UBC Wiki - User contributions [en]

Dietetics:Clinical Practice

2014-05-26T05:54:59Z

Atan: /* Practice Case Study */

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Sample Screening and Prioritization Tools ==

[[File:Possible Screening and Prioritization Procedure for Dietitian Workload.pdf]]

[[File:Nutrition Care Indicator Categories.pdf]]

== Practice Case Study ==

{{#widget:Widget:Prezi|id=zn6v9_ukggwh|linktext= Patient Screening and Prioritization}}

If you would just like to practice a screening and prioritization scenario, view the PowToon.

{{#widget:YouTube|id=D-7G8ZTNLG4|width=500}}

Below is a link to a worksheet for the case study in the PowToon.

[[Media:Patient Screening and Prioritizing Case Study Worksheet.pdf|Patient Screening and Prioritizing Case Study Worksheet]]

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. ''Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition''. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? ''Nutrition & Dietetics''. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. ''Journal of Parenteral and Enteral Nutrition''. 2012;36:292-298.

Dietetics:Clinical Practice

2014-05-26T05:54:10Z

Atan: /* Practice Case Study */

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Sample Screening and Prioritization Tools ==

[[File:Possible Screening and Prioritization Procedure for Dietitian Workload.pdf]]

[[File:Nutrition Care Indicator Categories.pdf]]

== Practice Case Study ==

{{#widget:Widget:Prezi|id=zn6v9_ukggwh|linktext= Patient Screening and Prioritization}}

If you would just like to practice a screening and prioritization scenario, view the PowToon.
{{#widget:YouTube|id=D-7G8ZTNLG4|width=500}}

Below is a link to a worksheet for the case study in the PowToon.
[[Media:Patient Screening and Prioritizing Case Study Worksheet.pdf|Patient Screening and Prioritizing Case Study Worksheet]]

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. ''Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition''. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? ''Nutrition & Dietetics''. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. ''Journal of Parenteral and Enteral Nutrition''. 2012;36:292-298.

Dietetics:Clinical Practice

2014-05-23T08:07:33Z

Atan: /* Practice Case Study */

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Sample Screening and Prioritization Tools ==

[[File:Possible Screening and Prioritization Procedure for Dietitian Workload.pdf]]

[[File:Nutrition Care Indicator Categories.pdf]]

== Practice Case Study ==

{{#widget:Widget:Prezi|id=zn6v9_ukggwh|linktext= Patient Screening and Prioritization}}

Below is a link to a worksheet for the case study in the Prezi.

[[Media:Patient Screening and Prioritizing Case Study Worksheet.pdf|Patient Screening and Prioritizing Case Study Worksheet]]

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. ''Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition''. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? ''Nutrition & Dietetics''. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. ''Journal of Parenteral and Enteral Nutrition''. 2012;36:292-298.

Dietetics:Clinical Practice

2014-05-23T08:03:32Z

Atan:

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Sample Screening and Prioritization Tools ==

[[File:Possible Screening and Prioritization Procedure for Dietitian Workload.pdf]]

[[File:Nutrition Care Indicator Categories.pdf]]

== Practice Case Study ==

{{#widget:Widget:Prezi|id=zn6v9_ukggwh|linktext= Patient Screening and Prioritization}}

[[Media:Patient Screening and Prioritizing Case Study Worksheet.pdf|Patient Screening and Prioritizing Case Study Worksheet]]

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. ''Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition''. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? ''Nutrition & Dietetics''. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. ''Journal of Parenteral and Enteral Nutrition''. 2012;36:292-298.

File:Nutrition Care Indicator Categories.pdf

2014-05-23T08:02:29Z

Atan:

=={{int:filedesc}}==
{{Information
|description={{en|1=Nutrition Care Indicator Categories}}
|date=2014-05-23
|source=UHNBC
|author=UHNBC
|permission=
|other_versions=
|other_fields=
}}

=={{int:license-header}}==
{{cc-by-sa-2.5-ca}}

Dietetics:Clinical Practice

2014-05-23T06:33:33Z

Atan: /* Sample Screening and Prioritization Tools */

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Sample Screening and Prioritization Tools ==

[[File:Possible Screening and Prioritization Procedure for Dietitian Workload.pdf]]

== Practice Case Study ==

{{#widget:Widget:Prezi|id=zn6v9_ukggwh|linktext= Patient Screening and Prioritization}}

[[Media:Patient Screening and Prioritizing Case Study Worksheet.pdf|Patient Screening and Prioritizing Case Study Worksheet]]

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. ''Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition''. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? ''Nutrition & Dietetics''. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. ''Journal of Parenteral and Enteral Nutrition''. 2012;36:292-298.

