3rd Edition
213
Diagnosis
INTAKE NI
Defined as “actual problems related to intake of
energy, nutrients, fluids, bioactive substances through
oral diet or nutrition support”
Energy Balance (1)
Defined as “actual or estimated changes in energy
(kcal) balance”
q Unused NI-1.1
q Increasedenergyexpenditure NI-1.2
q Unused NI-1.3
q Inadequateenergyintake NI-1.4
q Excessiveenergyintake NI-1.5
q Predictedsuboptimalenergyintake NI-1.6
q Predictedexcessiveenergyintake NI-1.7
Oral or Nutrition Support Intake (2)
Defined as “actual or estimated food and beverage
intake from oral diet or nutrition support compared with
patient goal”
q Inadequateoralintake NI-2.1
q Excessiveoralintake NI-2.2
q Inadequateenteralnutritioninfusion NI-2.3
q Excessiveenteralnutritioninfusion NI-2.4
q Lessthanoptimalenteralnutrition NI-2.5
q InadequateparenteralnutritioninfusionNI-2.6
q Excessiveparenteralnutritioninfusion NI-2.7
q Lessthanoptimalparenteralnutrition NI-2.8
q Limitedfoodacceptance NI-2.9
Fluid Intake (3)
Defined as “actual or estimated fluid intake compared
with patient goal”
q Inadequatefluidintake NI-3.1
q Excessivefluidintake NI-3.2
Bioactive Substances (4)
Defined as “actual or observed intake of bioactive
substances, including single or multiple functional food
components, ingredients, dietary supplements, alcohol”
q Inadequatebioactivesubstanceintake NI-4.1
q Excessivebioactivesubstanceintake NI-4.2
q Excessivealcoholintake NI-4.3
Nutrient (5)
Defined as “actual or estimated intake of specific
nutrient groups or single nutrients as compared with
desired levels”
q Increasednutrientneeds NI-5.1
(specify) ______________________________
q Malnutrition NI-5.2
q Inadequateprotein-energyintake NI-5.3
q Decreasednutrientneeds NI-5.4
(specify) ______________________________
q Imbalanceofnutrients NI-5.5
Fat and Cholesterol (5.6)
q Inadequatefatintake NI-5.6.1
q Excessivefatintake NI-5.6.2
q Inappropriateintakeoffats NI-5.6.3
(specify) ______________________________
Protein (5.7)
q Inadequateproteinintake NI-5.7.1
q Excessiveproteinintake NI-5.7.2
q Inappropriateintakeofprotein NI-5.7.3
oraminoacids(specify) __________________
Carbohydrate and Fiber (5.8)
q Inadequatecarbohydrateintake NI-5.8.1
q Excessivecarbohydrateintake NI-5.8.2
q Inappropriateintakeof NI-5.8.3
typesofcarbohydrate(specify) ____________
q Inconsistentcarbohydrateintake NI-5.8.4
q Inadequatefiberintake NI-5.8.5
q Excessivefiberintake NI-5.8.6
Vitamin (5.9)
q Inadequatevitaminintake NI-5.9.1
(specify) ______________________________
q A(1) q Riboflavin(7)
q C(2) q Niacin(8)
q D(3) q Folate(9)
q E(4) q B6(10)
q K(5) q B12(11)
q Thiamin(6)
q Other(specify) ___________________(12)
q Excessivevitaminintake NI-5.9.2
(specify) ______________________________
q A(1) q Riboflavin(7)
q C(2) q Niacin(8)
q D(3) q Folate(9)
q E(4) q B6(10)
q K(5) q B12(11)
q Thiamin(6)
q Other(specify) ___________________(12)
Mineral (5.10)
q Inadequatemineralintake NI-5.10.1
(specify) ______________________________
q Calcium(1) q Potassium(5)
q Chloride(2) q Phosphorus(6)
q Iron(3) q Sodium(7)
q Magnesium(4) q Zinc(8)
q Other(specify) ____________________(9)
q Excessivemineralintake NI-5.10.2
(specify) ______________________________
q Calcium(1) q Potassium(5)
q Chloride(2) q Phosphorus(6)
q Iron(3) q Sodium(7)
q Magnesium(4) q Zinc(8)
q Other(specify) ____________________(9)
Multi-nutrient (5.11)
q Predictedsuboptimalnutrientintake NI-5.11.1
q Predictedexcessivenutrientintake NI-5.11.2
ClINICAl NC
Defined as “nutritional findings/problems identified that
relate to medical or physical conditions”
Functional (1)
Defined as “change in physical or mechanical
functioning that interferes with or prevents desired
nutritional consequences”
q Swallowingdifficulty NC-1.1
q Biting/Chewing NC-1.2
(masticatory)difficulty
q Breastfeedingdifficulty NC-1.3
q AlteredGIfunction NC-1.4
Biochemical (2)
Defined as “change in capacity to metabolize nutrients
as a result of medications, surgery, or as indicated by
altered lab values”
q Impairednutrientutilization NC-2.1
q Alterednutrition-related NC-2.2
laboratoryvalues(specify) _______________
q Food-medicationinteraction NC-2.3
q Predictedfood-medicationinteraction NC-2.4
Weight (3)
Defined as “chronic weight or changed weight status
when compared with usual or desired body weight”
q Underweight NC-3.1
q Unintentionalweightloss NC-3.2
q Overweight/obesity NC-3.3
q Unintentionalweightgain NC-3.4
BEHAVIORAl-
ENVIRONMENTAl NB
Defined as “nutritional findings/problems identified
that relate to knowledge, attitudes/beliefs, physical
environment, access to food, or food safety”
Knowledge and Beliefs (1)
Defined as “actual knowledge and beliefs as related,
observed or documented”
q Food-andnutrition-related NB-1.1
knowledgedeficit
q Harmfulbeliefs/attitudesaboutfood- NB-1.2
ornutrition-relatedtopics(usewithcaution)
q Notreadyfordiet/lifestylechange NB-1.3
q Self-monitoringdeficit NB-1.4
q Disorderedeatingpattern NB-1.5
q Limitedadherencetonutrition- NB-1.6
relatedrecommendations
q Undesirablefoodchoices NB-1.7
Physical Activity and Function (2)
Defined as “actual physical activity, self-care, and
quality-of-life problems as reported, observed, or
documented”
q Physicalinactivity NB-2.1
q Excessivephysicalactivity NB-2.2
q Inabilityorlackofdesire NB-2.3
tomanageself-care
q Impairedabilityto NB-2.4
preparefoods/meals
q Poornutritionqualityoflife NB-2.5
q Self-feedingdifficulty NB-2.6
Food Safety and Access (3)
Defined as “actual problems with food safety or access
to food, water, or nutrition related supplies”
q Intakeofunsafefood NB-3.1
q Limitedaccesstofoodorwater NB-3.2
q Limitedaccesstonutrition-related NB-3.3
supplies
Nutrition DiagnosticTerminology
