Nutrition Care Process


The Nutrition Care Process (NCP) is designed to improve the consistency and quality of individualized care for patients/clients or groups and the predictability of the patient/client outcomes. It is not intended to standardize nutrition care for each patient/client, but to establish a standardized process for providing care. 

There are four steps in the process (click for a larger view of diagram):
  1. Nutrition Assessment
  2. Nutrition Diagnosis
  3. Nutrition Intervention
  4. Nutrition Monitoring and Evaluation


The downloadable "SNAPshot" handouts below are from the Nutrition Care Process In-Depth Toolkit. They provide guided, in-depth learning on the NCP and the standardized language in the International Dietetics and Nutrition Terminology (IDNT) Reference Manual and are designed to help practitioners better understand and implement the NCP/IDNT.

NCP and the EAL

In the EAL, the Nutrition Care Process is used to serve as the context for the way questions are formulated for evidence analysis. Workgroup members find it helpful to keep assessment factors, relevant diagnoses, range of interventions, and the intended outcomes in mind when formulating the questions.  

Throughout the EAL, the evidence analysis questions are categorized by one of the 4 NCP categories. Evidence analysis questions that fall outside the NCP are categorized under Basic Research category. 
  • To learn more about the Nutrition Care Process, please visit
  • The IDNT Reference Manual is a comprehensive guide for dietetics and nutrition professionals that includes essential tools and terminology to implement all four steps of the Nutrition Care Process. The IDNT Reference Manual Edition 4 is no longer available for purchase. eNCPT will be available August 1, 2014. 

The IDNT and Electronic Health Records

The Academy continues to work toward including the concepts from the Nutrition Care Process and the specific terms from the International Dietetics and Nutrition Terminology (IDNT) in electronic health records (EHRs) in two important ways:
  • Development of messaging standards for electronic health records
  • Incorporation of IDNT into standardized informatics languages and language systems.
For more information regarding on these important initiatives, please email