QSEN Competencies
           Quality and Safety Education (QSEN) nursing 
                competencies: 
                  Patient-centered care 
                  Teamwork and collaboration
                  Quality improvement
                  Safety 
                  Informatics
                                                Copyright © 2016, 2012, 2007 by Mosby, an imprint of Elsevier Inc.                                           2
                      Fetal Origins of Adult Disease
           A woman’s prenatal diet affects the long-term 
                health of her children.
                  Placental insufficiency, maternal malnutrition, and 
                        intrauterine growth restriction (IUGR) can impair infant 
                        growth.
                  IUGR may lead to hypertension, cardiovascular 
                        disease, and type 2 diabetes in adults.
                                                Copyright © 2016, 2012, 2007 by Mosby, an imprint of Elsevier Inc.                                           3
                                            The Nutrition Team
           Doctors write orders, including diet.
           Nurses help identify patients in need of nutrition 
                services.
                  Basic nutrition screening
                           • Decreased appetite 
                           • Unintentional weight loss
                           • Age and medical history 
                           • Hydration status and illness severity
                                                Copyright © 2016, 2012, 2007 by Mosby, an imprint of Elsevier Inc.                                           4
                             The Nutrition Team (Cont.)
           Registered dietitian-nutritionist (RDN)
                  Nutrition care process
                  Detailed nutrition assessments
                  Nutrition diagnosis
                  Intervention: provision of specific nutrition therapies 
                  Monitoring and evaluation of outcomes
                                                Copyright © 2016, 2012, 2007 by Mosby, an imprint of Elsevier Inc.                                           5
                             The Nutrition Team (Cont.)
           Dietetic technicians, registered (DTRs)
                  Take diet histories
                  Collect information for nutrition screening and 
                        assessment
                  Work directly with patients who are having problems 
                        with their meals
                  Provide basic nutrition education
                  Should not be asked to counsel patients about 
                        modifications for complex disease
                                                Copyright © 2016, 2012, 2007 by Mosby, an imprint of Elsevier Inc.                                           6