Beruflich Dokumente
Kultur Dokumente
This is a combined list of Nutrition Assessment and Monitoring and Evaluation terms. Indicators that are shaded are used ONLY for nutrition
assessment. The rest of the indicators are used for assessment and monitoring and evaluation.
FOODINUTRITION-RELATED Fat and cholesterol intake (1.5.1) Diet experience (2.12)
mSTORY (FH) o Total fat FH-J.5.1.l o Previously prescribed diets FH-2.1.2.1
Food and nutrient intake.food and nutrient adminis- o Saturated fat FH-1.5.12 o Previous diet/nutrition FH-2.1.2.2
tration. medication/herbal supplement use. know/edge/ o Trans fatty acids FH-1.5.1.3 education/counseling
beliefs/attitudes. behavior.food and supply availability. o Polyunsaturated fat FH-l.5.1.4 a Self-selected diet/s followed FH-2.l.2.3
physicaL activity and function, nutrition-related patient/ o Monounsaturated fat FH-I.S.l.5 o Dieting attempts FH-2.1.2.4
client-centered measures. o Omega-3 fatty acids FH-I.S.1.6 Eating environment (2.1.3)
o Dietary cholesterol FH-l.S.1.7 o Location FH-2.!.3.!
Food and Nutrient Intake (1) o Essential fatty acids FH-l.5.1.8
Composition and adequacy offood and nutrient intake.
o Atmosphere FH-2.1.3.2
and meal and snack patterns.
Protein intake (1.5.2) o Caregiver/companion FH-2.!.3.3
o IV fluids FH-1.3.2.2 o Iron (3) 0 Sodium (7) o Preoccupation with foodlnutrients FH-4.2.5
o Magnesium (4) 0 Zinc (8) o Preoccupation with weight FH-4.2.6
Bioactive Substance Intake (1.4)
o Multi-mineral (9) o Readiness to change nutrition- FH-42.7
Alcohol, plant stanol and steroL esters. soy protein. related behaviors
o Multi-trace element (10)
psyllium and fl-g/ucan. and caffeine intake from all
o Other. (specify) (11) o Self-efficacy FH-4.2.8
sources. e.g.i food, beverages. supplements. and via o Self-talk/cognitions FH-42.9
enteral and parenteral rouces. Food and Nutrient Administratiou (2) o Unrealistic nutrition-related goals FH-4.2.10
Alcohol intake (1.4.1) Current and previous diets and/or food modifications. o Unscientific beliefs/attitudes FH-4.2.11
o Drink size/volume FH-1.4.1.1 eating environment, and enteral and parenteral nutri- o Food preferences (specij)·) FH-4.2.12
o Frequency FH-1.4.1.2 tion administration. o Emotions (specify) FH-4.2.l3
o Pattern of alcohol consumption FH-1.4.1.3 Diet History (2.1)
Behavior (5)
Bioactive substance intake (IA.2) Description of food and drink regularly provided or
Patient/client activities and actions, which influence
o Plant sterol and stanol esters FH-1.42.1 consumed. past diets followed or prescribed and COlll'-
achievement of nutrition-related goals.
o Soy protein FH-1.4.2.2 seling received. and the eating environment.
o Psyllium and fl-glucan FH-1.4.2.3 Diet order (2.1.1) Adherence (5.1)
o Food additives (specify) FH-1.4.2.4 o General. healthful diet FH-2.!.1.1 o Self-reported adherence score FH-S.l.I
o Other (specify) FH-1.4.2.5 o Modified diet FH-2.1.l.2 o Nutrition visit attendance FH-S.I.2
(specify) _ o Ability to recall nutrition goals FH-S.l.3
Caffeine intake (1.4.3)
o Enteral nutrition order FH-2.1.I.3 a Self-monitoring at agreed upon rate FH-S.\.4
o Total caffeine FH-1.4.3.1
(specify) _ a Self-management as agreed upon FH-S.I.S
Macronntrient Intake (1.5)
o Parenteral nutrition order FH-2. I. 1.4 Avoidance behavior (5.2)
Fat and cholesterol. protein. carbohydrate. andfiber (specify) _ o Avoidance FH-S.2.1
intake from all sources including food. beverages.
