NCP Nutrition Assesment Matrix

Nutrition Assessment Matrix
Parameter (not all-inclusive) Food and Nutrient Intake Chronic dieting behavior
Food/Nutrition-Related Nutrition Diagnostic Terminology

Nutrition Diagnostic Terminology NI 5.10.1 NB 1.6 NC 3.3 NB 1.3 NC 1.3 NI 1.5 NI 2.2 NI 1.4 NC 3.4 NC 3.4 NI 2.4 NI 3.2 NI 3.1 NC 1.2 NI 2.2 NI 5.9.1 NI 5.9.2 NI 5.8.1 NB 1.2 NB 3.2 NC 1.4 NI 5.1 NI 5.10.1 NB 3.2 NC 3.2 NC 1.3 NI 5.7.3
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Supplemental material for International Dietetics and Nutrition Terminology (IDNT) Reference Manual, Second Edition. Copyright 2009 American Dietetic Association.
NB 1.5
Expected food/nutrition related outcomes are not achieved Inability to lose weight through conventional weight loss intervention Previous failures to effectively change target behavior Lack of facilities or accommodations for breastfeeding in community or at work Excess intake of energy from energy dense or high fat foods/ beverages Highly variable calorie intake Insufficient intake of energy Intake consistent with estimated or measured energy needs Intake consistent with estimated or measured energy needs Lipid or dextrose infusions, peritoneal dialysis or other medical treatments that provide significant calories Excess intake of fluid Insufficient intake of fluid Changes in recent food intake Excess intake of convenience foods, pre-prepared meals, and foods prepared away from home Excess intake of foods without available vitamins Excess intake of fortified foods and supplements containing vitamins Food choices, inappropriate Food group/nutrient imbalance Food variety, limited Insufficient intake of food or food from specific foods/groups due to GI symptoms Insufficient intake of food/supplements and nutrients
NI 2.2
NI 2.4
NI 2.1
NI 5.2
NC 3.2 NB 2.4
NC 3.4
NC 2.1 NI 5.3 NC 1.2 NI 5.9.1 NB 2.4
Normal intake of food in the face of illness Mother with small amount of milk when pumping Enteral or parenteral nutrition therapy

Parameter (not all-inclusive) Food and Nutrient Intake, contd Excess intake of parenteral or enteral nutrition

Nutrition Diagnostic Terminology NI 1.5 NI 2.3 NI 5.6.1 NI 1.4 NI 4.3 NI 4.3 NI 4.3 NI 4.2 NI 4.2 NI 4.1 NI 4.2 NI 5.4 NI 5.6.2 NI 5.4 NI 5.6.3 NI 5.7.3 NI 4.2 NC 2.2 NI 2.1 NI 5.7.2 NI 5.8.1 NI 5.9.1 NI 5.9.1 NI 5.5 NI 5.5 NI 5.10.2 NI 5.4 NI 3.2 NI 5.10.1
2
NC 3.3
Feeding tube or venous access in the wrong position or removed Insufficient intake of fat, essential fatty acids Insufficient intake of parenteral or enteral nutrition Alcohol intake, excessive Excess intake of alcohol and/or binge drinking Alcohol intake during pregnancy despite knowledge of risk Excess intake of bioactive substances Excess intake of plant foods containing soluble fiber, -glucan, or plant sterol and stanol esters Insufficient intake of fiber, soy protein, -glucan, or plant sterol and stanol esters Ready access to available foods/products with bioactive substance Excess intake of fiber Excess intake of fat from high-risk lipids (saturated fat, trans fat, cholesterol) Excess intake of fat, foods prepared with added fat Insufficient intake or incorrect ratio of fat, monounsaturated, polyunsaturated, DHA/ARA, or omega-3 fatty acids Excess intake of amino acids (specify) Excess intake of protein Insufficient intake of protein Protein or other supplementation intake different from recommended Insufficient intake of carbohydrate Insufficient intake of vitamin D intake/sunlight exposure Insufficient intake of vitamins Excess intake of iron Excess intake of manganese Excess intake of minerals Excess intake of phosphorus Excess intake of sodium Insufficient intake of minerals
NI 2.3 NC 1.2 NC 3.4
NI 5.8.5
NI 5.8.6 NI 5.6.3 NI 5.6.2
NC 2.2
NC 2.2
NI 5.4 NI 5.2 NI 5.7.3
NI 5.7.2 NI 5.7.1
NI 5.10.1 NC 2.2
NC 2.2 NI 5.4 NC 2.2 NC 2.2

Parameter (not all-inclusive) Medication and herbal supplement intake Insulin or insulin secretagogues Medication associated with weight loss Medication, lipid lowering

