COPD: Scope of Guideline (2008)
Below, you will find a list of characteristics that describe the Scope of this Guideline.
Guideline Category
Assessment of Therapeutic Effectiveness, Counseling, Evaluation, Management, Treatment
Clinical Specialty
Allergy and Immunology, Critical Care, Family Practice, Nutrition, Pulmonary Medicine
Intended Users
Registered Dietitians, Advanced Practice Nurses, Health Care Providers, Nurses, Pharmacists, Physician Assistants, Physicians, Respiratory Care Practitioners, Students
Guideline Objective(s)
- To provide MNT guidelines for chronic obstructive pulmonary disease to achieve and maintain normal weight and improve quality of life.
- To define evidence-based COPD nutrition recommendations for registered dietitians (RDs) that are carried out in collaboration with other healthcare providers
- To guide practice decisions that integrate medical, nutritional and behavioral strategies
- To reduce variations in practice among RDs
- To provide the RD with data to make recommendations to adjust MNT or recommend other therapies to achieve desired outcomes
- To enhance the quality of life for the adult with COPD, utilizing customized strategies based on the individual’s preferences, lifestyle and goals
- To develop guidelines for interventions that have measurable clinical outcomes
- To define the highest quality of care within cost constraints of the current healthcare environment.
Overall Objective
Target Population
Adult (19 to 44 years), Middle Age (45 to 64 years), Aged (65 to 79 years), Male, Female
Target Population Description
Adults with COPD.
Interventions and Practices Considered
- Nutrition Assessment
- Nutrition Diagnosis
- Nutrition Intervention
- Nutrition Monitoring and Evaluation.
I. Referral to a Registered Dietitian
II. Medical Nutrition Therapy
A. Nutrition Assessment
Below you will find the nutrition assessment terms related to COPD care from International Dietetics & Nutrition Terminology Reference Manual. Standardized Language for the Nutrition Care Process. Third Edition.
- Medical/health history
- Medication and supplement history
- Social history
- Personal history
- Height, weight and BMI, waist circumference
- Weight change rate
- Food intake
- Nutrition and health awareness
- Physical activity and exercise
- Food availability
- Psychosocial and economic issues impacting nutrition therapy
- Consideration of co-morbid conditions and need for additional modifications in nutrition care plan
B. Nutrition Diagnosis
Below you will find the nutrition diagnoses related to COPD care from International Dietetics & Nutrition Terminology Reference Manual. Standardized Language for the Nutrition Care Process. Third Edition.
- Inadequate energy intake
- Excessive energy intake
- Inadequate oral food/beverage intake
- Excessive oral food/beverage intake
- Inadequate intake from enteral/Parenteral nutrition
- Excessive intake from enteral/Parenteral nutrition
- Inappropriate infusion of enteral of Parenteral nutrition
- Inadequate fluid intake
- Excessive fluid intake
- Excessive alcohol intake
- Evident protein-energy malnutrition
- Inadequate fiber intake
- Excessive fiber intake
- Altered GI function
- Altered nutrition-related laboratory values
- Underweight
- Involuntary weight loss
- Overweight/obesity
- Involuntary weight gain
- Food- and nutrition-related knowledge deficit
- Swallowing difficulty
- Biting/Chewing (Masticatory) difficulty
- Physical inactivity
- Inability or lack of desire to manage self-care
- Impaired ability to prepare foods/meals
- Self-feeding difficulty
- Limited access to food
C. Nutrition Intervention (Planning and Implementation)
Individualized prescription based on:1. Food/Nutrition Intervention2. Physical activity Interventions3. Behavioral Interventions4. Pharmacotherapy, when indicated
Below you will find the nutrition interventions related to COPD care from International Dietetics & Nutrition Terminology Reference Manual. Standardized Language for the Nutrition Care Process. Third Edition.
Meals and snacks- Enteral or Parenteral nutrition
- Medical Food Supplements
- Bioactive Substance Supplements
- Feeding Assistance
- Feeding Environment
- Comprehensive nutrition education
- Nutrition counseling
- Strategies
- Coordination of nutrition care
- Discharge planning and transfer of nutrition care to new setting or provider
Below you will find the nutrition monitoring and evaluation terms related to COPD care from International Dietetics & Nutrition Terminology Reference Manual. Standardized Language for the Nutrition Care Process. Third Edition.
Nutrition-related ADLs and IADLs
- Physical activity
- Food and nutrient intake outcomes
- Nutrition-related physical sign/symptoms outcomes
- Nutrition-related patient/client centered outcomes