Suggested initial PES for chylothorax

 After several discussion groups, the collective recommendations for what the initial PES statement might have been after the initial dietitian admission nutrition assessment are summarized in the video below.

Simpler is better

Consider:

Excessive Fat Intake related to no prior need for fat restriction,  current lymph leakage/chylothorax treatment needing reduced fat as evidenced by 70 gm fat intake prior to hospitalization vs new recommendation of <10 gm fat for chylothorax.

Nutrition Diagnosis: New

Etiology category:  Physiological -Metabolic

See the video that summarizes the discussion group results on this topic.

Considerations were that this was the initial PES statement on the first day of hospitalization, other nutrition diagnoses were related to malnutrition, and acknowledging that other PES statements would be appropriate as the care progressed.

The list of other potential nutrition diagnoses included:

• Intake of types of fat inconsistent with needs
• Inadequate oral intake
• Altered GI tract
• Impaired nutrient utilization
• Food and nutrition-related knowledge deficit

Click on the image to listen to the 9 minute video summarizing the background and discussion describing the critical thinking that occurred during the discussions.

If you would like to submit a topic for the next session on June 8, use this link.  

Chylothorax,,,,lets explore what to consider when writing PES statement

 Listen to the < 4 minute introduction to our first Do NCP II session.  After the session we will also post the summary.  

Register for our thought-provoking inaugural discussion on May 4th by selecting the time that’s most convenient for you:

 

Do NCP II, 8:00-8:30 am CDT

Do NCP II, 11:00-11:30 pm CDT

Do NCP II, 7:30-8:00 pm CDT

 

To submit a scenario for future Do NCP II sessions, click here.

DO NCP II - A new concept...sign up now for inaugural session

 

Have you or your colleagues or students ever struggled with determining an appropriate PES statement, and you wish you had a group of experts to discuss it with? Do you have questions on implementing the Nutrition Care Process in your facility?

NCPro is launching a free forum for users of the NCP called Do NCP II, or Dialogue on the Nutrition Care Process II.  Our goal is to address real life scenarios encountered by clinicians and students/educators. Questions will be discussed in a group and reasonable solutions identified.  The topic will be introduced, followed by a brief overview and discussion, and a recorded summary will be provided to registered participants following completion of all sessions on the topic. Topics will range from beginner to advanced and may be posed by practitioners in the field, educators or students.   The first session to be held is directed to practitioners and will discuss a PES statement appropriate for a patient prescribed a low-fat diet due to lymph leakage/chylothorax.

Register for our thought-provoking inaugural discussion on May 4th by selecting the time that’s most convenient for you:   Do NCP II, 8:00-8:30 am CDT Do NCP II, 11:00-11:30 pm CDT Do NCP II, 7:30-8:00 pm CDT   To submit a question for future Do NCP II sessions, click here.