Professionalism and Governance
A student has completed their DPD program and a dietetic internship but has not yet passed the national exam. This is the specific credentialing body they must sit for to officially become an RDN.
Commission on Dietetic Registration (CDR)
This acronym represents the four steps of the nutrition care process used for documentation.
ADIME
A tired RDN assumes a patient won't follow a diet because they "look unmotivated" before even speaking to them.
Automatic Cognitive Associations
A 5’10” male patient weighs 210 lbs. To determine if he is in the "Obesity" classification, the RDN must calculate and interpret this value.
Body Mass Index (BMI)
This needs to be done before visiting the patient in a clinical setting.
Read charts/collect information from other sources
This document outlines the four main principles and fundamental components that guide RDN conduct,
Code of Ethics
During an assessment, you find that a patient’s laboratory values show high blood glucose. In your PES statement, these lab values serve as this component.
Signs/Symptoms
An RDN asks a patient, "You don't eat a lot of fried food, do you?" This is an example of this type of question that should be avoided.
Leading Questions
An RDN is assessing a 1-year-old child. Instead of using a standard standing scale, they use this method to ensure accuracy for this age group.
Recumbent length (or a pediatric scale)
An RDN is documenting a patient's reported "24-hour diet recall." This information belongs in this specific section of an ADIME note.
Assessment
An example of this type of scope is that RDNs in Texas should be licensed to practice nutrition.
Statutory Scope
This specific step of the NCP involves organized actions intended to change a nutrition-related behavior or condition.
Nutrition Intervention
During a bedside interview, an RDN is explaining a low-sodium diet to a patient while a loud floor-buffing machine is running in the hallway, and the patient’s family members are chatting in the room. The patient nods, but later cannot repeat any of the instructions. This failure in the communication process is specifically defined by this term.
Interference
Measurements that can be used to estimate frame size.
Wrist circumference and elbow breadth
"72-year-old, English-speaking, White male with new onset T2DM. Receiving radiation therapy for lung cancer. History of CVD and hyperlipidemia. Family history of MI (father) and T2DM (mother)." is an example of information found in...
Client History Data
This term describes the set of rules, regulations, and boundaries that define what an RDN can do based on their education and state laws.
Scope of Practice
These are the three primary domains used to categorize the "Problem" in a PES statement.
Intake, Clinical, and Behavioral-Environmental
During a busy shift with a high patient load, an RDN skips a physical assessment and misses a sign of malnutrition. This error was likely caused by this mental state.
High Cognitive Load
A patient’s weight has dropped from 180 lbs to 150 lbs in three months. The RDN uses this calculation to determine the severity of the loss.
Percent Weight Change
An RDN sets a goal: "Patient will replace soda with water at lunch 3 days this week." This is an example of this type of goal-setting framework.
A SMART goal
Principle that describes "Integrity in personal and organizational behaviors ad practices"
Autonomy
An RDN writes: "Inadequate energy intake related to poor appetite as evidenced by 10% weight loss in one month." To determine if the intervention worked, the RDN should specifically monitor this.
Weight and/or energy intake
A patient says, "I know I need to change my diet, and I’m looking at some recipes to start next week." This patient is in this specific Stage of Change.
Preparation
A patient is in a wheelchair and cannot stand for a height measurement. The RDN uses a sliding caliper to measure from the heel to the top of the patella to perform this calculation.
Knee Height (used to estimate total height)
When comparing ADIME to SOAP, the "Intervention" of ADIME are typically found within this section of a SOAP note.
Plan