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.