Morris: Dietitian's Guide to Assessment and Documentation






Dietitian's Guide to Assessment and Documentation does not pretend to encompass all aspects of general nutrition. Nevertheless, the author, driven to face with confidence the daily challenges of clinical nutrition, has embarked on arduous work that results in a very concise, yet comprehensive resource aimed at the generalist, dietitian or nutritionist, gastroenterologist, and student.
The objective is to bring forward current and emerging evidence regarding nutrition assessment and documentation. For example, obesity has attained epidemic proportions worldwide. In the United States, more than 30% of adults and 15% of children are obese and consequently are at risk for more than 36 different medical conditions. Premature deaths from obesity are approximately 300,000 annually; consumer expenditures for weight loss products are $45 billion; healthcare expenses for obesity are more than $100 billion per year. Malnutrition, on the other hand, although less prevalent than obesity, is a serious clinical issue in patients with HIV infection and other chronic clinical conditions such as liver cirrhosis.
These facts prompted a revolution in methods of nutritional assessment of the individual, and dietary and nutritional interactions with the disease aimed at changing the natural history and improving the quality of life. This process continues to evolve.
Jacqueline Morris has spent countless hours compiling the evidence to provide an efficient and meaningful learning experience. The book is organized into nine chapters, and elegantly provides information on core methods of nutritional assessment, diagnosis, approaches to management of weight gain and malnutrition, nutritional support, efficient documentation, and reasonable prevention. A full table of contents and references are provided for the convenience of the reader. Readers will enjoy this book and find it extremely useful in designing nutrition assessments and documenting the nutrition health of individual patients.

About the Author
Jacqueline C. Morris, RD, MPH, CDN, hails from the beautiful island of Jamaica, where she started her career in dietetics and nutrition. She graduated from the University of Technology in 1986 with an associate degree in Food, Nutrition, and Dietetics. She worked as an assistant dietitian at Falmouth Hospital and taught food and nutrition to high school students.
In 1993, she migrated to the United States, where she pursued her bachelor’s degree in nutrition at Lehman College and later earned a Master of Public Health degree from New York University. She was the editor of the Beth Israel Cancer Center Newsletter, to which she also contributed several nutrition articles, including “‘Phyte’ Back with Phytochemicals.” She worked as a clinical nutrition manager at the
Bronx Lebanon Special Care Center for a number of years and developed educational materials for both staff and patients.
In 2003, Ms. Morris started her own consulting firm, Annex Nutrition Services, in Elmsford, New York. Annex Nutrition Services offers continuing education credits to dietitians, nurses, dietetic technicians, and students, as well as private counseling both at home and in the office setting. Ms. Morris works in collaboration with other companies to provide wellness programs at the corporate level and is a service provider for various healthcare agencies.

Contents
Part 1 Identifying the Problem: Collecting and Analyzing the Evidence
Chapter 1 Chart Review
  • Medical Diagnosis
  • Surgical Review and History
  • Weight History
  • Skin Integrity
  • Gastrointestinal Review
  • Cardiovascular Review
  • Psychiatric Review
  • Infectious Diseases
  • Musculoskeletal Review
  • Psychosocial Review
  • Pulmonary Review
  • Biochemical Data Review
  • Review of Medications
Chapter 2 The Interview
  • Obtaining Diet History
  • Obtaining Weight History
  • 24-Hour Recall
  • Food Frequency Questionnaire
  • The Relationship Between Race/Ethnicity and Diseases
  • Understanding Culture and Dietary Practices Religion and Food Practices
  • The Use of Herbal Supplements
  • Food Allergy and Intolerance
Chapter 3 Objective Tools to Collect Information for Assessment
  • Direct Observation Study
  • Calorie Count Study
  • Body Mass Index
  • Waist Circumference and Waist-to-Hip Ratio
  • Body Fat Percentage
  • Indirect Calorimetry
  • Nitrogen Balance
  • Bone Mineral Density Test
Chapter 4 Assessment During Pregnancy and Lactation
  • Dietary Assessment of the Pregnant Woman
  • Nutritional Needs of the Pregnant Woman
  • Weight Gain During Pregnancy
  • Risk Factors for Fetal Growth Retardation
  • Complications in Pregnancy and Dietary Intervention
  • Lactation
Chapter 5 Pediatric Assessment 107
  • Assessing the Newborn
  • Nutritional Care of the Low-Birthweight Infant
  • Assessing the Full-Term Infant
  • Failure to Thrive
  • Mental Retardation and Developmental Disability
  • Inborn Errors of Amino Acid Metabolism
  • Eating Disorders in Children and Adolescents
  • Pediatric Obesity
Part II Solving the Problem: Creating a Plan of Care
Chapter 6 Determining Nutrient Requirements and Writing the Care Plan
  • Determining Fluid Needs
  • Creating a Plan of Care
Chapter 7 Patient Teaching
  • Writing Learning Objectives
  • Evaluating Patient Teaching
Chapter 8 Diet Teaching for Specific Medical Conditions
Part III Documentation
Chapter 9 The Legal Aspects of Documentation
  • Why Document?
  • The Purpose of Documentation
  • The Medical Record as a Legal Document
  • Common Documentation Issues in Malpractice Lawsuits
  • General Information Regarding Documentation
  • Mechanics of Good Documentation
  • Documentation Using the Nutrition Care Process
Appendix
Approved Abbreviation List for Some Common Diagnoses and Terms
Index

Book Details

  • Paperback: 224 pages
  • Publisher: Jones & Bartlett Publishers; 1 edition (2011)
  • Language: English
  • ISBN-10: 0763778516
  • ISBN-13: 978-0763778514
  • Product Dimensions: 8.8 x 6 x 0.5 inches
List Price: $58.95
 

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