Nutrition Diagnostic Terminology NI 5.8.4 NC 3.2 NI 5.6.2 NI 3.2 NI 5.1 NC 3.4 NI 1.4 NI 5.8.2 NI 2.1 NB 2.1 NC 3.3 NI 3.2 NI 1.2 NI 2.4 NI 3.1 NC 2.3 NC 2.3 NB 1.5 NI 1.4 NC 2.3 NC 2.3 NC 3.2 NB 1.5 NC 3.1 NI 5.8.3 NI 5.8.4
Medications administered in large amounts of fluid Medications affecting absorption or metabolism Medications associated with increased appetite Medications that affect appetite Medications that cause altered glucose levels Medications that cause anorexia Medications that cause somnolence and decreased cognition Medications that impact RMR Medications that impair fluid excretion Medications that increase energy expenditure Medications that reduce requirements or impair metabolism of energy, protein, fat or fluid Medications that reduce thirst Medications that require nutrient supplementation that cannot be accomplished with food intake Medications with known food-medication interactions Misuse of laxatives, enemas, diuretics, stimulants, and/or metabolic enhancers Substance abuse Intake that does not support replacement or mitigation of OTC, prescribed drugs, herbals, botanicals, or dietary supplements Medication (over the counter or prescribed), herbal, botanical, or dietary supplement intake that is problematic or inconsistent with recommended foods Prolonged use of substances known to increase vitamin requirements or reduce vitamin absorption Use of narcotics
NI 5.9.1 NC 3.4
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Parameter (not all-inclusive) Knowledge/Beliefs/Attitudes

Nutrition Diagnostic Terminology NB 2.4 NB 1.6 NB 1.7 NB 1.4 NB 1.4 NC 1.3 NB 3.2 NI 5.7.1 NI 5.8.2 NB 1.3 NB 1.3 NB 2.6 NC 3.1 NB 1.5 NB 1.5 NB 1.5 NB 1.1 NB 2.5 NB 3.2 NB 1.5 NC 1.3 NI 2.4 NC 3.3 NB 1.1 NB 1.5 NB 2.5 NB 1.2 NB 2.3
Uncertainty regarding appropriate foods to prepare based upon nutrition prescription Uncertainty as to how to consistently apply food/nutrition information Inability or unwillingness to select, or disinterest in selecting food consistent with guidelines Uncertainty of how to complete monitoring records Uncertainty regarding changes that could/should be made in response to data in self-monitoring records Mother has insufficient knowledge of breastfeeding or infant hunger/satiety signals Belief that aging can be slowed by dietary limitations Cultural or religious practices that limit intake Cultural or religious practices that limit modification of dietary carbohydrate intake Defensiveness, hostility, or resistance to change Denial of need for food- and nutrition-related changes Emotional distress, anxiety, or frustration surrounding mealtimes Food faddism Food preoccupation Excessive reliance on nutrition terming and preoccupation with nutrient content of food Fear of foods or dysfunctional thoughts regarding food or food experiences Relates concerns about previous attempts to learn information Frustration over lack of control Harmful beliefs and attitudes of parent/caregiver Irrational thoughts about foods effect on the body Mother with lack of confidence in ability to breastfeed Unrealistic expectations of weight gain or ideal weight Unwillingness or disinterest in applying nutrition related recommendations Verbalizes unwillingness/disinterest in learning Weight preoccupation
4

Parameter (not all-inclusive) Behavior Incomplete self-monitoring records Intake different from recommended carbohydrate

Nutrition Diagnostic Terminology NB 1.4 NI 5.8.2 NI 2.5 NB 1.4 NB 1.6 NB 1.3 NB 1.6 NB 1.6 NB 1.6 NB 2.5 NC 3.3 NC 1.3 NB 1.1 NB 1.3 NB 1.5 NC 1.2 NB 1.2 NB 1.5 NB 2.2 NB 1.5 NB 1.5 NC 1.1 NB 1.6 NB 2.3 NI 5.8.3 NI 5.8.4
Intake different from recommended, carbohydrate, protein and/or fat intake from enteral and/or parenteral nutrients Embarrassment or anger at need for self-monitoring Failure to complete any agreed homework Failure to keep appointments/schedule or engage in counseling Expected food/nutrition related outcomes are not achieved Inability to recall agreed upon changes Lack of compliance or inconsistent compliance with plan Lack of social and familial support Inability to maintain weight or regain of weight Mother is concerned about breastfeeding/lack of support Provides inaccurate or incomplete written response to questionnaire/written tool, or is unable to read written tool Chronic non-compliance Avoidance of food or calorie containing beverages Avoidance of foods of age-appropriate texture Avoidance of foods/food groups Avoidance of social events where food is served Binge eating Eating alone, feeling embarrassed by the amount of food eaten Eating much more rapidly than normal, eating until feeling uncomfortably full, consuming large amounts of food when not feeling hungry Excess intake of food in a defined time period Excessive physical activity (ignoring family, job; exercising without rest/rehabilitation days, or while injured or sick) Self-induced vomiting diarrhea, bloating, constipation, flatulence Sense of lack of control of overeating during the episode Lack of developmental readiness Prolonged chewing, feeding time
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Lack of efficacy to make changes or to overcome barriers to change NB 1.3
NB 1.5 NB 1.5 NB 1.5 NB 1.5 NC 1.2 NC 1.1 NB 2.2
Feeling disgusted with oneself, depressed, or guilty after overeating NB 1.5

