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ABSTRACT
Year : 2018  |  Volume : 3  |  Issue : 1  |  Page : 6

The Nutrition Care Process model (NCPM) for patients with Chronic Kidney Disease (CKD)


SRI Professor, School of BioSciences, Faculty of Health & Medical Sciences, Taylor's University Malaysia, Malaysia

Date of Web Publication16-May-2018

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2395-1540.232537

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How to cite this article:
Karupaiah T. The Nutrition Care Process model (NCPM) for patients with Chronic Kidney Disease (CKD). J Renal Nutr Metab 2018;3:6

How to cite this URL:
Karupaiah T. The Nutrition Care Process model (NCPM) for patients with Chronic Kidney Disease (CKD). J Renal Nutr Metab [serial online] 2018 [cited 2019 Jun 25];3:6. Available from: http://www.jrnm.in/text.asp?2018/3/1/6/232537

The application of the Nutrition Care Process (NCP) model to enhance diagnostic reasoning during clinical practice-related dietitian activities is well-accepted now within the United States, and is beginning to resonate with dietitians in Canada, Europe and even some countries in Asia. The NCP model, which was conceptualized by the American Dietetic Association in 2003, uses critical thinking and decision-making to facilitate medical nutrition therapy inpatient care. Today, NCP has become the Nutrition Care Process Model (NCPM), providing a framework to recognize, diagnose, and intervene upon nutrition-related health concerns. But within the NCPM, nutrition assessment is considered as essential to developing a comprehensive evaluation of the client's nutrition history. In highlighting the importance of Nutrition Assessment as the first step in clinical reasoning, the Academy of Nutrition and Dietetics (formerly the American Dietetic Association) invokes the Dreyfus Model of Skill Acquisition for the seemly progression of critical thinking skills as dietitians gain knowledge and experience with practice.

The application of critical thinking skills to nutrition assessment is imperative to ensure appropriate acquisition and interpretation of data to enable correct nutrition planning for intervention. But when nutrition assessment is included as part of a research protocol, there is a greater priority to ensure that the acquisition and interpretation of data is 'close enough' in addressing the research question, as well as, fulfill the needs of clinical relevance in patient-centered care. The Palm Tocotrienol in Chronic Hemodialysis (PATCH) study running concurrently in Malaysia and the United States, is an example of a randomized control trial where investigators have incorporated nutrition assessment as a key outcome; but its application in baseline screening has provided the renal community a wealth of local data with potential for improving patient-centered care. This Workshop introduces nutrition assessment methods relevant to the patient with chronic kidney disease, which are in line with recommendations of the K-DIGO for regular and periodic monitoring for this patient population, as well as the International Society of Renal Nutrition & Metabolism (ISRNM) in detecting malnutrition. Our Workshop Trainers will introduce skills for advanced practitioners of dietetics and medical doctors; and we will share the PATCH experience in applying recommended nutrition assessment tools for Asian best practice. [2]

 
  References Top

1.
Charney P, Peterson SJ. Practice Paper. Critical Thinking Skills in Nutrition Assessment and Diagnosis. JAcadNutrDiet.115:1545-59, 2013. https://doi.org/10.1016/j.jand.2013.09.006  Back to cited text no. 1
    
2.
Dreyfus HL, Dreyfus SE. Mind Over Machine: The Power of Human Intuitive Expertise in the Era of the Computer. New York, NY: Free Press; 1986.  Back to cited text no. 2
    




 

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