Author name: Amy Shults, RDN, CDN, CDCES

ADIME is a format of medical charting that stands for assessment, diagnosis, intervention, monitoring and evaluation. ADIME charting is specifically for dietitians as it mimics the steps of the Nutrition Care Process (NCP). Read more for an example, if it is required to use and how to adopt it into your practice.

Patients with constipation can have a wide variety of nutrition problems and etiologies. There is no “right” or “wrong” PES statement, but make sure yours is specific to the patient using the data you collected in your assessment. There are many potential nutrition diagnoses across all the domains that can pertain to patients with constipation.

Patients with cancer can have a wide variety of nutrition problems and etiologies. There is no “right” or “wrong” PES statement, but make sure yours is specific to the patient using the data you collected in your assessment. There are many potential nutrition diagnoses across all the domains that can pertain to patients with cancer.

The eNCPT uses malnutrition definitions from the 2012 AND/ASPEN consensus statement on malnutrition, so be sure to keep these guidelines in mind when deciding on a nutrition diagnosis. Other nutrition diagnoses from other domains can be applicable to patients with malnutrition as well. Make sure your PES statement is specific to the patient using the data you collected in your assessment.

Patients with hypertension can have a wide variety of nutrition problems and etiologies. There is no “right” or “wrong” PES statement, but make sure yours is specific to the patient using the data you collected in your assessment. There are many potential nutrition diagnoses across all the domains that can pertain to patients with hypertension.

Diabetes is a complex disease that can have a wide variety of nutrition diagnoses across all the domains. While there is no “right” or “wrong” PES statement, but make sure yours is specific to the patient. Nutrition diagnosis should ideally be resolved, or at least improved, through a nutrition intervention provided by the dietitian.

Obesity is a complex disease that can have a wide variety of nutrition problems and etiologies. There is no “right” or “wrong” PES statement, but make sure yours is specific to the patient using the data you collected in your assessment. There are many potential nutrition diagnoses across all the domains that can pertain to patients with obesity.

PES stands for problem, etiology, signs/symptoms. PES statements use standardized terminology and are used by dietitians to communicate the nutrition diagnosis of a patient. PES statements are part of a larger framework known as the Nutrition Care Process (NCP) which provides dietitians with a framework to provide nutrition care using a systematic approach.