Parameter (not all-inclusive)

Factors Affecting Access to Food and Food/Nutrition-Related Supplies Economic constraints that limit availability of appropriate foods Excess intake of mercury Food insecurity/unwillingness to use available resources Food intake includes raw eggs, unpasturized milk products, soft cheeses, undercooked meats, wild plants, berries and mushrooms Hunger in the face of inadequate access to food supply Lack of funds for purchase of appropriate foods Lack of suitable support system to access food No self-management equipment Ready access to available foods/products with bioactive substance Physical Activity and Function Decreased or sedentary activity level (due to barriers or other reasons) Increased physical activity Low level of NEAT (non-exercise activity thermogenesis) Overtraining Low cardiorespiratory fitness and/or low muscle strength Inability or unwillingness to select, or disinterest in selecting food consistent with guidelines Uncertainty regarding appropriate foods to prepare based upon nutrition prescription Lack of ability to prepare meals Physical activity, easy fatigue with increased activity; unable to achieve desired levels Utensil biting Food, inappropriate use of Foods provided not conducive to self feeding Nutrition-Related Patient/Client-Centered Measures Unfavorable QOL or other quality of life rating Frustration or dissatisfaction with MNT recommendations
Updated: 2009 Edition
Nutrition Diagnostic Terminology NI 2.1 NI 5.8.4 NB 3.1 NB 2.5 NB 3.1 NI 5.3 NI 5.3 NB 3.2 NB 1.4 NI 4.2 NI 5.8.2 NI 5.8.3
NC 3.3 NI 1.2 NB 2.1 NB 2.2 NB 2.1 NB 1.7 NB 2.4 NI 5.3 NI 2.3 NB 2.6 NB 2.6 NB 2.6 NB 2.5 NB 2.5 NC 3.1 NB 2.2
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Parameter (not all-inclusive) Height Height Weight change Weight Weight change, rapid gain loss Findings
Anthropometric Data and Related Diagnostic Terminology

Nutrition Diagnostic Terminology NI 5.10.1 NC 2.2 NI 1.4 NI 3.2 NC 3.4 NI 2.4 NI 5.4 NI 1.4 NI 2.5 NI 5.2 NC 1.3 NB 2.2 NI 1.2 NI 2.3 NC 3.1 NI 2.3 NC 1.3 NI 1.5 NB 2.1 NI 2.3 NC 3.1 NI 1.2 NI 5.1 NI 5.5 NC 2.1 NB 3.2 NC 3.1 NI 1.5 NI 5.10.1 NI 5.1 NC 3.3 NI 5.1 NC 3.3
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NB 1.5 NI 1.5 NC 2.3 NI 2.5 NI 2.1 NI 3.1 NI 5.3 NC 2.1 NB 2.6 NI 5.1 NB 2.2 NI 5.2 NB 1.6 NC 3.3 NI 5.1 NB 1.5 NI 2.1 NI 5.2 NI 5.7.2 NB 1.4 NI 5.3 NB 2.2 NB 1.5 NI 5.2 NB 3.2 NI 2.3 NI 5.3 NI 5.9.2 NB 2.2 NI 2.3 NI 4.2 NI 5.6.1 NC 3.2 NI 5.2 NI 2.2 NC 3.3
in excess of lean tissue accretion interdialytic Weight loss
unintentional decreased Weight Body Mass Index (BMI) BMI increased decreased Growth Pattern Growth delayed failure to gain as planned
< 5th percentile Body Compartment Estimates Body fat percentage Mineral density, bone Skinfold thickness Waist circumference
increased decreased increased decreased increased
Muscle circumference, mid-arm decreased
NC 3.1 NC 3.1

Parameter (not all-inclusive) Biochemical data pCO2 Electrolyte and renal profile BUN Creatinine BUN:creatinine ratio GFR, glomerular filtration rate Sodium, serum Chloride, serum Potassium, serum increased elevated increased decreased decreased increased decreased decreased increased Magnesium, serum Calcium, serum Calcium, serum ionized Phosphorus, serum decreased increased decreased decreased increased decreased increased Osmolality, serum Parathyroid hormone Essential fatty acid profile Triene:tetraene ratio increased decreased increased increased pO2 Acid-base balance abnormal abnormal Findings
Biochemical Data, Medical Tests and Procedures and Related Diagnostic Terminology
Nutrition Diagnostic Terminology
NI 2.4 NC 2.2 NI 3.1 NI 5.4 NI 5.7.3 NB 1.5 NI 5.4 NC 2.2 NI 3.2 NI 3.1 NB 1.5 NI 2.5 NC 2.2 NI 5.1 NI 5.1 NI 5.10.2 NI 2.3 NI 5.9.1 NI 5.9.2 NI 5.1 NI 5.10.1 NI 2.5 NI 3.2 NI 3.1 NI 5.9.1 NI 5.6.1
NC 2.2
NI 5.4 NC 2.2 NI 2.4 NI 5.7.2 NC 3.4
NI 5.7.2 NC 2.2 NI 5.7.3 NB 1.5
NI 5.1 NB 1.5 NI 5.4 NI 5.5
NI 5.5 NC 2.2 NI 5.10.1
NI 5.5 NI 5.4
NI 5.9.1 NI 5.10.2
NI 5.9.2
8

