NUTRITION MONITORING AND EVALUATION

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 Snapshot
NCP Step 4: Nutrition
Monitoring and Evaluation
Definition:
The purpose of nutrition monitoring and evaluation is to determine and measure the amount of progress made for the nutrition intervention and
whether the nutrition related goals/expected outcomes are being met. The aim is to promote more uniformity within the dietetics profession in
assessing the effectiveness of nutrition intervention. Nutrition Monitoring and Evaluation identifies outcomes/indicators relevant to the diagnosis and
nutrition intervention plans and goals.

During the first interaction, appropriate outcomes/indicators are selected to be monitored and evaluated at the next interaction. During subsequent
interactions, these outcomes/indicators are used to demonstrate the amount of progress made and whether the goals or expected outcomes are being
met. Factors to consider when selecting indicators are the medical diagnosis, health care outcomes, client goals, nutrition quality management goals,
practice setting, client population, and disease state and/or severity.

Terminology for Nutrition Monitoring and E valuation is organized in four domains (categories)**:

Definition:
Food/Nutrition-Related Anthropometric Measurement Biochemical Data, Medical Nutrition-Focused Physical
History
The Outcomes
purpose of nutrition monitoring and Tests,
evaluation is to determine and measure theand Procedure
amount of progress made forFinding
the nutrition intervention and
Outcomes Outcomes
Outcomes
whether the nutrition related goals/expected outcomes are being met. The aim is to promote more uniformity within the dietetics profession in
assessing the effectiveness of nutrition intervention. Nutrition Monitoring and Evaluation identifies outcomes/indicators relevant to the diagnosis and
Food and nutrient intake, food
nutrition intervention plans and goals.
and nutrient administration,
Height, weight, body mass Lab data (eg., electrolytes,
medication, complementary/ Physical appearance, muscle
index (BMI), growth glucose) and tests (eg, gastric
alternative
During medicine
the first use, appropriate outcomes/indicators are selected to be monitored and evaluated at the nextand
interaction, interaction. During
fat wasting, subsequent
swallow
pattern indices/percentile emptying time, resting metabolic
knowledge/beliefs,
interactions, food and
these outcomes/indicators are used to demonstrate the amount of progress made and whether the goals or expected
function, outcomes
appetite, are being
and affect
ranks, and weight history rate)
supplies
met. availability,
Factors to considerphysical
when selecting indicators are the medical diagnosis, health care outcomes, client goals, nutrition quality management goals,
activity, nutrition quality of life
practice setting, client population, and disease state and/or severity.
Snapshot
Collection and Use of Nutrition Monitoring and Evaluation Outcome Data: **:
This step consists of three components: monitoring, measuring, and evaluating the changes in nutrition care indicators. Practitioners monitor by

NCP Step 4: Nutrition

Monitoring and Evaluation
providing evidence that the nutrition intervention
Food/Nutrition-Related is or is not
Anthropometric changing the client’s
Measurement behaviorData,
Biochemical or status. They measure
Medical outcomes by gathering data for
Nutrition-Focused Physical
outcomes/indicators.
History Outcomes Finally, nutrition and dietetics practitioners compare theTests,
current
and
findings
Procedure
with previous status, nutrition intervention goals, and/
Outcomes Finding Outcomes
Outcomes
or reference standards and evaluate the overall impact of the nutrition intervention on the client’s nutrition diagnosis(es) and health outcomes. The
Terminology
use forindicators
of standardized Nutrition and onitoring
Mcriteria and the
increases E valuation is reliability
validity and organized of in four domains
outcome (categories)
data collection, communication, an aggregation of data for
Food and nutrient of
intake, food and dietetics practitioner’s interventions.
reporting outcomes the nutrition
and nutrient administration,
Height, weight, body mass Lab data (eg., electrolytes,
medication, complementary/ Physical appearance, muscle
index (BMI), growth glucose) and tests (eg, gastric
alternative medicine use, and fat wasting, swallow
pattern indices/percentile emptying time, resting metabolic
knowledge/beliefs,
Critical thinking food and
skills: function, appetite, and affect
ranks, and weight history rate)
supplies availability, physical
activity, nutrition
• Using quality ofreference
appropriate life standards for comparison
• Defining where client is in terms of expected outcomes
Collection and Use of
• Explaining Nutrition
variance fromMonitoring and Evaluation Outcome Data:
expected outcomes
This step consists of three components: monitoring, measuring, and evaluating the changes in nutrition care indicators. Practitioners monitor by
• Determining factors that help or hinder progress
providing evidence that the nutrition intervention is or is not changing the client’s behavior or status. They measure outcomes by gathering data for
• Deciding between
outcomes/indicators. Finally,discharge
nutrition or
andcontinuated care
dietetics practitioners compare the current findings with previous status, nutrition intervention goals, and/
or reference standards and evaluate the overall impact of the nutrition intervention on the client’s nutrition diagnosis(es) and health outcomes. The
use of standardized indicators and criteria increases the validity and reliability of outcome data collection, communication, an aggregation of data for
reporting outcomes of the nutrition and dietetics practitioner’s interventions.

*Client refers to individuals, groups, populations, supportive individuals, and structures.

• Using appropriate reference standards for comparison
**Although the domains, classes, and terms for Nutrition Assessment and Nutrition Monitoring and Evaluation are combined, Client History terms are used for
• Defining where client is in terms of expected outcomes
Nutrition Assessment and Reassessment only and do not change as a result of nutrition intervention.
• Explaining
Critical thinking variance
skills:from expected outcomes
• Determining factors that help or hinder progress ©2018 Academy of Nutrition and Dietetics. All rights reserved.

• Deciding between discharge or continuated care

*Client refers to individuals, groups, populations, supportive individuals, and structures.

**Although the domains, classes, and terms for Nutrition Assessment and Nutrition Monitoring and Evaluation are combined, Client History terms are used for
Nutrition Assessment and Reassessment only and do not change as a result of nutrition intervention.

©2018 Academy of Nutrition and Dietetics. All rights reserved.

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