{"id":132,"date":"2021-08-14T12:46:32","date_gmt":"2021-08-14T16:46:32","guid":{"rendered":"https:\/\/pressbooks.library.ryerson.ca\/dietmods\/?post_type=chapter&#038;p=132"},"modified":"2022-03-07T23:59:01","modified_gmt":"2022-03-08T04:59:01","slug":"gi_out-evaluate","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/chapter\/gi_out-evaluate\/","title":{"raw":"Evaluate","rendered":"Evaluate"},"content":{"raw":"<h1>Evaluating the Nutrition Care Plan<\/h1>\r\nIt 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.\r\n<table class=\"grid\" style=\"height: 330px\"><caption>Questions to evaluate nutrition care plan effectiveness<\/caption>\r\n<tbody>\r\n<tr style=\"height: 17px\">\r\n<th style=\"height: 17px;width: 233.054px\" scope=\"col\">Goals or Plans<\/th>\r\n<th style=\"height: 17px;width: 944.418px\" scope=\"col\">Evaluate Effectiveness of NCP<\/th>\r\n<\/tr>\r\n<tr style=\"height: 87px\">\r\n<td style=\"height: 87px;width: 231.634px\">Medications and Supplements<\/td>\r\n<td style=\"height: 87px;width: 942.997px\">\r\n<ul>\r\n \t<li>Are they taking their medications and supplements?<\/li>\r\n \t<li>Any concerns?<\/li>\r\n \t<li>Updated lab work?<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 52px\">\r\n<td style=\"height: 52px;width: 231.634px\">GERD and IBS<\/td>\r\n<td style=\"height: 52px;width: 942.997px\">\r\n<ul>\r\n \t<li>How are their symptoms?<\/li>\r\n \t<li>Have they noticed any changes?<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 87px\">\r\n<td style=\"height: 87px;width: 231.634px\">Food Journal<\/td>\r\n<td style=\"height: 87px;width: 942.997px\">\r\n<ul>\r\n \t<li>Did they document as requested?<\/li>\r\n \t<li>Did they notice any \u201ctriggers\u201d while documenting?<\/li>\r\n \t<li>What is your evaluation of the food journal?<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 70px\">\r\n<td style=\"height: 70px;width: 231.634px\">SMART goals<\/td>\r\n<td style=\"height: 70px;width: 942.997px\">\r\n<ul>\r\n \t<li>Have they made the suggested diet and lifestyle changes?<\/li>\r\n \t<li>Are there any barriers to changes?<\/li>\r\n \t<li>Have they noticed any improvements as a result?<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 17px\">\r\n<td style=\"height: 17px;width: 231.634px\">Physical Activity<\/td>\r\n<td style=\"height: 17px;width: 942.997px\">\r\n<ul>\r\n \t<li>Do they want to revisit physical activity goals?<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<div class=\"textbox textbox--learning-objectives\"><header class=\"textbox__header\">\r\n<h2 class=\"textbox__title\">Evaluating Christian's Nutrition Care Plan<\/h2>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nUpon evaluation of Christian\u2019s 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.\r\n<table class=\"grid\" style=\"height: 330px\"><caption>Questions to evaluate nutrition care plan effectiveness<\/caption>\r\n<tbody>\r\n<tr style=\"height: 17px\">\r\n<th style=\"height: 17px;width: 233.054px\" scope=\"col\">Goals or Plans<\/th>\r\n<th style=\"height: 17px;width: 944.418px\" scope=\"col\">Outcome<\/th>\r\n<\/tr>\r\n<tr style=\"height: 87px\">\r\n<td style=\"height: 87px;width: 231.634px\">Medications and Supplements<\/td>\r\n<td style=\"height: 87px;width: 942.997px\">\r\n<ul>\r\n \t<li>Taking medications and supplements as prescribed<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 52px\">\r\n<td style=\"height: 52px;width: 231.634px\">GERD and IBS<\/td>\r\n<td style=\"height: 52px;width: 942.997px\">\r\n<ul>\r\n \t<li>Noticed less GERD-related symptoms<\/li>\r\n \t<li>No noticeable change in IBS symptoms<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 87px\">\r\n<td style=\"height: 87px;width: 231.634px\">Food Journal<\/td>\r\n<td style=\"height: 87px;width: 942.997px\">\r\n<ul>\r\n \t<li>Noticed onions as a reoccurring \u2018trigger\u2019 food<\/li>\r\n \t<li>Noticed eating slower benefited reflux symptoms<\/li>\r\n \t<li>On evaluation of journal, you recognize many other high FODMAP foods in his dietary patterns<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 70px\">\r\n<td style=\"height: 70px;width: 231.634px\">SMART goals<\/td>\r\n<td style=\"height: 70px;width: 942.997px\">\r\n<ul>\r\n \t<li>Had a difficult time reducing caffeine and alcohol consumption related to work and stress<\/li>\r\n \t<li>Adhered to other SMART goals<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<tr style=\"height: 17px\">\r\n<td style=\"height: 17px;width: 231.634px\">Physical Activity<\/td>\r\n<td style=\"height: 17px;width: 942.997px\">\r\n<ul>\r\n \t<li>Not interested in making physical activity goals.