Chart review -- The interview -- Objective tools to collect information for assessment -- Assessment during pregnancy and lactation -- Pediatric assessment -- Determining nutrient requirements and writing the care plan -- Patient teaching -- Diet teaching for specific medical conditions -- The legal aspects of documentation
Summary
"Dietitian's Guide to Assessment and Documentation provides a complete overview of assessment and documentation for proper comprehension and execution of a nutrition care plan. Beginning with a review of some common medical conditions and how these conditions affect the nutritional status of the patient, as well as information on the use of dietary supplements, this text also provides information and interpretation of important laboratory values, the nutritional implications of commonly used medications, and direction on how to complete a patient assessment. With thorough discussion of the most crucial information for documentation, including what data to document and how to document with the law in mind, this is an ideal resource for nutrition and dietetics students and clinicians."--Jacket
