NCP For Lifestyle Medicine

Nutrition Care
Process
Maribel C. Balagtas, RND, DrPH
objectives
´Realize the importance of NCP

´Realize the individual and collaborative work of health
professionals in Nutrition Care Process
ídentify guidelines in the implementation of Nutrition
Care Process in private and government hospitals
Ídentify the steps of Nutrition Care Process
NUTRITION CARE PROCESS
´ is a systematic process to guide RNDs in providing high

quality nutrition care
Ádvantages:
Úse of a common framework for nutrition care
´Promotion of critical thinking
´More-focused nutrition care documentation
Íncreased acknowledgement of the value of nutrition
care by other health care professionals
Ímproved application of evidence-based guidelines
Nutritionally-at-risk
patients
-Poor nutrition prior
to admission
- Good nutrition
prior to admission
Study in Wuhan China
Novel Coronary Pneumonia(NCP)
good nutrition - hospitalization on the

average was shorter by 12 days
-Yu, Y.. Et.al. J Nutr Health Aging 25, 369–373 (2021)

Timely nutrition interventions are important due to the prevalence of
malnutrition in the hospital setting and when RD recommendations are
implemented, important outcomes are improved.
COMPLICATIONS RELATIVE TO LOSS OF
LEAN BODY MASS
Argiles, Josep et. Al. (2016). Skeletal Muscle Regulates Metabolism via Interorgan Crosstalk: Roles in
Health and Disease. 10.1016/j.jamda.2016.04.019. Journal of the American Medical Directors
Association
The Undernutrition Risk and Underfeeding Status
among in-patients and out-patients in hospitals in the
Philippines ("The UNRISK" Study)
One-Day Point Prevalence Survey on
Malnutrition in DOH Hospitals (August 2007)
DOH Hospital Number of Underweight Prevalence
Patients Assessed (n)
(n)
National Capital Region 388 176 45.3%
(NCR) (13 hospitals)
Luzon (10 hospitals) 673 186 42%
Visayas (2 hospitals) 673 130 19.1%
Mindanao (6 hospitals) 502 161 47%
TOTAL 2236 653 13% 29.2%
Villaraza, E. E. A Retrospective Preliminary Report of the Prevalence of Hospital Malnutrition Among DOH
Retained Hospitals Conducted Last 2007.
Systematic problem solving
method that dietetics
professionals utilize to
critically think and make
Definition decisions to address nutrition
related problems and
Nutrition provide safe and effective
Care quality nutrition care.
Process -Academy of Nutrition and Dietetics
Nutrition Care Process
Purposes …
disease prevention
treatment
management
Collaborative work
Attending Physician
Registered Dietitian
Registered Nurse
Registered Pharmacist
Hospital health information management service worker

Administrative
Implementing Order # 2019-
rules and 0033 - Guidelines
guidelines for the
implementation
of NCP in
hospitals
DOH AO No. 2019-0033 Guidelines for the Implementation
of Nutrition Care Process in Hospitals
´Mandate and direction for public and

private hospitals to operationalize and
institutionalize Nutrition Care Process
Ńutrition Screening
Ńutrition Assessment
Ńutrition Care Plan
Ńutrition Intervention
´Monitoring and Evaluation
´Documentation
Subsequent steps in nutrition care algorithm
1. Nutrition Assessment
collection and analysis of health-related information
- medical record
-physical examination
- laboratory analyses
- medical procedures
-interview
2. Nutrition Diagnosis
- identifies existing and potential nutrition
problems
- problem, etiology or cause, and signs and
symptoms that provide evidence of the problem
PES statement
Medical and Nutrition Diagnosis
Medical diagnosis:
gouty arthritis
Nutrition diagnosis:
Excessive intake of internal organ and meat
related to poor knowledge on purine rich foods as
evidenced by elevated uric acid level in the
blood.
Medical and Nutrition diagnosis
Medical diagnosis:
NIDDM
Excessive intake of high fat and energy foods
related to frequent eating in fast food
establishment as evidenced by an elevated
HbA1c.
Medical and Nutrition diagnosis
Medical diagnosis:
hypertension
Excessive intake of fats and cholesterol related
to the frequent eating of bopiz and bulalo as
evidenced by an elevated blood pressure.
3. Nutrition Intervention
- attempt to modify dietary and lifestyle
practices or environmental conditions that
interfere with nutrition status or health
through nutrition education, diet plan and
diet counseling
4. Nutrition Monitoring and Evaluation

- effectiveness of the nutrition care plan must
be evaluated periodically

NCP For Lifestyle Medicine

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Nutrition Care

´Realize the importance of NCP

´ is a systematic process to guide RNDs in providing high

good nutrition - hospitalization on the

-Yu, Y.. Et.al. J Nutr Health Aging 25, 369–373 (2021)

Hospital health information management service worker

´Mandate and direction for public and

4. Nutrition Monitoring and Evaluation

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