health care systems. Material and methods. An overview of the Nutrition Care Process model and the application of nutrition guidelines based on literature, reports, documents and programmes of international health, food and physical activity authorities was done. Results. The Nutrition Care Process model requires registered dieticians, standardized terminology as well as nutrition diagnosis categorization. It consists of four distinct, but interrelated and connected steps: (a) nutrition assessment, (b) nutrition diagnosis, (c) nutrition intervention, and (d) nutrition monitoring and evaluation. An individual approach is essential for successful medical nutrition therapy. Nutrition guidelines facilitate the process of understanding and application of medical nutrition therapy. Conclusion. The Nutrition Care process provides dietetic professionals information on high-quality client nutrition care. The success of medical nutrition therapy rests not only upon the advice of the dietician, but also upon the client?s compliance.


2020 ◽  
Vol 81 (3) ◽  
pp. 150-153
Author(s):  
Andrea C. Buchholz ◽  
Mary Hendrickson ◽  
Isabelle Giroux ◽  
José A. Correa ◽  
Rhona Hanning ◽  
...  

Purpose: To investigate experiences with, and perceptions of, simulation in learning and using the Nutrition Care Process/Terminology (NCP/T) of dietitians in Canada. Methods: In February–March 2017, a convenience sample of 382 dietitians in Canada (71.8% in clinical practice) completed an online survey regarding the type(s), setting(s), and perceptions of the simulations in which they engaged in learning and using the NCP/T. Results: A majority (76.7%) of respondents had engaged in NCP/T-related simulation, most commonly case studies (85.3%) and role-play (42.0%), as part of workplace/volunteer training (51.4%) and undergraduate internship/stage/practicum (34.2%). Nearly half (49.5%) of respondents learned all 4 NCP components via simulation, with Nutrition Diagnosis being the most common individual component (57%). Over three-quarters of respondents agreed/strongly agreed that simulation helped them better understand/use the NCP/T and that NCP/T-related knowledge/skills gained through simulation are transferable to the clinical setting/dietetic practice. Conclusions: Dietitians in Canada perceive simulation to have helped them learn and use the NCP/T. Resources should be directed at further developing simulation for teaching the NCP/T in dietetics education and training. Research investigating characteristics, barriers, and facilitators of effective NCP/T-simulation, using objective (vs. perceived) learning outcome measures is needed.


2014 ◽  
Vol 11 (1) ◽  
pp. 20
Author(s):  
Susetyowati Susetyowati ◽  
Hamam Hadi ◽  
Ahmad Husein Asdie ◽  
Mohammad Hakimi

Background: Malnutrition is one common problem for hospitalized patient, estimated between 20-60%. American Dietetic Association (ADA) recommends a standardized Nutrition Care Process (SNCP) that ensures services and outcomes in the quality management of nutrition care to all patients based on an individual basis and scientific facts. In Indonesia was developed nutrition screening tool, namely the Simple Nutrition Screening Tool (SNST) which was valid and reliable.Objective: The study was to determine the effect of SNCP based on screening to improve nutrient intake and nutritional status.Method: The method using a 2x2 factorial design, with 4 groups which are: screened with Nutritional Risk Screening (NRS) and get hospital-based SNCP (A1B1); screened with NRS and algorithm SNCP (A1B2); screened with SNST and get hospital-based SNCP (A2B1); screened with the SNST and get algorithm SNCP (A2B2).Results: Nutritional screening interventions using NRS and SNST method can increase the energy and protein intake also Mid-Upper Arm Circumference (MUAC). There is no relationship between algorithm SNCP with nutrient intake and nutritional status, although the average intake of energy, protein, MUAC and albumin was better in the algorithm SNCP than in hospital-based SNCP. The interaction between the SNST and algorithm SNCP have better mean intake of energy, protein and MUAC changes than other groups. The size of the effect of energy intake, protein intake, and MUAC was 129 kcal; 4.6 g; and 0.35 cm, respectively.Conclusion: Interaction between an SNST and algorithm SNCP have a better average intake of energy, protein, and MUAC compared with other groups.


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