<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--learning-objectives\"><header class=\"textbox__header\">\r\n<h2 class=\"textbox__title\">Next Steps for Christian<\/h2>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ul>\r\n \t<li><strong>Evaluate Christian\u2019s food journal in detail.<\/strong> Highlight symptoms, frequency, and severity while evaluating associations with food or environment.<\/li>\r\n \t<li><strong>Continue with SMART goals.<\/strong> Emphasize the importance of trying to remove all triggers (alcohol and caffeine) to assess tolerance.<\/li>\r\n \t<li><strong>Evaluate stage of change.<\/strong> Tailor education and recommendations accordingly.<\/li>\r\n \t<li><strong>Make new SMART goals.<\/strong> 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.<\/li>\r\n \t<li><strong>Consider additional strategies,<\/strong> such as FODMAP diet (if client wants too and is willing to adhere) or other supplements (probiotics).<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<div>\r\n<h1>The Nutrition Care Process Model<\/h1>\r\n<\/div>\r\n<div>\r\n\r\nAs 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.\r\n\r\n<\/div>\r\n<div class=\"textbox shaded\">\r\n\r\nPART 4: EVALUATE COMPLETE. Pause to reflect on the evaluation strategies discussed, and review the readings and resources in the following section for your information.\r\n\r\nYou\u2019ve now completed the nutrition for Outpatient GI module. Please consider providing feedback through the embedded form in the next section.\r\n\r\n<\/div>\r\n<h1>Acknowledgements<\/h1>\r\nJulia Stanislavskaia, MSc, RD\r\nMichaela Kucab, MHSc (c), RD","rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Page Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-69df92a27fc3c\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-69df92a27fc3c\" checked aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/chapter\/gi_out-evaluate\/#Evaluating_the_Nutrition_Care_Plan\" >Evaluating the Nutrition Care Plan<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/chapter\/gi_out-evaluate\/#Evaluating_Christians_Nutrition_Care_Plan\" >Evaluating Christian&#8217;s Nutrition Care Plan<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/chapter\/gi_out-evaluate\/#Next_Steps_for_Christian\" >Next Steps for Christian<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/chapter\/gi_out-evaluate\/#The_Nutrition_Care_Process_Model\" >The Nutrition Care Process Model<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/chapter\/gi_out-evaluate\/#Acknowledgements\" >Acknowledgements<\/a><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"Evaluating_the_Nutrition_Care_Plan\"><\/span>Evaluating the Nutrition Care Plan<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>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.<\/p>\n<table class=\"grid\" style=\"height: 330px\">\n<caption>Questions to evaluate nutrition care plan effectiveness<\/caption>\n<tbody>\n<tr style=\"height: 17px\">\n<th style=\"height: 17px;width: 233.054px\" scope=\"col\">Goals or Plans<\/th>\n<th style=\"height: 17px;width: 944.418px\" scope=\"col\">Evaluate Effectiveness of NCP<\/th>\n<\/tr>\n<tr style=\"height: 87px\">\n<td style=\"height: 87px;width: 231.634px\">Medications and Supplements<\/td>\n<td style=\"height: 87px;width: 942.997px\">\n<ul>\n<li>Are they taking their medications and supplements?<\/li>\n<li>Any concerns?<\/li>\n<li>Updated lab work?<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 52px\">\n<td style=\"height: 52px;width: 231.634px\">GERD and IBS<\/td>\n<td style=\"height: 52px;width: 942.997px\">\n<ul>\n<li>How are their symptoms?<\/li>\n<li>Have they noticed any changes?<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 87px\">\n<td style=\"height: 87px;width: 231.634px\">Food Journal<\/td>\n<td style=\"height: 87px;width: 942.997px\">\n<ul>\n<li>Did they document as requested?<\/li>\n<li>Did they notice any \u201ctriggers\u201d while documenting?<\/li>\n<li>What is your evaluation of the food journal?<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 70px\">\n<td style=\"height: 70px;width: 231.634px\">SMART goals<\/td>\n<td style=\"height: 70px;width: 942.997px\">\n<ul>\n<li>Have they made the suggested diet and lifestyle changes?<\/li>\n<li>Are there any barriers to changes?<\/li>\n<li>Have they noticed any improvements as a result?<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 17px\">\n<td style=\"height: 17px;width: 231.634px\">Physical Activity<\/td>\n<td style=\"height: 17px;width: 942.997px\">\n<ul>\n<li>Do they want to revisit physical activity goals?<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h2 class=\"textbox__title\"><span class=\"ez-toc-section\" id=\"Evaluating_Christians_Nutrition_Care_Plan\"><\/span>Evaluating Christian&#8217;s Nutrition Care Plan<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<\/header>\n<div class=\"textbox__content\">\n<p>Upon evaluation of Christian\u2019s 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.