Lesson reader
Domain II, Diagnosis
Write, Communicate, and Update the Nutrition Diagnosis
Build one complete diagnostic sentence
A PES statement communicates the nutrition diagnosis in a fixed logical order: Problem related to Etiology as evidenced by Signs and symptoms. The problem is one standardized Nutrition Care Process Terminology label. The etiology is the most specific supported cause or contributor that nutrition care can improve. The signs and symptoms are concise, measurable evidence that the problem exists and, when applicable, indicate severity. Example: Inadequate oral intake related to early satiety and nausea during chemotherapy as evidenced by mean oral intake at 42 percent of estimated energy needs for five days and 3.2 percent unintentional weight loss in two weeks. This sentence names a nutrition problem, states a plausible actionable mechanism, and provides quantified evidence over defined intervals. Use current terminology and organizational documentation policy. Do not invent a label, merge two problems into one phrase, or place an intervention after related to.
Reference list
Sources
- Academy of Nutrition and Dietetics, Nutrition Diagnosis
- Academy of Nutrition and Dietetics, Nutrition Care Process Overview
- Colin and colleagues, Documentation of the Evidence Diagnosis Link Predicts Nutrition Diagnosis Resolution
- Lewis and colleagues, Etiology Intervention Link Predicts Resolution of Nutrition Diagnosis
- Commission on Dietetic Registration, Registration Examination for Dietitians Study Outline 2022-2026