Parameter (not all-inclusive) Biochemical data Gastrointestinal profile ALT, alanine aminotransferase AST, aspartate aminotransferase Gastric residual volume, specify Liver enzymes increased increased increased elevated Findings
NC 2.2 NI 4.3 NI 4.3 NI 2.5 NI 1.5 NI 4.2 NI 5.6.3 NI 5.6.2 NI 5.7.3 NI 4.3 NI 2.3 NI 5.6.2 NI 5.6.2 NI 5.6.2 NC 1.4 NC 1.4 NC 1.4 NC 1.4 NC 1.4 NC 1.4 NI 5.8.3 NB 1.5 NI 2.4 NI 5.8.4 NI 5.8.2 NI 5.8.2 NB 2.2 NB 2.2 NI 5.10.2
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NC 2.2
NB 2.2
GGT, gamma-glutamyl transferase elevated
NI 2.4 NI 5.4 NC 2.2 NI 5.6.3 NC 2.2 NB 3.2 NI 5.9.1 NC 1.4 NI 5.6.3 NI 5.6.3 NC 2.1 NC 2.1 NC 2.1 NB 3.1
NI 2.5 NI 5.6.2 NB 2.2 NC 2.2
Bilirubin, total serum Ammonia, serum Toxicology reports (including alcohol) PT, PTT, INR Fat, fecal Amylase, serum Lipase Digestive enzymes D-xylose Hydrogen breath test Stool culture Gastric emptying study Small bowel transit time Glucose/endocrine profile Glucose, blood
increased increased positive abnormal increased increased increased altered abnormal abnormal positive abnormal abnormal decreased increased
NI 5.9.2 NC 2.1
NI 5.8.4 NI 5.8.2 NC 2.2 NC 2.2
NC 2.2 NI 5.8.3 NC 3.4
Hemoglobin A1c GTT (glucose tolerance test) Cortisol levels IGF binding protein Thyroid function tests (TSH, T4, T3)
increased abnormal increased abnormal abnormal
NB 1.5

Parameter (not all-inclusive) Biochemical data Inflammatory profile C-reactive protein Lipid profile Cholesterol, serum decreased increased Cholesterol, HDL Cholesterol, LDL Triglycerides Lipid profile, serum Metabolic rate profile Resting metabolic rate Respiratory quotient Mineral profile Copper, serum Iodine, urinary Zinc, plasma Nutritional anemia profile Hemoglobin Hematocrit Mean corpuscular volume Folate, RBC Folic acid, serum Vitamin B12, serum Homocysteine, serum Ferritin, serum Iron Iron binding capacity decreased increased increased decreased decreased decreased increased decreased increased decreased decreased decreased decreased decreased increased abnormal decreased increased increased abnormal elevated Findings
NI 5.1 NI 4.2 NI 4.1 NI 5.6.3 NI 5.4 NI 5.10.2 NI 5.4 NI 5.4 NC 2.2 NB 1.7 NI 1.2 NI 1.5 NI 2.3 NI 5.10.1 NI 2.3 NI 5.10.1 NB 2.2 NI 4.3 NI 5.9.1 NI 5.9.1 NI 5.9.1 NI 5.9.1 NB 2.2 NI 5.10.2 NI 2.3 NI 2.3
NI 5.6.3 NI 5.1 NI 5.4 NB 1.5 NI 5.6.2 NI 5.6.2 NI 5.6.2 NC 3.4 NI 5.6.2 NI 5.6.3 NI 5.6.3 NI 5.6.3 NB 1.5
NI 2.3 NI 5.10.1 NB 2.2
10

Parameter (not all-inclusive) Biochemical data Protein profile Albumin, serum Prealbumin Transferrin Amino acids (specific levels) Urine profile Urine volume, specify decreased decreased decreased increased increased Findings
NI 5.1 NI 5.1 NI 4.3 NI 5.7.3 NI 3.1 NC 1.3 NI 5.10.1 NB 1.5 NI 5.9.1 NI 5.9.2 NI 5.9.1 NI 5.9.1 NI 5.9.1 NI 5.9.1 NI 5.9.1 NI 5.9.2 NI 5.9.1 NI 5.9.2
NI 5.2
NC 3.4
NC 2.1
fewer than six wet diapers in 24 hours Calcium, urine Ketones, urine Vitamin profile Retinol, serum Vitamin C, plasma Alpha tocopherol, plasma decreased increased decreased decreased decreased present
Erythrocyte transketolase activity increased Erythrocyte glutathione reductase increased Nmethyl-nicotanimide Pyrodoxal 5phosphate, plasma decreased increased decreased increased
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Parameter (not all-inclusive) Body language Body language (note: varies by culture), specify Cardiovascular-pulmonary system Edema, pulmonary Shortness of breath Extremities, muscles and bones Bones, specify fragility Findings negative
Nutrition-Focused Physical Findings Data and Related Nutrition Diagnostic Terminology

