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Dietary Intake Records

Keeping Track of Energy and Nutrients

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Insert Second Presenter Name

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Dietary Intake Records

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Presented By:

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  • Define what a dietary intake records is
  • List three methods for recording dietary intake
  • Recognize two other healthcare team members involved in the dietary intake recording process

Explain what dietary intake records are and why we need them and review how to properly document residents’ dietary intake.

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Dietary Intake Records

Purpose:

Objectives:

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WHAT IS A DIETARY INTAKE RECORD?

A record of all the food and beverages consumed by mouth for a specified period of time.

From these records, you can estimate the energy (calories) and nutrients that an individual consumes.

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Dietary Intake Records

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WHEN ARE DIETARY INTAKE RECORDS USED?

Dietary intake records can be used when a resident/patient is:

  • Not consuming their estimated caloric needs
  • Underweight due to possible nutritional risk factors
  • Underweight with no known cause
  • Not able to be weighed

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Dietary Intake Records

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WHY ARE DIETARY INTAKE RECORDS USED?

To provide information about:

  • Food consumed at meal/snack times
  • A patient/resident who may be/is refusing food
  • Weight records (usual or current body weight)

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Dietary Intake Records

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WHY ARE DIETARY INTAKE RECORDS USED?

To provide information about:

  • Whether supplementation is needed
  • Potential problems such as:
    • Chewing/swallowing difficulties
    • Ability to feed oneself
    • Digestive/absorptive issues

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Dietary Intake Records

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COMPLETING A

To start, the doctor or other healthcare professional will determine if a dietary intake record is necessary.

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DIETARY INTAKE RECORD

Dietary Intake Records

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COMPLETING A DIETARY INTAKE RECORD

To document the food intake, various methods can be used:

  • Percent (%) consumed of total meals/snacks
  • Written/verbal description of plate/snack after eating
  • Visual depiction (photos) of meal/snack after eating

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Dietary Intake Records

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COMPLETING A DIETARY INTAKE RECORD

  1. Percent (%) consumed of total meals/snacks

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0%

Refused meal/snack or a very few bites of food or beverage

25%

¼ of entree or ½ of one item consumed

50%

½ of all items consumed

(at least 50 percent of entrée and 25 percent of two other menued items)

75%

¾ of all items consumed

100%

Entire meal/snack consumed (very minimal amount left)

Dietary Intake Records

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COMPLETING A DIETARY INTAKE RECORD

2. Written/verbal description of plate/snack after eating

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Dietary Intake Records

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COMPLETING A DIETARY INTAKE RECORD

3. Visual depiction (photo) of meal/snack after eating

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Dietary Intake Records

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COMPLETING A DIETARY INTAKE RECORD

Items often forgotten:

  • Condiments (sauces, gravy, ketchup/mustard, etc.)
  • Beverages (milk, juice, etc.)
  • Supplements

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Dietary Intake Records

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COMPLETING A DIETARY INTAKE RECORD

Some communities may use a form/log to record intake percentages.

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Dietary Intake Records

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HOW ARE

Based on what the records indicate, different healthcare team members can use the records in different ways.

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DIETARY INTAKE RECORDS USED?

Dietary Intake Records

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HOW ARE DIETARY INTAKE RECORDS USED?

Dietary

  • Calculate calories consumed
  • Adjust a diet order
  • Change meal times
  • Add snacks or supplements
  • Continue recording intake to gather further information

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Dietary Intake Records

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HOW ARE DIETARY INTAKE RECORDS USED?

Nursing

  • Determine if assistance is needed during meal/snack times
  • Determine if medications are causing problems with appetite
  • Determine if patient/resident weight checks need to be adjusted

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Dietary Intake Records

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HOW ARE DIETARY INTAKE RECORDS USED?

Occupational Therapist (OT)

  • May provide assistance with eating meals
  • Teach a resident/patient how to use adaptive equipment

Speech Language Pathologist (SLP)

  • May request an swallowing evaluation
  • Adjust thickness of beverages and textures of food if necessary

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Dietary Intake Records

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CONCLUSION

  • Train all staff members about recording dietary intakes properly.
  • Document intake with standard forms/logs to keep the variation at a minimum. Keep the forms/logs your facility uses in a designated area that is clearly labeled.
  • Share completed dietary intake records with other healthcare team members to ensure the proper treatment plan is in place.

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Dietary Intake Records

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Thank you.

If you have questions,

Please contact the Nutrition Resource Center at:

1.800.968.4426

nrc@gfs.com

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