Outpatient GI

Evaluate

Evaluating the Nutrition Care Plan

It is important to evaluate all components of the nutrition care plan, as they each play an important role in motivation, adherence and success. Review the chart below for common follow-up questions to ask for each section. These questions are not comprehensive, they are meant to act as an example. Pause and consider other questions you may want to ask. Continue when you are ready.

Questions to evaluate nutrition care plan effectiveness
Goals or Plans Evaluate Effectiveness of NCP
Medications and Supplements
  • Are they taking their medications and supplements?
  • Any concerns?
  • Updated lab work?
GERD and IBS
  • How are their symptoms?
  • Have they noticed any changes?
Food Journal
  • Did they document as requested?
  • Did they notice any “triggers” while documenting?
  • What is your evaluation of the food journal?
SMART goals
  • Have they made the suggested diet and lifestyle changes?
  • Are there any barriers to changes?
  • Have they noticed any improvements as a result?
Physical Activity
  • Do they want to revisit physical activity goals?

Evaluating Christian’s Nutrition Care Plan

Upon evaluation of Christian’s NCP, you receive the following information on his outcomes. Pause and read through this information. Again, this is an example of basic information to collect. This would be more comprehensive in practice. Consider your next steps based on the information provided.

Questions to evaluate nutrition care plan effectiveness
Goals or Plans Outcome
Medications and Supplements
  • Taking medications and supplements as prescribed
GERD and IBS
  • Noticed less GERD-related symptoms
  • No noticeable change in IBS symptoms
Food Journal
  • Noticed onions as a reoccurring ‘trigger’ food
  • Noticed eating slower benefited reflux symptoms
  • On evaluation of journal, you recognize many other high FODMAP foods in his dietary patterns
SMART goals
  • Had a difficult time reducing caffeine and alcohol consumption related to work and stress
  • Adhered to other SMART goals
Physical Activity
  • Not interested in making physical activity goals.

Next Steps for Christian

  • Evaluate Christian’s food journal in detail. Highlight symptoms, frequency, and severity while evaluating associations with food or environment.
  • Continue with SMART goals. Emphasize the importance of trying to remove all triggers (alcohol and caffeine) to assess tolerance.
  • Evaluate stage of change. Tailor education and recommendations accordingly.
  • Make new SMART goals. Ask Christian if he has identified any goals based on his education on the topic. For GERD and IBS, consider removal of new foods while adhering to the removal of previously identified foods.
  • Consider additional strategies, such as FODMAP diet (if client wants too and is willing to adhere) or other supplements (probiotics).

The Nutrition Care Process Model

As you use the Nutrition Care Process Model and the learning from this case study as a guide throughout your patient care in practicum, please keep in mind that the process is dynamic, and not step-by-step as all cases are different. You are encouraged to complete the recommended readings for this module and continue to expand your learning in this clinical area of practice.

PART 4: EVALUATE COMPLETE. Pause to reflect on the evaluation strategies discussed, and review the readings and resources in the following section for your information.

You’ve now completed the nutrition for Outpatient GI module. Please consider providing feedback through the embedded form in the next section.

Acknowledgements

Julia Stanislavskaia, MSc, RD
Michaela Kucab, MHSc (c), RD

License

Icon for the Creative Commons Attribution-NonCommercial 4.0 International License

Preparation for Dietetic Practice Copyright © by Megan Omstead, RD, MPH is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.