Nutrition Diagnostic Terminology NB 1.3 NB 1.6
crackles or rales present
NI 3.2 NI 3.2 NI 5.9.2 NI 5.2 NI 5.9.1 NC 3/2 NI 2.4 NI 5.7.1 NC 3.2 NB 2.2 NC 3.3 NC 3.4 NB 1.5 NB 1.5 NI 5.9.1 NI 5.9.1 NI 2.3 NI 5.7.1 NC 3.4 NC 2.2 NI 2.3 NI 5.10.2 NB 1.5 NI 5.9.1 NI 2.3 NC 1.1 NB 3.1 NC 2.1 NI 3.1 NC 1.2 NI 5.9.2 NB 2.6 NI 5.1 NI 2.5 NB 1.5 NB 1.5 NI 5.1 NB 2.1 NB 2.2 NI 2.5 NC 2.2 NC 3.3 NB 3.2 NB 1.5 NI 5.2 NB 1.5 NB 1.5 NB 2.6
obvious prominence widening at ends Clothes, fit Edema, peripheral Fat, subcutaneous change present decreased increased Fatigue Feeling cold Hands and feet, specify Joint, arthralgia, effusions Muscle mass, specify Muscle soreness, weakness Nail, nail beds, specify present present cyanosis tingling, numbness present decreased present blue, clubbing pale other Russells sign Digestive System (mouth to rectum) Mouth/throat: cheilosis Dry mucous membranes present present present
12

Parameter (not all-inclusive) Findings present present present present present dry or cracked

Digestive System (mouth to rectum), contd Feeling of food stuck in throat Gums, gingivitis Hoarse or wet voice Ketone smell on breath Lesions Lips, specify Mucosa (mouth and pharynx) Pain on swallowing Parotid glands Pouching Stomatitis Teeth Tongue: Bright red, magenta, glosssitis Impaired tongue movement, extrusion Taste Abdominal distention, bloating, cramping, pain Appetite, specify present present NI 5.9.1 NC 1.2 NC 1.3 NC 3.2 NI 4.2 NC 1.4 NB 3.1 NI 5.3 NB 3.2 NI 1.4 NC 1.4 NI 3.2 NB 1.5 NI 5.8.6 NC 2.1 NC 3.1 NI 2.1 NC 2.2 NI 5.10.2 NB 1.5 NC 3.4 NI 5.2 NC 2.1 NB 2.6 Nutrition Diagnostic Terminology NC 1.1 NI 2.3 NB 2.6 NI 5.8.1 NC 1.2 NI 5.9.2 NC 1.1 NI 5.9.1 NC 1.1 NB 1.5 NC 1.1 NI 5.9.1 NI 1.4 NI 5.8.2 NC 1.2 NB 2.6 NC 2.1 NI 5.1 NI 5.9.1
poor closure, drooling edema present enlarged Present present missing, caries, damaged enamel, poorly fitting dentures
Frenulum abnormality (infants) present alteration present
hunger anorexia
Ascites
present
13

Parameter (not all-inclusive) Bowel function Findings constipation

Digestive system (mouth to rectum), contd Nutrition Diagnostic Terminology NI 4.2 NI 5.8.5 NB 1.5 NI 2.3 NI 5.5 NI 5.8.2 NC 2.1 NI 5.6.2 NI 5.8.6 NI 5.8.6 NC 1.4 NI 5.5 NI 2.3 NI 5.9.2 NI 2.3 NI 5.9.2 NC 1.4 NC 2.1 NI 5.6.2 NI 5.5 NC 1.4 NI 5.5 NB 1.5 NI 5.6.3 NI 5.8.6 NB 3.1 NI 5.8.6 NB 3.1 NI 5.5 NI 5.8.6 NI 2.5 NI 5.6.2 NI 5.8.6 NB 1.5 NC 1.4 NB 1.5 NI 5.7.1 NC 1.4 NI 4.2 NI 5.6.3 NC 1.4 NB 3.1
diarrhea
steatorrhea flatus volume/frequency increased Bowel sounds Epigastric pain Nausea Vomiting abnormal present present present
Eyes and head Eyes: Bitots spots Night blindness Vision, specify Xeropthalmia Head: Fontanelle, bulging or sunken (in infants) bulging NI 5.9.2 NI 2.3 NI 5.7.1 NI 5.10.2 NI 5.9.2 NB 1.5 NI 5.9.2 NC 3.2 NI 5.2
14
present present decreased present
NI 5.9.1 NI 5.9.1 NC 3.2 NI 5.9.1 NB 2.4 NI 5.9.2 NB 3.1
Hair, specify, e.g., brittle, lifeless, present loss Headache Lanugo hair formation on face and trunk Mucosa, nasal Olfactory sense, specify Temporal wasting present present dryness decreased present
NI 5.1 NI 5.9.1 NB 1.5
NI 5.2 NI 5.9.2

