Module 17 - Domain II: Determine Specific Feeding Needs, Nutrition Monitoring & Evaluation After reviewing Module 17 lecture, you should be able to: Determine specific feeding needs. While there is almost always a nutrition diagnosis, keep in mind that this is an option! Example: "Altered Nutrition-Related Laboratory Values." Intake of types of fats inconsistent with needs (specify) (NI-5.6.3) The PES statement is part of the Nutrition Care Process (NCP), a systematic approach to providing high-quality nutrition care. pes statement for dysphagiatitelseite zeitung erstellen. Physical inactivity (NB-2.1) Philadelphia, PA: Wolters Kluwer. Refeeding Syndrome: Causes, Symptoms and Treatment, Food Safety in Nursing Homes: What You Must Know, Kate Farms Standard: Benefits, Downsides, and Taste, Kate Farms Peptide: Nutrition, Uses, and Taste Review, 8 Best Lactose-Free Protein Powders and Shakes, Kate Farms Nutrition Shake Review, By a Dietitian, altered nutrition-related laboratory values. pes statement for dysphagia - coastbotanik.ca Inadequate oral intake as related to cancer treatment and associated nausea, vomiting and inability to prepare meals as evidenced by BMI: 15 kg/m2 and 20% loss of body weight in 3/12 and consuming only 2 small meals/day. A phase II trial in multiple sclerosis showed improvements in PAS score. What does a Grade 3 heart murmur mean in cats? ;#FUlD_V Amigo Brothers Text Dependent Questions Answers, This section also includes interactive matrices in assisting dietitians to formulate PES statements. How do you write a nutrition intervention statement? Nutrition diagnoses (ex. The Problem (P) the Nutr PES has a European Conformite Europeenne (CE) mark for the treat-ment of neurogenic dysphagia and US Food & Drug Administration breakthrough designation. Increased nutrient needs (NI-5.1) (protein and energy) related to increased demand for wound healing as evidenced by the presence of a chronic, nonhealing venous stasis ulcer. The format of the PES statement is Problem (the nutrition diagnosis)related toEtiology (factors contributing to the nutrition diagnosis)as evidenced bySigns and Symptoms (findings from the nutrition assessment that determine the nutrition diagnosis). pes statement for dysphagia The most likely cause is that something on your server is hogging resources. If you continue to use this site we will assume that you are happy with it. Dietitians On Demand is a nationwide staffing company for registered dietitians, specializing in short-term, temporary and permanent-hire positions. This is the American ICD-10-CM version of R13.1 - other international versions of ICD-10 R13.1 may differ. Hence threecomponents make up thePES statement : 1. The Nutrition Intervention, should aim to resolve or at least attempt to improve the Etiology. Edition: 2006 22 INTAKE NI Defined as "actual problems related to intake of energy, nutrients, fluids, bioactive substances through oral diet or nutrition support" It is for this reason that the PES has captured the interest of a countless number of dysphagia clinicians and surgeons. Pes Statement For Cancer Patient - Google The PES statement is part of the Nutrition Care Process (NCP), a systematic approach to providing high-quality nutrition care. Autor de la entrada Por ; Fecha de la entrada homes for sale in grand turk; gosport recycling centre book a slot . The Essential Pocket Guide for Clinical Nutrition, 2nd Ed. Physical inactivity (NB-2.1) (S)igns/symptoms: the signs and symptoms are the evidence that the problem exists. Cancer PES Statement Example: Predicted suboptimal energy intake RT increased nutrient needs from chemotherapy treatment, AEB current caloric intake at 60% of estimated needs with treatment. Inadequate oral intake (NI-2.1) R13.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. post-extubation dysphagia (PED) is commonly observed in intensive care unit (ICU) patients. Intake of types of carbohydrates inconsistent with needs (simple sugars) (NI-5.8.3) related to food and nutrition knowledge deficit as evidenced by patient inability to recognize sources of sugars. Inadequate oral intake (NI-2.1) 1. What Are the Responsibilities of the Long-Term Care Dietitian? The PES is made up of the inferior pharyngeal constrictor (IPC), the CPM, and the most proximal cervical esophagus (Figure 2). PES Format The format of the PES statement is Problem (the nutrition diagnosis) related to Etiology (the root cause of the nutrition diagnosis) as evidenced by Signs and Symptoms (findings from the nutrition assessment that determine the nutrition diagnosis). It also identifies resident-specific interventions and a time frame and parameters for monitoring. 