Presentation for NUT 390i By Chris Shelton NUT 4700 PES Problem Etiology SignsSymptoms PES statements are written by Registered Dietitians They are used when an RD diagnoses a patients problem or needs ID: 484629
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Slide1
PES statements
Presentation for NUT 390i
By Chris SheltonSlide2
NUT 4700Slide3
PES = Problem, Etiology, Signs/Symptoms
PES
statements are written by Registered Dietitians. They are used when an RD diagnoses a patient’s problem or needs.
It’s a simple written statement that identifies the Problem; states the Etiology of the problem; and gives the Signs or Symptoms that support the diagnosis of a patient.Slide4
When do RDs write a PES?Slide5
Writing PES s
tatements
There
is a standardized language for writing a PES
statement:
It always includes: whatever the Problem is, how it is
related to
the Etiology of the problem,
as evidenced by
the Signs or Symptoms that you see as an RD
The
key words in this statement are “related to” and “as evidenced by.”Slide6
PES examples
70-yr
old white male admitted for cardiac bypass surgery. Doctor sees that patient is underweight so refers patient to
RD
RD
conducts an assessment and finds
patient
has lost weight (15 pounds in 3 months) without trying and has been eating poorly for several weeks. He lives alone at home and his wife died 3 months
ago Slide7
PES examples
A
sample PES would be:
“Involuntary weight loss
related to
missing meals
as evidenced by
loss of 15 pounds over 3 months.”
The
Problem is the weight loss. The Etiology is related to missing meals. The Signs or Symptoms are the 15 pounds lost over 3 months.Slide8
More PES examples
“Inadequate energy intake
related to
calorie intake not meeting calculated needs
as evidenced by
15lb weight loss in 3 months.”Slide9
More PES examples
Based on lab results:
“
Inadequate mineral intake (iron) related to iron intake not meeting needs as evidenced by low
Hgb
/
Hct
and ferritin.”Slide10
More PES examples
Socioeconomic:
“
Limited access to food related to inability to acquire food as evidenced by lack of income.”Slide11
Don’t forget
PES
statements are a written diagnosis of a patient’s nutritional problem.
A
PES is a simple statement that identifies the Problem, gives the Etiology of the diagnosis and states the Signs/Symptoms that support the diagnosis.
Always
use the words “related to” and “as evidenced by.” Slide12
Thank you!
References:
Mahan KL,
Escott
-Stump S. Krause’s Food and Nutrition Therapy. 12
th
ed. St. Louis, MO: Saunders Elsevier; 2008.
Lecture notes from NUT 4700 with Anne Keller, MS, RD; Metropolitan State University of Denver; Aug. 2013.