Parameter (not all-inclusive) Nerves and cognition Confusion, loss of concentration Cranial nerve function Dizziness Motor and gait disturbances Neurological changes, specify Vibratory and position sense, specify Skin Calcification of soft tissues (calcinosis) Ecchymosis Follicular hyperkeratosis Skin, specify present present present Findings present altered present present present diminished

Nutrition Diagnostic Terminology NI 5.9.1 NC 1.1 NB 3.1 NI 5.9.1 NI 4.2 NI 5.9.1 NI 5.7.3 NB 1.5 NC 1.2
NI 5.9.2 NI 5.9.1 NI 5.9.1 NI 5.6.1 NI 5.6.1 NI 2.1 NI 5.6.1 NI 5.7.1 NI 5.9.2 NI 5.9.1 NI 2.3 NC 1.1 NI 2.3 NC 2.2 NI 5.9.1 NI 5.9.1 NI 2.3 NC 2.2 NI 5.9.1 NI 5.1 NI 5.9.1 NI 5.6.2 NI 5.2 NI 5.6.3 NI 5.3 NI 5.1 NI 3.1 NI 3.2 NI 5.1 NI 5.4 NB 1.7 NI 5.6.3 NI 3.1 NB 1.5 NI 5.2 NB 3.2
changes consistent with nutrient deficiency/excess dermatitis dry, scaly dull erythema, scaling and peeling lesions
Integrity/turgor
decreased increased
Jaundice Perifolicular hemorrhages Petechiae Pressure ulcers, specify Pruritis Seborrheic dermatitis Wound healing, specify Xanthomas
present present present present present present decreased present
15

Parameter (not all-inclusive) Vital signs Blood pressure Heart rate Respiratory rate Temperature Findings decreased increased decreased increased increased decreased increased

Nutrition Diagnostic Terminology NI 5.2 NI 4.2 NB 1.5 NC 3.2 NI 1.5 NB 1.5 NI 1.2 NC 3.2 NB 3.1 NC 3.2 NB 1.5
16

Parameter (not all-inclusive) Personal history Literacy factors Ethnic and cultural related issues Physical disability or limitation Medical/Health history Cardiovascular Angina Arrythmias Atherosclerosis Cardiovascular disease
Client History Data and Related Diagnostic Terminology

Nutrition Diagnostic Terminology NB 1.1 NB 2.5 NC 3.1 NB 3.2 NC 3.3 NB 2.6
NI 5.6.2 NI 4.2 NI 5.6.2 NI 3.2 NI 5.3 NI 5.9.2 NB 2.3 NB 3.1 NI 5.6.2 NI 4.2 NI 4.3 NC 3.4 NI 5.6.3 NI 5.8.4 NB 1.4 NC 3.2 NI 5.8.3 NC 3.3 NI 5.7.3 NI 2.2 NC 3.3 NI 2.2 NI 5.8.4 NB 2.1 NB 3.1 NB 3.1 NI 5.6.3 NC 3.3 NI 5.8.3 NB 1.4 NI 5.8.3 NI 5.8.4 NI 5.8.4 NC 3.4 NI 5.8.2 NC 2.2 NB 2.3 NI 5.8.3 NB 1.2 NI 5.6.3 NI 4.3 NI 5.4 NB 1.5 NI 5.6.3 NI 4.1 NI 5.4 NC 2.2 NI 4.2 NI 5.6.3 NB 1.2
Cardiac changes Hyperlipidemia Hypertension Hypertriglyceridemia Endocrine/metabolism Cushings syndrome Diabetes mellitus
Hyperthyroidism (pre- or untreated) Hypoglycemia Hypothyroidism Inborn errors of metabolism Metabolic syndrome Obesity, childhood Obesity, overweight Obesity, morbid Poisoning from food stuffs or poisonous plants Poisoning by drugs, medicinals or biological substances
17

Parameter (not all-inclusive) Excretory Kidney stones Nephrotic syndrome Renal disease, end stage SIADH Gastrointestinal Achalasia Biliary disease Candidiasis Celiac disease Crohns disease Diverticulitis Dysphasia Encephalopathy, hepatic