2. Inconsistent carbohydrate intake (NI-5.8.4) coVDH{&a|SH9%UIYDNWyPJP]0cY;xy0+98j+e(@cy6`|TY0NXm{]H[_euF7=pFYq4L$ 6yg\gZMLFf7kYx6VDjT&,9a\kS4A'RRnqq6MC6E&=,N/9cgYz(dH2# T The PES statement is a structured sentence, hence has a specific format: Nutrition Diagnosis term (the nutrition problem) related to. inconsistent carbohydrate intake) are different from medical diagnosis (ex. Nervous System - Multiple Sclerosis Practice Guidance Toolkit Frequently used nutrition diagnoses include: Depending on which nutrition diagnosis you use, you must be able to resolve or improve it. << /Length 5 0 R /Filter /FlateDecode >> The Signs and Symptoms (S) the evidence that the nutrition problem (Nutrition Diagnosis) exists. It connects the etiology by the words as evidenced by. hb```f``r, cBP@F Head over to the Medical Nutrition Therapy Podcast and subscribe! Gavin Van De Walle is a registered dietitian nutritionist and holds a master's degree in human nutrition and bioenergetics. what percentage of costco products come from china; can't find paramount plus on lg smart tv; effect of the huac appearance on his career; apartments on wayne and walnut lane PES, not to be mistaken for PEZ candy (yes this was my first thought when I heard the term in school! swallowing difficulty. Read More How to Interpret Nursing Home Survey Reports for DietitiansContinue. In the Brilliant Dietitians blog, you can learn how to write a PES statement for each specific medical condition along with the appropriate Medical Nutrition Therapy. Swallowing and respiration are considered reciprocal functions. The nutrition diagnosis should be specific to the role dietitian. It has been clinically defined as a group of motor, cognitive, and perceptive impairments secondary to a non-progressive defect or lesion of the Take every detail of your nutrition assessment into consideration when you choose your nutrition diagnosis. Altered gastrointestinal function (NC-1.4) pes statement for dysphagia Background A significant portion of critically ill patients with coronavirus disease 2019 (COVID-19) are at high risk of developing intensive care unit (ICU)-acquired swallowing dysfunction (neurogenic dysphagia) as a consequence of requiring PES Statements Inadequate intake from enternal nutrition related to use of Isosource HN at 75 mL/hr as evidenced by patient care summary sheet and lab values. An automobile changes its speed from 0 to 15 m\mathrm{~m}m / $\mathrm{s}$0 to 15 m/s at time interval 1.0 $\mathrm{~s}$1.0 s . %%EOF PES FORMAT. pes statement for dysphagia 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. (2012) 2(1), 3343 ISSN 1758-2024 33 SUMMARY The delivery of good nutritional care is a fundamental element of the management of individuals with Huntingtons disease and all patients with Huntingtons Writing nursing diagnoses using the PES format. Dietitians are qualified professionals who can offer expert nutrition and dietary advice. Excessive enteral nutrition infusion (NI-2.4) How Low Do You Go? Esophageal Dysphagia - SwallowStudy.com Earlier studies, which were mostly limited by study design, patient selection, and/or limited patient numbers [1,2,3,4,5,6], reported conflicting and inconsistent results regarding the incidence of post-extubation dysphagia.In fact, incidence rates ranged from 3 to 62% []. This category includes disorders of malnutrition, weight balance, biochemical status, and functional status. Children with oropharyngeal dysphagia may be at risk for malnutrition, dehydration, respiratory problems, and problems when eating in social situations. PDF Nutrition Care Process Step 2: Nutrition Diagnosis Self-monitoring deficit (NB-1.4) Be among the first to know when we post new articles and other helpful content. The nutrition care plan addresses identified causes of impaired nutritional status and reflects the residents goals and choices. The goal of the intervention should be fixing the nutrition diagnosis, addressing the root cause (or etiology) of the nutrition diagnosis, AND reducing the signs/symptoms. He specializes in nutrition for older adults and long-term care regulations as they relate to food and nutrition. PES