Practice Consideration
Considering Different Nutrition Diagnoses
There are additional options for suitable diagnosis statements. Depending on the patient’s needs and priorities, those include:
Intake Domain(1,2)
1. Academy of Nutrition and Dietetics. Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care.
2016; Accessed 14 August 2017. Available from: https://ncpt.webauthor.com.
2. Academy of Nutrition and Dietetics. Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care.
Diagnosis. 2016; Accessed 11 August 2017. Available from: https://ncpt.webauthor.com/pubs/idnt-en/page-041
Intake Domain(1,2)
- Intake of types of carbohydrate inconsistent with needs (NI-5.8.3) (GI)
- This diagnosis belongs in the Intake domain, making it a preferred choice. The dietitian is likely to conclude that the changes Mr Robertson makes to the distribution of carbohydrate-containing foods throughout the day will make a far bigger difference to glycemic control than changes to a relatively low number of food items with a lower GI
- Etiology may be considered as a Food- and nutrition-related knowledge deficit (NB -1.1) about the appropriate amount of carbohydrate to include at each meal and snack
- Altered nutrition-related laboratory values (NC-2.2) (high blood sugar)
- Mr Robertson has high blood sugar, so this choice of domain would not be wrong; for your purposes, however, the Clinical domain is a less desirable one than the Intake domain. Events other than your dietetic interventions can affect blood glucose levels (and HbA1c); so where possible, choose a diagnosis in the Intake domain
- Overweight/obesity (NC-3.3)
- This is an existing Diagnosis from the last consultation. Although the diagnosis is not incorrect, there are more appropriate options in the Intake domain. We recommend that practitioners rely primarily on a diagnosis from the Intake domain, using a diagnosis of Overweight/obesity (NC- 3.3) as an adjunct. Overweight/obesity can be addressed once the other diagnoses are resolved or resolving
1. Academy of Nutrition and Dietetics. Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care.
2016; Accessed 14 August 2017. Available from: https://ncpt.webauthor.com.
2. Academy of Nutrition and Dietetics. Nutrition Terminology Reference Manual (eNCPT): Dietetics Language for Nutrition Care.
Diagnosis. 2016; Accessed 11 August 2017. Available from: https://ncpt.webauthor.com/pubs/idnt-en/page-041
Updated October 04, 2017