supplements, and via enteral and parenteral routes.
o Restrictive eating FH-S.2.2
o Cause of avoidance behavior FH-S.2.3
387 3rdEdition
Nutrition Assessment and Monitoring and Evaluation Terminology, cont'd
Bingeing and purging behavior (5.3) o Mini Mental State Examination FH-7.2.S Gastrointestinal profile (1.4)
o Binge eating behavior FH-S.3.1 Score o Alkaline phophatase BD-1.4.l
o Purging behavior FH-5.3.2 o Nutrition-related activities of daily FH-7.2.9 o Alanine aminotransferase, ALT BD-1.4.2
Mealtime behavior (5.4) living (ADL) score o Aspartate aminotransferase, AST BD-1.4.3
o Meal duration FH-5.4.1 o Nutrition-related instrumental FH-7_2.lO o Gamma glutamyl transferase, GGT BD-1.4.4
Social network (S.5) o Other sedentary activity time FH-7.3.9 o D-xylose BD-1.4.16
3rdEdition 388
Nutrition Assessment and Monitoring and Evaluation Terminology, cont'd
Protein profile (1.11) Personal data (1.1), cont'd Social history (3.1), cont'd
o Albumin BD-l.ll.1 o Physical disability CH-1.1.9 o History of recent crisis CH-3.1.8
o Prealbumin BO-1.I1.Z o Mobility CH-l.J.lO (specify) _
o Transferrin BO-Ll1.3 o Daily stress level CH-3.1.9
o Phenylalanine, plasma BO-1.I1.4 PatientlClienUFamily Medical/Health.
o Tyrosine, plasma BO-1.1I.5 History (2) COMPARATIVE STANDARDS (CS)
o Amino acid, other, specify BO-1.11.6 Patienttclient or family disease states, conditions, and
Energy Needs (1)
o .Antibody level, specify . BO-l.l1.7 illnesses that may have nutritional impact.
Patient/client OR family nutrition-oriented Estimated energy needs (1.1)
Urine profile (1.12)
o Total energy estimated needs CS-l.l.l
o Urine color BO-1.1Z.I medicallhealth history (2.1)
o Method for estimating needs CS-l.l.2
o Urine osmolality BO-I.12.2 Specify issueisr and whether it is patienttclient history
(P) or family history (F)
o Urine specific gravity BO-1.IZ.3 Macronutrient Needs (2)
o Urine test, specify BO-LlZ.4
o Patient/client chief nutrition CH-Z.!.I
complaint (~ec~) P or F Estimated fat needs (2.1)
o Urine volume BO-LlZ.5
o Total fat estimated
o Cardiovascular CH-Z.I.Z needs CS-2.1.1
Vitamin profile (1.13) (specify) P or F o Type of fat needed CS-Z.I.Z
o Vitamin A, serum or plasma retinol BO-1.13.l
o Endocrine/metabolism CH-2.1.3 o Method for estimating needs CS-Z.J.3
o Vitamin C, plasma or serum BO-1.13.2
~K~ PorF Estimated protein needs (2.2)
o Vitamin D, 25-hydroxy BO-1.13.3
o Excretory CH-2.1.4 o Total protein estimated needs CS-2.2.1
o Vitamin E, plasma alpha-tocopherol BD-1.13.4 (specify) P or F o Type of protein needed CS-Z.2.2
o Thiamin, activity coefficient for BO-1.13.S o Gastrointestinal CH-Z.I.5 o Method for estimating needs CS-Z.2.3
erythrocyte transketolase activity (spec~) P or F
o Riboflavin, activity coefficient BO-1.13.6 o Gynecological CH-Z.1.6
Estimated carbohydrate needs (2.3)
for erythrocyte glutathione (spec~) PorF
o Total carbohydrate estimated needs CS-Z.3.1
reductase activity o Hematologyfoncology CH-Z.1.7
o Type of carbohydrate needed CS-2.3.Z
o Niacin, urinary N'methyl- BD-1.I3.7 (specify) P or F
o Method for estimating needs CS-Z.3.3
nicotinamide concentration o Immune (e.g., food allergies) CH-2.l.8 Estimated fiber needs (2.4)
o Vitamin B6, plasma or serum BD-1.13.8 (specify) P or F o Total fiber estimated needs CS-Z.4.l
pyridoxal S'phosphate concentration o Integumentary CH-2.1.9 o Type of fiber needed CS-Z.4.2
o Other BD-J.l3.9 (spec~) P or F o Method for estimating needs CS-2.4.3
NUTRITION-FOCUSED
o Musculoskeletal CH-Z.1.I0
(specify) P or F Fluid Needs (3)
PHYSICAL FINDINGS (PD)
Findings from an evaluation of body systems, muscle
o Neurological CH-Z.l.l1 Estimated fluid needs (3.1)
(specify) P or F o Total fluid estimated needs CS-3.1.I
and subcutaneous fat wasting, oral health, sucklswal-
low/breathe ability, appetite, and affect.