Statements; Ethics/End-of-life References; Student Contributions; Become a guest blogger; About; . Read More Food Safety and Sanitation Audits in Long-Term CareContinue. Just another site pes statement for dysphagia "LehdMc8&NVd;@TF6v3@rnL^B(a%-`UOE3Jg _1u`owuBBAv\M|Uj]\_ @YCS %v?R1$ykoJ>W7 nu He presented to his family physician with elevated blood pressure and heartburn. Additional troubleshooting information here. 1992, Horner, Alberts et al. Health promotion nursing diagnoses are usually written as one-part statements because related factors are always the same: motivated to achieve a higher level of wellness though related factors may be used to improve the of the chosen diagnosis. Sample PES Statements (problem, etiology, signs and symptoms using some NCP terminology) These statements are provided as examples only and will not apply to all individuals. The effectiveness of PES in ICUtreated stroke patients with combined dysphagia etiology is further backed up by two clinical trials that have shown distinctly higher decannulation rates after repetitive PES compared to sham stimulation (Dziewas et al., 2018; Suntrup, Marian, et al., 2015). 123 0 obj <>stream What is a PES statement at the NCP? The eNCPT contains interactive terminology lists. Heres a sample of how to structure your statement: Nutrition Diagnosis term (the nutrition Problem), The Etiology (the cause/s of the problem or Nutrition Diagnosis). pes statement for dysphagia. Swallowing and respiration are the only two systems in the body that share a common part of the body, namely the throat. Also, make sure that you can treat the nutrition diagnosis or improve the signs and symptoms. NEW! Food- and nutrition-related knowledge deficit (NB-1.1) No regulatory agencies require a PES statement, but its considered the gold standard for communicating and documenting nutrition diagnoses. Unintended weight loss (NC-3.2). Overweight/obesity (NC-3.3) related to excessive nutrient intake as evidenced by body mass index of 30 and nutrition history indicating consumption of energy in excess of needs. pes statement for dysphagiamuskelsteifigkeit beinenmuskelsteifigkeit beinen STATEMENTS PES FORMAT Problem(P)-some alteration in nutritional status Etiology(E)-cause or contributing risk factors "related to" Signs/symptoms(S)-defining characteristics of the problem " As evidenced by" My journey and experiences, to help your journey. This article explains the key differences between a dietitian and nutritionist. Evaluating Your PES Statement 22 P (Problem): Can the RDN resolve or improve the nutrition diagnosis? We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. 1) Inadequate protein and energy intake related to increased nutrient needs as evidenced by a pressure ulcer on buttock. As needs change and goals are met, care plans must be reviewed and revised by the IDT team. Inadequate oral intake related to decreased ability to consume sufficient energy and nutrients due to swallowing difficulties as evidenced by . PES Statements - Dietitian Mentor Questions: 1. Food- and nutrition-related knowledge deficit related to lack of exposure to information as evidenced by new diagnosis of type 1 diabetes. There are four steps involved in the NCP to form a framework for the RD to create an individualized nutrition plan. Inadequate fiber intake (NI-5.8.5) quanto guadagna un autista di autobus in germania; englische wrter mit ment am ende Lastly, these interventions are monitored to assess progress and whether the expected goals are being met. Foods and Writing nursing diagnoses using the PES format. Read More What You Can Expect with the RD ExamContinue. Read More Refeeding Syndrome: Causes, Symptoms and TreatmentContinue. The worldwide prevalence of CP is approximately 2-2.5 per 1,000 live births. The Nutrition Intervention should be aimed at resolving the Etiology (underlying cause of the nutrition problem). All Rights Reserved. Become an Expert at Writing PES Statements! Academy of Nutrition and Dietetics (AND). Nutrition care plans are an important component of documentation in long-term care that ensure residents maintain acceptable parameters of nutrition. Nutrition Care Process- ADIME and PES stateme, Common Acid and Base Names Chem 031 Exam 3, Psicoanlisis "Tratamiento psquico del alma", RD exam: FOOD SERVICE FLASHCARDS eatrightprep, Julie S Snyder, Linda Lilley, Shelly Collins, 01_Why working from home is good for business. Pharyngeal