Tuesday, February 17, 2015

Seems like the NCP and IDNT is for the dietitian....not the patient??

For Dietitian??  or  For Patient??  or BOTH??   It would seem that the process is for both.  While it is true that the dietitian is the professional that "uses" the process to provide high quality services, the patient really receives the benefit.

The model clearly recognizes the need to put the patient in the CENTER of  the dietitian's activities as shown in the model.  While the model describes the activities from the dietitians viewpoint, the words used are intended to describe a COLLABORATIVE process.

The words used in the 2008 NCPM article describing this are:  " The central core of the model depicts the essential and collaborative partnership with a patient/client. The model is intended to reflect the dynamic nature of relationships throughout the NCPM."

In the chapter/text describing the intervention the following is included: " It is most desirable to set goals jointly with the patient/client".

The Nutrition Counseling intervention is described as "a supportive process, characterized by a collaborative relationship between the counselor and the patient/client to establish food, nutrition and physical activity priorities, goals, and action plans that acknowledge and foster responsibility for self-care to treat an existing condition and promote health."

The IDNT or NCPT (Nutrition Care Process Terminology) is designed to concisely describe the elements and results of each step in the care process using terms familiar to healthcare professionals, not necessarily patients.  The goal of the terminology as stated in the 2008 article on the terminology is to  "provide a standardized set of terms used to describe the results of each step of the model".  The initial list of standardized terms was developed in the United States and heavily reflects the common healthcare language at the time of development.  The cultural and language differences are acknowledged during the "translation" process for the standardized language into other languages, e.g Swedish, French, or Norwegian.  The persons completing the translation have found situations when there are no comparable words that correspond directly to the meaning of the US term or when terms are used differently in different cultures.

The new webpage NCP 101 includes additional information and links to materials that may be helpful.

Link to 2008 NCPM Article
Link to 2008 IDNT  (terminology) Article
Link to NCP 101 webpage


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