ADA NUTRITION CARE PROCE SS 
                                                                                                                                                                                                                                                                                                                                              AND MODEL 
                   Screening  & Referral 
                                                                   
                             
                   System
                        
                      Identify risk factors  
                      Use appropriate tools 
                              and methods  
                     Involve 
                              interdisciplinary 
                              collaboration                                                                                                                                                                  Nutrition Diagnosis
                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                   
                                                                                                                                                                                                          
                                                                                                                                                                                                              Identify  and label problem
                                                                                                                          Nutrition Assessment                                                                                                                   
                                                                                                                                                                                                          
                                                                                                                                                                                                               Determine cause/contributing risk 
                                                                                                                                                                                                               
                                                                                                                              Obtain/collect timely and 
                                                                                                                                                                                                            factors   
                                                                                                                             appropriate  data                                                                                 
                                                                                                                                                                                                          
                                                                                                                                                                                                               Cluster signs and symptoms/ 
                                                                                                                                                                                                               
                                                                                                                              Analyze/interpret with 
                                                                                                                                                                                                              defining characteristics    
                                                                                                                            evidence - based standards  
                                                                                                                                                                                                        
                                                                                                                                                                                                             Document 
                                                                                                                                                                                                               
                                                                                                                          Document                                                                                               
                                                                                                                                                  
                                                                                                                                                                         Relationship  
                                                                                                                                                                            Between 
                                                                                                                                                                         
                                                                                                                                                                      Patient/Client/Group                                             Nutrition Intervention  
                                                                                                                                                                   &  Dietetics                                                      Plan nutrition intervention  
                                                                                                                                                                           Professional                                                   Formulate goals and 
                                                                                                                                                                                                          
                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                    determine a plan of action
                                                                                                                                                                                                                                           Implement the nutrition intervention
                                                                                                                                                                                                                                                                                                      
                                                                                                           Nutrition Monitoring and                                                                                                             Care is delivered and actions 
                                                                                                                                                                                                                                                             - 
                                                                                                         Evaluation                                                                                                                            are carried out  
                                                                                                           Monitor progress                                                                                                        Document
                                                                                                           Measure outcome indicators                                                                                              
                                                                                                           Evaluate outcomes  
                                                                                                           Document 
                                    Outcomes  
                                     Management Sys tem 
                                 Monitor the success of the Nutrition Care 
                                     Process implementa tion
                 Evaluate the impact with aggregate data                                            
                 Identify and analyze causes of less than    
                                    optimal performance and outcom es
                                Refine the use of the Nutrition Care 
                                        
                                     Process
                                                                                                                                                                                                                                                                                                                                                      
                                                                                                                                                                                                                                                                                                                                                     
   ADA’s Nutrition Care 
   Process Steps
   
    Nutrition Assessment
   
    Nutrition Diagnosis
   
    Nutrition Intervention 
   
    Nutrition Monitoring and  
    Evaluation
     Nutrition Assessment 
     (Definition)
     “A systematic process of obtaining, verifying, and 
      interpreting data in order to make decisions about 
      the nature and cause of nutrition-related 
      problems.”
      Lacey and Pritchett, JADA 2003;103:1061-1072.
   Nutrition Assessment 
   Components
   Gather data, considering
   Compare to relevant standards
   Identify possible problem areas
   Nutrition Assessment: Critical 
   Thinking
   
    Observe 
   
    Determining appropriate data to collect
   
    Selecting assessment tools 
   
    Distinguishing relevant from irrelevant 
    data
   
    Organizing data
   
    Determining when problems require 
    referral