Nutrition DiagnosticTerminology Unit 5 Assignment

Nutrition DiagnosticTerminology

Unit 5 Assignment Rubric

• Correctly identifies and explains two main causes of kidney failure.
  Accurately explains how poor management of type 2 diabetes contributes to the risk of ESRD/ dialysis by using credible sources.

• Identifies the main reason for Mr. D’s excessive weight loss during the 15 years prior to dialysis and effectively explains the associated metabolic process
  Accurately explains reasons for Mr. D’s 15% weight loss during hemodialysis by using credible resources to support answers.

• Accurately identifies three nutrition diagnosis phrases from the Nutrition Diagnostic Terminology PDF file which apply to Mr. D’s current nutritional problems while on dialysis. USE:

1.     NI-1.4 Inadequate energy intake
Mr. D’s current 1,800 calorie diet is likely insufficient given his significant weight loss (~13% dry weight loss), ongoing catabolic state, and dialysis needs. This diagnosis reflects the imbalance between his energy needs and intake.

2.    NI-5.3 Inadequate protein-energy intake
Dialysis patients require increased protein to compensate for losses during dialysis and to prevent muscle wasting. Mr. D’s weight loss, poor nutritional intake, and metabolic stress indicate inadequate protein-energy intake.

3.    NI-4.3 Excessive alcohol intake
Heavy alcohol consumption reported by dialysis nursing staff negatively impacts Mr. D’s metabolic control, compliance, and overall nutritional status.

( use references to back these claims up an expand on the answers using your own words)

• Accurately chooses the most important nutrition diagnosis phrase. Uses patient facts as supporting evidence.

• Accurately calculates Mr. D’s current estimated calorie and protein needs while on dialysis.
  Justifies energy and protein needs by explaining how dialysis influences nutrition needs on an advanced level. Uses credible sources to support ideas.

• Identifies two community programs and explains how they may assist the patient.

• Identifies two motivational and counseling techniques and explains how both may increase patient compliance.

• How can Mr. D’s compliance be monitored and assessed? Identifies at least three nutrition assessment tools and methods that can be used to monitor Mr. D’s medical and nutritional compliance. Types/classifications of methods: Assessment, Biochemical, Clinical, Dietary (weight monitoring, clinical/social referrals, labs, etc.).

• Meets or exceeds length requirements 3 or more pages (750 words).
  Cites three or more credible references.
  Uses numerous in-line citations (quotes/ paraphrases).

• APA format followed.
  Correct grammar, sentence structure, and word usage.

Use ALL of these references appropriately:

Cleveland Clinic. (2021, August 18). Dialysis. Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/14618-dialysis

Kumar, M., Dev, S., Khalid, M. U., Siddenthi, S. M., Noman, M. Z., John, C. L., Akubuiro, C., Haider, A., Rani, R. V., Kashif, M., Varrassi, G., Khatri, M., Kumar, S., & Mohamad, T. (2023). The Bidirectional Link Between Diabetes and Kidney Disease: Mechanisms and Management. Cureus, 15(9). https://doi.org/10.7759/cureus.45615

Ewan, L. (2024, April 2). Diabetic Ketoacidosis (DKA). Endocrinology Advisor. https://www.endocrinologyadvisor.com/ddi/diabetic-ketoacidosis-dka/

Ideal Weight Calculator. (2026). Calculator.net. https://www.calculator.net/ideal-weight-calculator.html?ctype=standard&cage=51&csex=m&cheightfeet=5&cheightinch=9&cheightmeter=180&printit=0&x=Calculate

Zha, Y., & Qian, Q. (2017). Protein Nutrition and Malnutrition in CKD and ESRD. Nutrients, 9(3), 208. https://doi.org/10.3390/nu9030208

Holewinski, T., Outpatient, R., & Dietitian, R. (n.d.). The “Renal Diet” What Should My Patients Be Eating? https://medicine.umich.edu/sites/default/files/content/downloads/Holewinski.pdf

NKF Peers: Talk to Someone Who’s Been There. (2024, August 12). National Kidney Foundation. https://www.kidney.org/treatment-support/peers

Chronic Disease Self-Management Program. (2019). SNAP Education Connection. https://snaped.fns.usda.gov/library/intervention/chronic-disease-self-management-program

Martino, S. (2011). Motivational Interviewing to Engage Patients in Chronic Kidney Disease Management. Blood Purification, 31(1-3), 77–81. https://doi.org/10.1159/000321835

Marco, C. (2024, October 8). Hemodialysis Assessment and Management. https://www.acepnow.com/article/hemodialysis-assessment-and-management/