INTERVENTIONS, MONITORING AND EVALUATION Monitoring Criteria Outcome Nutrition Intervention (signs/symptoms Date Intern Action (were nutrition goals Problem(s) (what was done) followed to determine met) whether interventions worked) - Inadequate energy -Food &/OR Nutrient -Food/Nutrition-Related -Food & Nutrient -Obtained Veteran’s food intake Delivery: Meals and History: Food & Intake: Not Met preferences/intolerances - Food- and Snacks→ Nutrient Intake→ -Nausea/Vomiting: from family and entered nutrition-related (Soft, per Monitor food intake Improved/Resolved them into Computrition. knowledge deficit Speech recs, Easy to (amount and types of -Macronutrient -I knew he already enjoyed Chew), foods/beverages), total (Protein) Intake: Not drinking chocolate Atkins Diet (2200 energy intake, modified Met shakes so determined it ADA, diet order tolerance -Potential pressure would be appropriate to diet) & -Nutrition-Focused injury to buttocks: Not send him chocolate Ensure Nutrition Supplement Physical Findings: Met Muscle Health three times Therapy→ Medical Monitor daily in between meals for Food Supplement nausea/vomiting additional calories/protein. 6/22/16 Therapy (Commercial -Food/Nutrition-Related -Provided nutrition Beverage; Ensure History: Food & education related to the Muscle Health) Nutrient Intake→ importance of protein for -Nutrition Education: Macronutrient Intake: wound healing and dialysis Nutrition Monitor total protein treatments to his family. intake, high biological Verbalized to family to relationship to value protein intake encourage Veteran to eat health/disease (Helps determine if all the protein foods on his (Importance of protein education provided was tray first before satiety sets for wound healing and understood) in. Provided handout from dialysis treatments) -Nutrition-Focused VA Nutrition and Food Physical Findings: Services Patient Education Monitor Materials Library.
INTERVENTIONS, MONITORING AND EVALUATION Date Nutrition Problem(s) Intervention (what was done) Monitoring Criteria (signs/symptoms followed to determine whether interventions worked) Outcome (were nutrition goals met) Intern Action 6/22/16 - Inadequate energy intake - Food- and nutrition-related knowledge deficit -Food &/OR Nutrient Delivery: Meals and Snacks→ (Soft, per Speech recs, Easy to Chew), Diet (2200 ADA, diet) & Nutrition Supplement Therapy→ Medical Food Supplement Therapy (Commercial Beverage; Ensure Muscle Health) -Nutrition Education: Nutrition relationship to health/disease (Importance of protein for wound healing and dialysis treatments) -Food/Nutrition-Related History: Food & Nutrient Intake→ Monitor food intake (amount and types of foods/beverages), total energy intake, modified diet order tolerance -Nutrition-Focused Physical Findings: Monitor nausea/vomiting -Food/Nutrition-Related History: Food & Nutrient Intake→ Macronutrient Intake: Monitor total protein intake, high biological value protein intake (Helps determine if education provided was understood) -Nutrition-Focused Physical Findings: Monitor -Food & Nutrient Intake: Not Met -Nausea/Vomiting: Improved/Resolved -Macronutrient (Protein) Intake: Not Met -Potential pressure injury to buttocks: Not Met -Obtained Veteran’s food preferences/intolerances from family and entered them into Computrition. -I knew he already enjoyed drinking chocolate Atkins shakes so determined it would be appropriate to send him chocolate Ensure Muscle Health three times daily in between meals for additional calories/protein. -Provided nutrition education related to the importance of protein for wound healing and dialysis treatments to his family. Verbalized to family to encourage Veteran to eat all the protein foods on his tray first before satiety sets in. Provided handout from VA Nutrition and Food Services Patient Education Materials Library.
allison_k_fassler_clinical_case_study.docx