ADIME Note: Hypertension Assessment: The patient is an African-American male. He presented to his family physician with elevated blood pressure and heartburn.
Full Answer
ADIME DocumentationFood/Nutrition-related History. ... Anthropometric Measurements. ... Biochemical Data, Medical Tests and Procedures.
ADIME the acronym used for representing the four steps stands for Assessment, Diagnosis, Intervention, and Monitoring and Evaluating. These steps help dietitians understand the needs of the patient and help to plan the approach for caring for the patient.
The ADIME process consists of four steps: 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.
Three components make up the PES statement :The Problem (P)– the Nutrition Diagnosis.The Etiology (E)– the cause/s of the nutrition problem (Nutrition Diagnosis)The Signs and Symptoms (S)– the evidence that the nutrition problem (Nutrition Diagnosis) exists.
More than 50% of hypertensive patients have additional CV risk factors. The pres-ence of one or more additional risk factors proportionally increases the risk of coronary, cerebrovascular and renal diseases in hyper-tensive patients.
The use of aspirin in individuals without established CV disease was associated with a lower risk of CV events, but an increased risk of major bleeding. Low-dose aspirin may be considered for primary prevention of at high Framingham risk, so this would need to be discussed with him.
Hypertension seldom occurs in isolation and the conditions that come with it, including obesity, hyperlipidaemia, inactivity, impaired glucose handling and sleep-disordered breathing, all need attention. They also help provide an overall risk category for your hypertensive patient. Each problem needs to be delineated, and targeted therapy advised