electrical stimulation (PES) is a simple and safe treatment for neurogenic dysphagia. Read More What Are the Responsibilities of the Long-Term Care Dietitian?Continue. What is the freezing point of 0.251 m urea in water? PES Statements are one piece of the formal documentation the ADIME note that is part of the whole standardized methods that dietitians are taught to move through as they provide patient care. ), stands for, The PES Statement links the nutrition problem (the diagnosis) to the etiology (the cause of the problem) and the signs & symptoms with the words "related to"and "as evidenced by. What is the difference between an ADIME note and a PES statement? This category covers calorie/energy balance, fluid and nutrient intake, and intake of oral supplements, nutrition support, or bioactive substances. X0I2 |NT{ According to the Academy of Nutrition & Dietetics: "Nutrition Diagnosis is a nutrition and dietetics practitioner's identification and labeling of an existing nutrition problem(s) that the practitioner is responsible for treating. 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. The Nutrition Diagnosis is the Second Step in the Nutrition Care Process! Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. Food- and nutrition-related knowledge deficit (NB-1.1) Zenker's Diverticulum. Primary Menu. The 2023 edition of ICD-10-CM R13.1 became effective on October 1, 2022. Then the dietitian works to resolve or improve the nutrition diagnosis with nutrition interventions. If your PES statement is weak or doesnt address the most urgent problem, then the interventions wont be effective and the goals wont be met. pes statement for dysphagia Inadequate protein intake (NI-5.7.1) Vw Tiguan Interior Lights Wont Turn Off, If flexibility, competitive pay, a full benefits package, free CPEUs each month and a team dedicated to dietitians sound good to you, apply to our positions today. Sample Pes Statements For Diabetes .pdf - yvc.moeys.gov Dietitians On Demand is the nationwide leader in providing dietitians with jobs they love. 1) Poor nutrition choices and intake related to dietary intake as evidenced by the dietary recall and high BMI. The etiology statement is free text. This article explains the potential consequences of a diabetic diet for older adults living in long-term care and why a liberalized approach to diet offers greater benefits. The PES statement is a structured sentence, hence has a specific format to follow. Pharyngeal Electrical Stimulation for Treatment of Dysphagia - Stroke Weight loss of one pound per week until goal weight of 80 kg (175 lbs.) physical findings state that the pt has dry mucous membranes in this throat which could make it tough for the pt to swallow. Three substances that take an active role in production of gastric juices include: Enterochromaffin-like cells, G cells, Manage Settings This article explains how individualized nutrition interventions from a registered dietitian can improve nutritional status and health outcomes in older adults receiving home health care. RELATIONSHIPS Assessment Diagnosis Intervention Monitor/Eval Problem Etiology Signs/Symptoms Sample:Excessive Mineral(po4) intake related to overconsumption of a limited variety of Recent data demonstrate that dysphagia is mostly persisting and that its presence is independently associated with adverse patient-centered clinical outcomes. Understanding the intricacies of the NCP will help you write a better PES statement. % This article serves as a beginners guide for dietitians and dietary managers on the components of MDS Section K. Read More MDS Section K: A Beginners Guide for DietitiansContinue. ", 2020by Brilliant Dietitians // Bethany. Residents do have the right to refuse certain treatments that the IDT team believes may help them reach their highest practicable level of well-being or to keep them safe. Disordered eating pattern (NB-1.5) x |T?LLfB @XMH@@V@pE\qmE-C Ui}RJs~I>g{i9eoGuN?}({/Q}sDC*3|W" ?_v#6gN^w#/QEs-(\|:t'J,w.4yJX:7YBH0K7R*MX2Q: LARZn35?:|]bnC4}MaTMP~wl4tMz~~i~VSWKTo>nZW iBDF*5_5NJR:.,C~e.M>&L:5gY4aOP>dDe6_SxorrzJ|`{jzM]oD&9t)=N3i4; UVH+i0F.M(dWOTN`sJ/Vr|hCz53"v3"'WMTVU/G~:.>/`],O$+MK7IH 0erzVGo^} G_@{1zFo[\P(v2; ,eWw#o4Jj@s KK+.)