<\/p>\n<table class=\"grid\" style=\"height: 330px\">\n<caption>Questions to evaluate nutrition care plan effectiveness<\/caption>\n<tbody>\n<tr style=\"height: 17px\">\n<th style=\"height: 17px;width: 233.054px\" scope=\"col\">Goals or Plans<\/th>\n<th style=\"height: 17px;width: 944.418px\" scope=\"col\">Outcome<\/th>\n<\/tr>\n<tr style=\"height: 87px\">\n<td style=\"height: 87px;width: 231.634px\">Medications and Supplements<\/td>\n<td style=\"height: 87px;width: 942.997px\">\n<ul>\n<li>Taking medications and supplements as prescribed<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 52px\">\n<td style=\"height: 52px;width: 231.634px\">GERD and IBS<\/td>\n<td style=\"height: 52px;width: 942.997px\">\n<ul>\n<li>Noticed less GERD-related symptoms<\/li>\n<li>No noticeable change in IBS symptoms<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 87px\">\n<td style=\"height: 87px;width: 231.634px\">Food Journal<\/td>\n<td style=\"height: 87px;width: 942.997px\">\n<ul>\n<li>Noticed onions as a reoccurring \u2018trigger\u2019 food<\/li>\n<li>Noticed eating slower benefited reflux symptoms<\/li>\n<li>On evaluation of journal, you recognize many other high FODMAP foods in his dietary patterns<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 70px\">\n<td style=\"height: 70px;width: 231.634px\">SMART goals<\/td>\n<td style=\"height: 70px;width: 942.997px\">\n<ul>\n<li>Had a difficult time reducing caffeine and alcohol consumption related to work and stress<\/li>\n<li>Adhered to other SMART goals<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr style=\"height: 17px\">\n<td style=\"height: 17px;width: 231.634px\">Physical Activity<\/td>\n<td style=\"height: 17px;width: 942.997px\">\n<ul>\n<li>Not interested in making physical activity goals.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h2 class=\"textbox__title\"><span class=\"ez-toc-section\" id=\"Next_Steps_for_Christian\"><\/span>Next Steps for Christian<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li><strong>Evaluate Christian\u2019s food journal in detail.<\/strong> Highlight symptoms, frequency, and severity while evaluating associations with food or environment.<\/li>\n<li><strong>Continue with SMART goals.<\/strong> Emphasize the importance of trying to remove all triggers (alcohol and caffeine) to assess tolerance.<\/li>\n<li><strong>Evaluate stage of change.<\/strong> Tailor education and recommendations accordingly.<\/li>\n<li><strong>Make new SMART goals.<\/strong> 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.<\/li>\n<li><strong>Consider additional strategies,<\/strong> such as FODMAP diet (if client wants too and is willing to adhere) or other supplements (probiotics).<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div>\n<h1><span class=\"ez-toc-section\" id=\"The_Nutrition_Care_Process_Model\"><\/span>The Nutrition Care Process Model<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<\/div>\n<div>\n<p>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.<\/p>\n<\/div>\n<div class=\"textbox shaded\">\n<p>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.<\/p>\n<p>You\u2019ve now completed the nutrition for Outpatient GI module. Please consider providing feedback through the embedded form in the next section.<\/p>\n<\/div>\n<h1><span class=\"ez-toc-section\" id=\"Acknowledgements\"><\/span>Acknowledgements<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>Julia Stanislavskaia, MSc, RD<br \/>\nMichaela Kucab, MHSc (c), RD<\/p>\n","protected":false},"author":315,"menu_order":5,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-132","chapter","type-chapter","status-publish","hentry"],"part":106,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/pressbooks\/v2\/chapters\/132","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/wp\/v2\/users\/315"}],"version-history":[{"count":15,"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/pressbooks\/v2\/chapters\/132\/revisions"}],"predecessor-version":[{"id":2255,"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/pressbooks\/v2\/chapters\/132\/revisions\/2255"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/pressbooks\/v2\/parts\/106"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/pressbooks\/v2\/chapters\/132\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/wp\/v2\/media?parent=132"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/pressbooks\/v2\/chapter-type?post=132"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/wp\/v2\/contributor?post=132"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/wp-json\/wp\/v2\/license?post=132"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}