Question

Is the AMIDE note and PES statement the same thing?

Answer 1

Ans.

A PES statement (or Nutrition Diagnosis Statement) is a structured sentence that describes the specific nutrition problem that you (the dietitian) is responsible for treating and working toward resolving, the cause/s of the problem and the evidence that this problem exists.

11 PES Statement Examples-

1) Inadequate protein and energy intake related to increased nutrient needs as evidenced by a pressure ulcer on buttock.

2) At risk for weight loss and malnutrition related to frequent COPD exacerbations as evidenced by PO intake <50% of estimated nutrient needs

3) Inadequate oral intake related to intakes less than 50% of estimated nutrient needs as evidenced by dislike of a prescribed mechanically altered diet

4) Malnutrition related to PO intake <50% of estimated nutrient needs as evidenced by unintended weight loss of 25 lbs. in 60 days

5) Significant weight loss related to recent difficulty swallowing and pocketing food as evidenced by 5.7% weight loss in 30 days

6) Fluctuating blood sugars related to excessive carbohydrate intake as evidenced by inconsistent timing of meals and increased snacking

7) Significant weight loss related to increased pacing as evidenced by 6.5% weight loss in 30 days

8) Swallowing difficulty related to recent CVA as evidenced by diagnosis of aspiration pneumonia

9) Inadequate protein intake related to increased need for high quality protein as evidenced by CKD 4 diagnoses

10) At risk for weight loss and malnutrition related to altered GI function as evidenced by frequent diarrhea and IBS diagnosis

11) Excessive energy intake related to increased snacking as evidenced by weight gain of 12% in 180 days

ADIME, or Assessment, Diagnosis, Intervention, and Monitoring/Evaluation, is a process used to ensure high quality nutrition care to patients and clients from nutrition professionals, such as Registered Dietitians (RD) or Registered Dietitian Nutritionist (RDN).

The ADIME process consists of four steps:[5][6][7]

Assessment - This step involves collecting data pertinent to the patient, including nutrition-related History, anthropometric Measurements, biochemical data, nutrition-focused physical findings, client history and comparative standards.

Diagnosis - Based on the assessment data collected, a nutrition problem may be diagnosed. Causes and contributing factors are identified.

Intervention - Based on the nutrition diagnosis, problems are addressed that aid in alleviation of the diagnosis’ signs and symptoms. Activities are constructed to enable the patient to work towards objectives set for them by themselves and their nutrition professional.

Monitoring/Evaluation - Progress made on goals and/or expected outcomes is tracked to ensure that nutrition problems are being addressed; adjustments in the Intervention step are made according to progress.