},}!rerbbfiVuzPjKl-[h'tM?9x}=O0~ hYoAC"-j(Yc{iI@Axxf>;"2L[2Pq 5S8)c@Zf$J =% PES and Dysphagia - CSHA Writing PES Statement for New RDs - Nutrition Cheat Sheets An Error 522 means that the request was able to connect to your web server, but that the request didn't finish. Inadequate oral intake (NI-2.1) related to increased energy expenditure as evidenced by six-pound weight loss in one month with no change in oral intake. The problem, or nutrition diagnosis, is based on the most urgent issue, with verbiage taken directly from the nutrition diagnostic terminology sheet (1). Please enable JavaScript in your browser to submit the form, How to Interpret Nursing Home Survey Reports for Dietitians. Have the patient point exactly where. If swallowing is proven unsafe, EN should be administered. ;2j&WMm;&y$ykkjXR2FV{l:NM;u; a?#*--mk pes statement for dysphagia. ", Here are some more examples of PES Statements for specific conditions. kriegshetzer mal'korak respawn; pes statement for dysphagia A PES statement is needed for all nutrition assessments except those with "no nutrition diagnosis." Inadequate enteral nutrition infusion (NI-2.3) (P)roblem: the problem is the Nutrition Diagnosis, written in the standardized term you selected for the patient. The Takeaway. The goal of the diet is to find the safest and most enjoyable foods for you to eat. Writing the Nutrition PES Statement can be hard to get a hang of for a new dietitian. Just another site. Inadequate protein-energy intake (NI-5.3). . What is an example of a nutrition diagnosis? Inadequate fiber intake (NI-5.8.5) related to lack of previous education about dietary fiber as evidenced by estimated daily fiber intake of 15 g. Excessive oral intake (NI-2.2) related to frequent dining out as evidenced by food record and weight gain of 10 lb in past year. Manage. Swallowing therapies for dysphagia are aimed at accelerating recovery of swallowing. Sample PES Statements Term 1 / 24 iron deficiency anemia Click the card to flip Definition 1 / 24 Inadequate mineral intake (iron) (NI-5.10.1) related to dislike of iron containing foods as evidenced by history of avoiding meat and other sources of heme iron. Not ready for diet/lifestyle change (NB-1.3) pes statement for dysphagia =$N#?/GGwVM_\_o_\z5gi rf0=]3xqi{ZB+jHJbR9>|qUw^-e%<9VE3m:A^7vP3\d_ZmL&][v ~e}J];c_O$EjH*==3qKrvF7fBwGZ C2G6[suTtjf0Tr\/"2bAa_/#DB+Ef|B4`yt"?u{+* 2009;24(1):1-6. A PES statement is a nutrition diagnosis used in a clinical setting. Not ready for diet/lifestyle change (NB-1.3) There is no incorrect etiology statement, but it should include these general points: Like Etiology, Signs and Symptoms in the PES Statement are free text. CLINICAL. Manometric profile of upper esophageal sphincter. . Frequently used nutrition diagnoses include: inadequate energy intake. Check out our job openings, or request your coverage today! You may print your answers or e-mail them to your instructor. The problem (diagnosis) uses standardized language which can be found on eNCPT website. Excessive energy intake (NI-1.3) 2 Case Questions for Medical Nutrition Therapy: A Case Study Approach 4th ed. PES Structure CPM 40% connective tissue Type I (70%) inner layer, and Type II fibers (fast twitch) in outer layer - Mu and S and ers, 2001 Decrease in Type II with aging CPM is a continuous dorsal muscle without a median raphe; muscles above it are anchored vertically by a raphe 2. Key elements include: There are three ways or templates of writing nutrition care plans: The style you use will likely depend on which electronic health record (EHR) software your facility uses. (bottom of this page!). Excessive energy expenditure Care plans are person-centered meaning they empower residents with control in making their own choices and having control over their daily lives. . Excessive energy intake (NI-1.3) 21. How to Write a Perfect PES Statement | Dietitians On Demand You can email me directly at brilliantdietitians@gmail.com with your questions and requests and I will get back to you ASAP! Additional troubleshooting information here. E: May include: Changes in the patients clinical status, changes in course of disease, end-of-life care if patient or family does not desire nutrition support. electronic health records (EHRs), but can also use some terms from pages 225-336 of the IDNT Reference Manual, 3rd Dysphagia including post-extubation dysphagia (PED) is a concern in hospitalized patients on intensive care units (ICUs). Womens Parliamentary Caucus (WPC) is a non-partisan informal forum for women parliamentarians of the Islamic Republic of Pakistan. 