File:Possible Screening and Prioritization Procedure for Dietitian Workload.pdf

2014-05-23T06:31:43Z

Atan:

=={{int:filedesc}}==
{{Information
|description={{en|1=Possible Screening and Prioritization Procedure for Dietitian Workload}}
|date=2014-05-22
|source=Jaqueline Thornhill
|author=Jaqueline Thornhill
|permission=
|other_versions=
|other_fields=
}}

=={{int:license-header}}==
{{cc-by-sa-2.5-ca}}

Dietetics:Clinical Practice

2014-05-23T06:13:26Z

Atan: /* What Should You Consider When Prioritizing a Patient Caseload in Acute Care? */

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Sample Screening and Prioritization Tools ==

== Practice Case Study ==

{{#widget:Widget:Prezi|id=zn6v9_ukggwh|linktext= Patient Screening and Prioritization}}

[[Media:Patient Screening and Prioritizing Case Study Worksheet.pdf|Patient Screening and Prioritizing Case Study Worksheet]]

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. ''Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition''. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? ''Nutrition & Dietetics''. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. ''Journal of Parenteral and Enteral Nutrition''. 2012;36:292-298.

Dietetics:Clinical Practice

2014-05-23T05:59:30Z

Atan:

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been
* having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Sample Screening and Prioritization Tools ==

== Practice Case Study ==

{{#widget:Widget:Prezi|id=zn6v9_ukggwh|linktext= Patient Screening and Prioritization}}

[[Media:Patient Screening and Prioritizing Case Study Worksheet.pdf|Patient Screening and Prioritizing Case Study Worksheet]]

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. ''Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition''. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? ''Nutrition & Dietetics''. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. ''Journal of Parenteral and Enteral Nutrition''. 2012;36:292-298.

File:Patient Screening and Prioritizing Case Study Worksheet.pdf

2014-05-23T05:49:10Z

Atan:

=={{int:filedesc}}==
{{Information
|description={{en|1=Patient Screening and Prioritizing Case Study Worksheet}}
|date=2014-05-22
|source=UBC Dietetics Students
|author=Nancy Chen, Fiona Kwan, Erin Branco, Amy Tan and Cathy Wang
|permission=
|other_versions=
|other_fields=
}}

=={{int:license-header}}==
{{cc-by-sa-2.5-ca}}

Dietetics:Clinical Practice

2014-05-23T05:43:52Z

Atan:

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been
* having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Sample Screening and Prioritization Tools ==

== Practice Case Study ==

{{#widget:Widget:Prezi|id=zn6v9_ukggwh|linktext= Patient Screening and Prioritization}}

[[Patient Screening and Prioritizing Case Study Worksheet.pdf]]

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. ''Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition''. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? ''Nutrition & Dietetics''. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. ''Journal of Parenteral and Enteral Nutrition''. 2012;36:292-298.

Dietetics:Clinical Practice

2014-05-20T20:22:43Z

Atan: /* Further Reading */

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been
* having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Sample Screening and Prioritization Tools ==

== Practice Case Study ==

{{#widget:Widget:Prezi|id=zn6v9_ukggwh|linktext= Patient Screening and Prioritization}}

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. ''Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition''. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? ''Nutrition & Dietetics''. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. ''Journal of Parenteral and Enteral Nutrition''. 2012;36:292-298.

Dietetics:Clinical Practice

2014-05-20T20:20:19Z

Atan:

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been
* having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Sample Screening and Prioritization Tools ==

== Practice Case Study ==

{{#widget:Widget:Prezi|id=zn6v9_ukggwh|linktext= Patient Screening and Prioritization}}

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? Nutrition & Dietetics. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. Journal of Parenteral and Enteral Nutrition. 2012;36:292-298.