o Psychological CH-2.!.!2 o Method for estimating needs CS-3.!.2
(specify) P or F
Nutrition-focused physical findings (1.1) o Respiratory CH-2.1.J3 Micronutrient Needs (4)
o Overall appearance PD-!' LI (spec~) P or F Estimated vitamin needs (4.1)
~pec~) __ ~ ~
o Other CH-2.1.14 o A (I) 0 Riboflavin (7)
-0 Body language PD-1.l2 (specify) P or F o C (Z) 0 Niacin (8)
(specify) _
Treatmentsltherapy/complementarY/alternative o 0 (3) 0 Folate (9)
o Cardiovascular-pulmonary PO-!.!.3
medicine (2.2) o E(4) 0 B6(1O)
(spec~) _
Documented medical or surgical treatments, compte- o K (S) 0 BIZ (11)
o Extremities, muscles and bones PD-I .1.4
mentary and alternative medicine that may impact 1111- o Thiamin (6)
(~~~)---------------------- tritional status of tire patient o Other (specify) (IZ)
o Digestive system (mouth to rectum) PD-I.I.5
o Medical treatmentltherapy CH-2.2.l o Method for estimating needs (13)
(spec~) _
(specify) _
Estimated mineral needs (4.2)
o Head and eyes PO-I.I.6
o Surgical
(spec~) _
(specify)
treatment CH-Z.Z.2
_
o Calcium (1) 0 Potassium (S)
o Nerves and cognition PD-I.!.7 o Chloride (Z) 0 Phosphorus (6)
~pecih) _ o Complementary/alternative medicine CH-2.Z.3
o Iron (3) 0 Sodium (7)
(specify) _
o Skin PO-I.!.8 o Magnesium (4) 0
Zinc (8)
(spec~) _ o Palliative/end-of-life care CH-Z.Z.4
o Other (spec~) (9)
(specify) _
o Vital signs PD-I .1.9 o Method for estimating needs (10)
(spec~) _ Social History (3)
Patient/client socioeconomic status. housing situation. Weight and Growth Recommendation (5)
CLIENT HISTORY (CH) medical care support and involvement in social groups. Recommended body weightlhody mass Index!
Current and past information. related to personal, medi- Social history (3.1) growth (5.1)
cal,family, and social history. o Socioeconomic factors CH-3.1.1 o Ideal/reference body weight (lEW) CS-S.!.!
(specify) _ o Recommended body mass CS-5.!.2
Personal History (1)
General patient/client information such as age, gender,
o Livinglhousing situation CH-3.l.Z index (BMI)
(spec~) _ o Desired growth pattern CS-5.1.3
racelethniciry, language, education, and role in family.
o Domestic issues CH-3.1.3
Personal data (1.1) (spec~) _
o Age CH-!.l.l o Social and medical support CH-3.1.4
o Gender CH-!.1.2 (specify) _
o RacelEthnicity CH-1.!.3 o Geographic location of home CH-3.1.5
o Language CH-!.!.4 (spec~) _
o Literacy factors CH-l.I.S o Occupation CH-3.1.6
o Education CH-1.1.6 (spec~) _
o Role in family CH-l.1.7 o Religion CH-3.1.7
o Tobacco use CH-!.1.8 (specify) _
Nutrition Prescription
The patient/client's individualized recommended dietary intake of energy and/or selected foods or nutrients based on current reference standards and dietary
guidelines and the patient/client's health condition and nutrition diagnosis (specify).