Nutrition Diagnostic Terminology NI 5.10.1 NI 3.2 NI 3.2 NI 3.2 NC 1.1 NI 5.6.2 NC 1.2 NI 5.8.1 NC 1.4 NI 2.3 NC 1.4 NI 5.8.6 NC 1.1 NI 5.4 NB 3.1 NI 5.8.6 NC 1.3 NI 5.8.5 NI 5.4 NI 5.8.2 NC 1.2 NI 3.2 NI 5.6.3 NI 5.10.2 NI 2.1 NC 1.4 NI 5.2 NI 5.6.2 NI 4.3 NI 5.9.1 NI 5.8.6 NI 5.3 NI 5.6.3 NI 5.8.1 NC 3.1 NI 5.2 NI 5.8.1 NB 2.3 NI 5.7.1 NI 5.4 NI 5.9.2 NI 5.7.2 NI 5.10.1 NI 5.8.6 NC 1.4 NI 5.6.3 NC 1.3 NI 5.9.1 NC 2.1 NI 5.1 NC 1.4 NC 3.2 NI 5.10.1 NC 2.1 NI 5.4 NB 2.3
Foodborne illness, e.g., bacterial, viral, and parasitic infection Gastrointestinal stricture Thrush Inflammatory bowel disease Irritable bowel syndrome Lactase deficiency Leukoplakia, oral Liver disease
Malabsorption, protein and/or nutrient Maldigestion Malnutrition Pancreatitis Pancreatic disease Pellegra Phytobezoar
18

Parameter (not all-inclusive) Gastrointestinal, contd Polyps, colon Prolapsing hemorrhoids Short bowel syndrome Ulcer disease Vagotomy Wired jaw Gynecological Amenorrhea

Nutrition Diagnostic Terminology NI 5.10.1 NI 5.8.6 NI 5.8.6 NI 5.8.5 NC 1.4 NC 1.2 NB 2.2 NI 4.3 NC 1.3 NC 1.3 NI 5.10.1 NI 5.10.1 NC 1.3 NI 5.10.1 NI 5.6.1 NB 1.5 NC 1.2 NI 5.9.2 NI 5.9.1 NI 2.1 NI 5.6.1 NB 2.1 NI 5.8.2 NI 5.6.1 NI 2.3 NI 5.8.2 NI 5.1 NI 5.8.5 NC 3.2 NI 2.3 NC 3.2 NI 5.1 NC 3.2 NB 1.2 NI 5.9.1 NI 5.10.1 NI 5.9.1 NI 5.8.6 NI 5.10.1
Giving birth to an infant with fetal alcohol syndrome Engorgement Mastitis Polycystic ovary disease Postmenopause without estrogen supplementation Premature birth Premenstrual syndrome Hematology/oncology Anemia Cancer, head, neck or pharyngeal Cancer (other) Hyperemia Immune AIDS/HIV Arthritis Infection Sepsis or severe infection Integumentary Burns
19

Parameter (not all-inclusive) Musculo-skeletal Cleft lip/palate Fractures, stress Fluorosis Osteomalacia Rachitic rosary in children Rickets Rheumatic conditions Neurological Alzheimers disease Cerebral palsy Cognitive impairment Dementia Headache Multiple sclerosis Neurologic changes Neurological disorders Parkinsons disease Paralysis Paraplegia Seizure disorder Stroke Tardive dyskinesia Tremors Psychological Addictive, obsessive, or compulsive tendencies Alcoholism Anxiety disorder Binge eating Bulimia nervosa

Nutrition Diagnostic Terminology NC 1.2 NB 2.2 NI 5.10.2 NI 5.9.1 NI 5.9.1 NI 5.9.1 NC 3.4 NI 1.2 NB 2.6 NI 1.2 NB 2.3 NI 1.2 NB 2.6 NB 3.1 NB 2.6 NB 3.1 NB 2.6 NI 1.2 NB 2.6 NB 2.4 NI 5.8.1 NB 2.6 NB 2.6 NB 2.6 NB 2.2 NI 1.4 NI 2.2 NB 2.2 NB 2.2 NC 2.2 NB 2.1 NI 3.1 NC 1.2 NB 2.4 NI 1.4 NB 3.2 NI 3.1 NC 1.2 NB 2.4 NC 1.3
20

Parameter (not all-inclusive) Psychological, contd Depression Eating disorder Emotional impairment Mental illness

Nutrition Diagnostic Terminology NI 2.1 NC 3.3 NI 1.4 NB 2.3 NI 1.4 NB 1.1 NB 3.1 NB 1.5 NC 3.1 NC 3.4 NB 1.5 NB 1.2 NB 3.2 NI 4.3 NB 1.5 NI 5.8.6 NB 2.4 NI 5.8.6 NB 1.2 NB 3.2 NC 3.1 NB 1.7 NC 3.2 NB 2.1
Personality disorder Pica Psychiatric illness Eating disorders, depression, obsessive compulsive disorders, anxiety disorders Respiratory Asthma Chronic obstructive pulmonary disease Cystic fibrosis Pulmonary failure Respiratory changes Tuberculosis Upper respiratory infections or pneumonia Other Chronic fatigue syndrome Chronic or acute disease or trauma Injuries, frequent and prolonged Pain, acute or chronic Treatments/therapy/alternative medicine Medical treatment/therapy Chemotherapy with oral side effects Esophageal dilatation Radiation therapy
NC 3.4 NI 1.2 NI 1.2 NI 5.3 NB 3.1 NI 2.1 NC 1.1 NB 2.1 NI 5.2 NB 2.2 NI 1.4 NI 2.1 NC 3.2 NI 5.6.1 NC 3.2 NI 5.6.2
NC 1.2 NC 1.4 NC 1.2 NC 2.1
21