Dietetics:Clinical Practice

2014-05-20T20:08:19Z

Atan: /* Practice Case Study */

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been
* having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Practice Case Study ==

{{#widget:Widget:Prezi|id=zn6v9_ukggwh|linktext= Patient Screening and Prioritization}}

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? Nutrition & Dietetics. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. Journal of Parenteral and Enteral Nutrition. 2012;36:292-298.

Dietetics:Clinical Practice

2014-05-20T19:55:09Z

Atan: /* Practice Case Study */

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been
* having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Practice Case Study ==

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? Nutrition & Dietetics. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. Journal of Parenteral and Enteral Nutrition. 2012;36:292-298.

Dietetics:Clinical Practice

2014-05-20T19:54:46Z

Atan:

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been
* having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Practice Case Study ==

<iframe src="http://prezi.com/embed/zn6v9_ukggwh/?bgcolor=ffffff&lock_to_path=0&autoplay=0&autohide_ctrls=0&features=undefined&disabled_features=undefined" width="550" height="400" frameBorder="0" webkitAllowFullScreen mozAllowFullscreen allowfullscreen></iframe>

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? Nutrition & Dietetics. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. Journal of Parenteral and Enteral Nutrition. 2012;36:292-298.

Dietetics:Clinical Practice

2014-05-19T23:55:38Z

Atan:

== Introduction ==

Screening and prioritizing a patient caseload is an important skill to have as a clinical dietitian, as it determines which patients are at nutritional risk and where to allocate clinical and staffing resources. Some dietetic interns may struggle with this during their internship as it requires synthesizing, integrating and applying information from numerous sources. This wiki offers some guidelines and examples of how to screen and prioritize a patient caseload in an acute care setting. As noted throughout this page, there are no universal guidelines and each health authority, hospital or clinical area will differ with its protocol and procedures.

== What Should You Consider When Prioritizing a Patient Caseload in Acute Care? ==

Depending on the health authority/hospital this information can be obtained from the patient census, diet records, chart, Kardex, computer database, patient or meal rounds or through discussion with other members of the interdisciplinary healthcare team. The following is a general list of questions to consider when prioritizing a patient caseload in acute care.

'''Nutrition Support: Enteral Nutrition (EN)/Parenteral Nutrition (PN)'''
* Is the patient starting EN or PN?
* Is the patient showing signs of intolerance to nutrition support?
* Is the patient transitioning from EN/PN to an oral diet/EN?

'''Restrictive or Modified Texture Diets'''
* Is the patient on one or more specialized diets that restrict dietary intake?
* Is the patient on a modified texture diet, such as a dysphagia diet?
* Does the patient have any food allergies, intolerances or preferences that restrict dietary intake?

'''Inadequate Intake'''
* Has the patient been NPO for several consecutive days?
* Has the patient not been eating due to a decreased level of consciousness or decreased appetite?
* Has the patient been on a clear fluid or full fluid diet for several consecutive days?
* Has the patient been
* having any GI symptoms (e.g. nausea, vomiting, diarrhea, abdominal pain)?

'''Malnutrition'''
* Has the patient lost a significant amount of weight?
* Is the patient at risk of refeeding syndrome?
* Is the patient hypermetabolic/hypercatabolic (increased protein and energy needs)?

'''Interventions'''
* Has the patient recently undergone major surgery/procedures, illness or trauma that may affect intake, digestion or absorption?
* Is the patient mechanically ventilated (e.g. tracheostomy)?

'''Bloodwork'''
* Does the patient have abnormal laboratory values that may be of nutritional concern?

== Further Reading ==

# Chima CS, Dietz-Seher C, Kushner-Benson S. Nutrition risk screening in acute care: A survey of practice. Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition. 2008;23:417-423.
# Porter J, Jamieson R. Triaging in dietetics: Do we prioritise the right patients? Nutrition & Dietetics. 2013;70:21-26.
# Skipper A, Ferguson M, Thompson K, Castellanos VH, Porcari J. Nutrition screening tools: An analysis of the evidence. Journal of Parenteral and Enteral Nutrition. 2012;36:292-298.

Dietetics:Clinical Practice

2014-05-19T23:47:19Z

Atan:

Dietetics:Clinical Practice

2014-05-19T23:41:35Z

Atan: