PES Statements

Problem, Etiology, Signs and Symptoms

=Nutrition Diagnosis

1) Inadequate protein and energy intake related to increased nutrient needs as evidenced by a pressure ulcer on buttock.

2) At risk for weight loss and malnutrition related to frequent COPD exacerbations as evidenced by PO intake <50% of estimated nutrient needs

3) Inadequate oral intake related to intakes less than 50% of estimated nutrient needs as evidenced by dislike of a prescribed mechanically altered diet

4) Malnutrition related to PO intake <50% of estimated nutrient needs as evidenced by unintended weight loss of 25 lbs. in 60 days

5) Significant weight loss related to recent difficulty swallowing and pocketing food as evidenced by 5.7% weight loss in 30 days

6) Fluctuating blood sugars related to excessive carbohydrate intake as evidenced by inconsistent timing of meals and increased snacking

7) Significant weight loss related to increased pacing as evidenced by 6.5% weight loss in 30 days

8) Swallowing difficulty related to recent CVA as evidenced by diagnosis of aspiration pneumonia

9) Inadequate protein intake related to increased need for high quality protein as evidenced by CKD 4 diagnoses

10) At risk for weight loss and malnutrition related to altered GI function as evidenced by frequent diarrhea and IBS diagnosis

11) Excessive energy intake related to increased snacking as evidenced by weight gain of 12% in 180 days

Number 2 and 10 are “at risk” PES Statements and are included as in LTC RDNs are expected to note those at risk.

References

Michigan Academy of Nutrition and Dietetics. (2016). Retrieved from: https://eatrightmich.org/wp-content/uploads/2016/04/3.-Trepasso.pdf Accessed August 9, 2019.

Academy of Nutrition and Dietetics (AND). (2017). Retrieved from: https://www.andeal.org/vault/2440/web/files/EAL/NCP_EAL_201711.pdf Accessed August 9, 2019.