NCP Step 2: Nutrition Diagnosis

Nutrition Diagnosis Terms and Definitions
Term Term Number Definition

Nutritional findings/problems identified that relate to
DOMAIN: CLINICAL NC
medical or physical conditions.

Change in physical or mechanical functioning that interferes
Class: Functional (1)  
with or prevents desired nutritional consequences.

Impaired or difficult movement of food and liquid within
Swallowing difficulty NC­1.1
the oral cavity to the stomach.

Biting/Chewing
Impaired ability to bite or chew food in preparation for
(masticatory) NC­1.2
swallowing.
difficulty

Breastfeeding
NC­1.3 Inability to sustain infant nutrition through breastfeeding.
difficulty

Altered GI function NC­1.4 Changes in digestion, absorption, or elimination.

Predicted Future hindrance to breastfeeding, or lactation, is
breastfeeding NC­1.5 anticipated, based on observation, experience, or scientific
difficulty reason.

Change in capacity to metabolize nutrients as a result of
Class: Biochemical (2)   medications, surgery, or as indicated by altered laboratory
test values.

Impaired nutrient Changes in ability to metabolize nutrients and bioactive
NC­2.1
utilization substances.

Altered nutrition­ Changes in lab values due to body composition, medications,
related laboratory NC­2.2 body system changes or genetics, or changes in ability to
values (specify) eliminate byproducts of digestive and metabolic processes.

Undesirable/harmful interaction(s) between food and over­
the­counter (OTC) medications, prescribed medications,
Food–medication
NC­2.3 herbals, botanicals, and/or dietary supplements that
interaction (specify)
diminishes, enhances, or alters the effect of nutrients and/or
medications.

Potential undesirable/harmful interaction(s) between food
and over­the­counter (OTC) medications, prescribed
 medications, herbals, botanicals, and/or dietary supplements
that diminishes, enhances, or alters the effect of nutrients
Predicted food–
and/or medications.
medication NC­2.4
Note: Appropriate nutrition diagnosis when food–medication interaction
interaction (specify)
is predicted, but has not yet occurred. This nutrition diagnosis is used
when the practitioner wants to prevent a nutrient­medication interaction.
Observed food–medication interactions should be documented using
Food–medication interaction (NC­2.3.1).

Chronic weight or changed weight status when compared
Class: Weight (3)  
with usual or desired body weight.

Low body weight compared to established reference
Underweight NC­3.1
standards or recommendations.

Decrease in body weight that is not planned or desired.
Unintended weight
NC­3.2 Note: May not be an appropriate nutrition diagnosis when changes in
loss
body weight are due to fluid.

Increased adiposity compared to established reference
Overweight/obesity NC­3.3 standards or recommendations, ranging from overweight to
morbid obesity.

Unintended weight
NC­3.4 Weight gain more than that which is desired or planned.
gain

Rate of growth or growth velocity slower than expected, or
Growth rate below
NC­3.5 weight gain that is suboptimal in comparison with goal or
expected
reference standard.

Rate of growth or growth velocity, during a period of
growth (childhood, adolescence, pregnancy), that is higher in
Excessive growth rate NC­3.6
comparison with a goal, reference standard, or physiological
needs.

Health consequences resulting from insufficient or excessive
Class: Malnutrition
  energy and/or nutrient intake compared to physiologic needs
Disorders (4)
and/or utilization.

Inadequate intake of protein and/or energy, over a period of
time, sufficient to negatively impact growth/development,
Malnutrition and/or to result in loss of fat and or muscle stores.
NC­4.1
(undernutrition) Starvation­related malnutrition, chronic disease or condition­
related malnutrition, and acute disease or injury­related
malnutrition are incorporated into this definition.

 
2016 EDITION

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