Nutrition Diagnosis

Based on the nutrition assessment, the registered dietitian can establish a nutrition diagnosis (or diagnoses). Such statements identify nutrition problems (diagnostic labels), related etiology, and distinguishing characteristics (signs and symptoms) and are important to document in the medical record. These nutrition diagnoses serve as the foundation for nutrition interventions, monitoring and evaluation, and anticipated

Table 9.5

Examples of Nutrition Diagnostic Statements for Women with Anorexia Nervosa or Bulimia

Nervosa during Pregnancy

  • Inadequate energy intake (problem) related to restriction of food intake (etiology) as evidenced by mean daily dietary intake of less than 1,000 kcal per day and 7-lb weight loss during the past 6 weeks (signs)
  • Frequent stool output (problem) related to thrice daily use of laxatives and low-dietary fiber intake (etiology) as evidenced by increased diarrhea, dehydration, and estimated average daily dietary intake of fiber of less than 2 g per day (signs and symptoms)
  • Suboptimal folate intake (problem) related to avoidance of leafy green vegetables, orange fruits, and fortified grain products (etiology) as evidenced by red blood cell folate of 2.7 nmol/l (sign)
  • Hypokalemia (problem) related to increased frequency of self-induced vomiting (etiology) as evidenced by change in self-reported behaviors and serum potassium of 2.9 mmol/l (sign)
  • Rapid weight gain (problem) related to relaxation of compensatory behaviors (etiology) as evidenced by self-reported change in behaviors, weight gain of 12 lb from the 14th to 18th week of gestation, and average dietary intake of approximately 1,000 kcal per day beyond estimated energy needs (signs)

outcomes. Table 9.5 presents examples of nutrition diagnostic statements for AN or BN during pregnancy.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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