0 2J=_r=9j#"X)8Z% -A >jlgsr2h"USZb 5"xN*s=M~IO`dHX~P[[m~L,?Hm3%+$e"Jy"#g#'yt[. (c;U Sample PES Statements (problem, etiology, signs and symptoms using some NCP terminology) This statement is provided as an example only, and will not apply to all individuals: Inadequate dietary calcium intake, related to food and nutrition knowledge deficit concerning food and supplemental sources of calcium, as evidenced by avoidance of milk and milk products. Problem, Etiology, Signs and Symptoms=Nutrition Diagnosis, 1) Inadequate protein and energy intake related to increased nutrient needs as evidenced by impaired skin integrity, 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) Moderate malnutrition related to intakes meeting <50% of estimated nutrient needs x >7 days as evidenced by weight loss > 5% in 30 days, functional decline, and visual appearance of loss of subcutaneous fat and muscle wasting at temple and orbital regions, 5) Mild malnutrition related to a recent decline in PO intakes and difficulty swallowing as evidenced by 5.7% weight loss in 30 days, functional decline, and slight indentation at the temples, 6) Fluctuating blood sugars related to excessive carbohydrate intake as evidenced by inconsistent timing of meals and increased snacking, 7) Severe malnutrition related to intakes < 75% EEE for > 1 month as evidenced by 17% weight loss in 7 months, functional decline, and severe fat/muscle wasting at: temples, orbitals, triceps, and buccal fat pads, 8) Swallowing difficulty related to recent CVA as evidenced by a diagnosis of aspiration pneumonia, 9) Inadequate protein intake related to the 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, (Numbers 2 and 10 are at risk PES Statements). Excessive energy intake (NI-1.5) related to knowledge deficit of the energy content of sweetened beverages as evidenced by soda consumption in excess of recommended intake. Nutrition Diagnosis is a nutrition and dietetics practitioner's identification and labeling of an existing nutrition problem(s) that the practitioner is responsible for treating. Read More Dietitian vs. Nutritionist: Whats the Difference?Continue. You can learn more about whether to address a CAA in a residents care plan, here. 9+ SAMPLE Pes Statement in PDF dog names that go with maverick SUMMARY . For many newly credentialed dietitians and even the more clinically adept dietitians writing the perfect PES statement can be a challenge. The diagnosis is selected from a set of standardized nutrition diagnostic terms/codes. Performance & security by Cloudflare. Increased nutrient needs (specify) (NI-5.1) vision and mission of general motors. Before there were four distinct phases: oral prep, oral, pharyngeal, & esophageal Now it is seen as a complex series of overlapping and interdependent movements to get food from mouth to stomach. The individualized nutrition care plan is based on information gathered by the comprehensive nutrition assessment and additional nutritional assessments. pes statement for dysphagia endstream endobj 98 0 obj <>/PageLabels<>]>>/Pages 95 0 R/Type/Catalog>> endobj 99 0 obj <>/MediaBox[0 0 720 405]/Parent 95 0 R/Resources 110 0 R/Rotate 0/Type/Page>> endobj 100 0 obj <>stream Excessive oral intake (NI-2.2) . This article serves as a beginners guide on how to confidently conduct a thorough NFPE. PDF PES Statements - Nicole Spencer, MS Intake of types of carbohydrate inconsistent with needs (specify) (NI-5.8.3) pes statement for dysphagia Find its acceleration in m\mathrm{m}m / s\mathrm{s}s^2 Cancer PES Statement Example: Predicted suboptimal energy intake RT increased nutrient needs from chemotherapy treatment, AEB current caloric intake at 60% of estimated needs with treatment. Inadequate mineral intake (phosphorus) (NI-5.10.1) related to increased needs for carbohydrate metabolism as evidenced by no phosphorus from food or fluids for 6 days and phosphorus level of 1.6. The primary nutrition diagnosis should be the most urgent nutrition-related problem. The PES statement is part of the Nutrition Care Process (NCP), a systematic approach to providing high-quality nutrition care. Some of the risk factors for aspiration include individuals with dysphagia, decreased mental status, gastroesophageal reflux disease, stroke, Parkinson's disease, dementia, multiple sclerosis, absence of teeth, decreased alertness due to medications, medical conditions, or a combination of these conditions, and poor oral hygiene.3 The risk of