Parameter (not all-inclusive) Surgical treatment Bowel resection Breast surgery Esophagostomy Gastric bypass Gastrectomy Intestinal resection Knee surgery Oral surgery, recent major Ostomy, new Rigorous therapy regimen Surgery Surgery requiring recumbent position Complementary/alternative medicine

Nutrition Diagnostic Terminology NC 1.4 NC 1.3 NC 1.4 NC 1.4 NC 1.4 NI 2.3 NB 2.1 NC 1.2 NB 1.4 NB 2.4 NI 5.3 NB 2.6 NC 3.2 NB 2.4 NC 2.1 NC 2.1
None identified within the nutrition diagnoses at this time Social history Socioeconomic status associated with altered nutrient intake Living environment/independence Domestic issuesabuse, physical, sexual or emotional Geographic location low sunlight exposure/sunscreen use Geographic location associated with altered nutrient intake Occupation of athlete, dancer, gymnast History of recent crisis, lifestyle changes, recent History of recent crisis, new medical diagnosis or change in existing diagnosis or condition NI 5.2 NI 5.10.1 NC 3.3 NI 5.9.1 NI 5.2 NC 3.1 NB 2.5 NI 4.3 NB 1.4 NC 3.1 NI 5.3 NB 2.3 NB 1.1 NB 2.5 NI 5.10.1
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NCP Nutrition Assesment Matrix

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Nutrition Assessment Matrix

Food/Nutrition-Related Nutrition Diagnostic Terminology

NC 2.1 NI 5.3 NC 1.2 NI 5.9.1 NB 2.4

Nutrition Assessment Matrix

Food/Nutrition-Related Nutrition Diagnostic Terminology

NI 2.3 NC 1.2 NC 3.4

NI 5.8.6 NI 5.6.3 NI 5.6.2

NI 5.4 NI 5.2 NI 5.7.3

NC 2.2 NI 5.4 NC 2.2 NC 2.2

Nutrition Assessment Matrix

Food/Nutrition-Related Nutrition Diagnostic Terminology

Nutrition Assessment Matrix

Food/Nutrition-Related Nutrition Diagnostic Terminology

Nutrition Assessment Matrix

Food/Nutrition-Related Nutrition Diagnostic Terminology

Lack of efficacy to make changes or to overcome barriers to change NB 1.3

NB 1.5 NB 1.5 NB 1.5 NB 1.5 NC 1.2 NC 1.1 NB 2.2

Feeling disgusted with oneself, depressed, or guilty after overeating NB 1.5

Nutrition Assessment Matrix

Food/Nutrition-Related Nutrition Diagnostic Terminology

Nutrition Assessment Matrix

Anthropometric Data and Related Diagnostic Terminology

in excess of lean tissue accretion interdialytic Weight loss

increased decreased increased decreased increased

Muscle circumference, mid-arm decreased

Nutrition Assessment Matrix

NI 5.4 NC 2.2 NI 2.4 NI 5.7.2 NC 3.4

NI 5.7.2 NC 2.2 NI 5.7.3 NB 1.5

NI 5.1 NB 1.5 NI 5.4 NI 5.5

NI 5.5 NC 2.2 NI 5.10.1

Nutrition Assessment Matrix

GGT, gamma-glutamyl transferase elevated

NI 2.5 NI 5.6.2 NB 2.2 NC 2.2

NI 5.8.4 NI 5.8.2 NC 2.2 NC 2.2

NC 2.2 NI 5.8.3 NC 3.4

increased abnormal increased abnormal abnormal

Nutrition Assessment Matrix

NI 2.3 NI 5.10.1 NB 2.2

Nutrition Assessment Matrix

Updated: 2009 Edition

Nutrition Assessment Matrix

Nutrition-Focused Physical Findings Data and Related Nutrition Diagnostic Terminology

crackles or rales present

Nutrition Assessment Matrix

Nutrition-Focused Physical Findings Data and Related Nutrition Diagnostic Terminology

Frenulum abnormality (infants) present alteration present

Nutrition Assessment Matrix

Nutrition-Focused Physical Findings Data and Related Nutrition Diagnostic Terminology

present present decreased present

NI 5.9.1 NI 5.9.1 NC 3.2 NI 5.9.1 NB 2.4 NI 5.9.2 NB 3.1

NI 5.1 NI 5.9.1 NB 1.5

Nutrition Assessment Matrix

Nutrition-Focused Physical Findings Data and Related Nutrition Diagnostic Terminology

present present present present present present decreased present

Nutrition Assessment Matrix

Nutrition-Focused Physical Findings Data and Related Nutrition Diagnostic Terminology

Updated: 2009 Edition

Nutrition Assessment Matrix

Client History Data and Related Diagnostic Terminology

Nutrition Assessment Matrix

Client History Data and Related Diagnostic Terminology

Nutrition Assessment Matrix

Client History Data and Related Diagnostic Terminology

Nutrition Assessment Matrix