Dietitian's Guide to Assessment and Documentation

Dietitiana (TM)s Guide to Assessment and Documentation takes an investigative approach to nutrition assessment a reviewing the collection and analysis of evidence to determine the real nutrition-related problem, understanding the underlying problem and its effect on nutritional status, and providing intervention to address the problem - thereby improving nutritional health. This text will help students learn how to formulate interview questions, how to create goals and patient teaching strategies, how to interpret lab data, how to write a care plan and how to document in a medical record. This book is needed to help the dietitian do a thorough assessment and understand the proper documentation to prevent lawsuit, or defend the dietitian in a lawsuit, as well as prepare the dietitian for Joint Commission or State survey. Includes a reference section for interpretation of lab data and an appendix with commonly used abbreviations.

Morris, a nutrition and nutrition education consultant, presents a guide for students, dietitians, nutritionists, generalists, and gastroenterologists to the assessment and documentation of a nutrition care plan. She reviews common medical conditions and how they affect nutrition, biochemical data and medications as they relate to health and disease, and aspects such as chart review, interviewing, objective tools for collecting assessment information, assessment of children and pregnant and lactating women, determining a plan of care, patient teaching, diet teaching for specific conditions, and legal aspects of documentation. The text is meant for use with other texts that outline the nutrition care process of the American Dietetic Association. Annotation ©2010 Book News, Inc., Portland, OR (booknews.com)