CD: Scope of Guideline (2009)
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, Endocrinology, Family Practice, Gastroenterology, Hematology, Neurology, Nutrition, Obstetrics and Gynecology, Pediatrics, Rheumatology
Intended Users
Registered Dietitians, Advanced Practice Nurses, Allied Health Personnel, Nurses, Pharmacists, Physician Assistants, Physicians, Social Workers, Students
Guideline Objective(s)
- To provide MNT guidelines for celiac disease to promote optimal health, prevent and treat malabsorption/malnutrition and other comorbidities, and improve quality of life.
Specific Objectives
- To define evidence-based celiac disease 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 achieve consistency 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 individual with celiac disease, 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.
Target Population
Infant (1 to 23 months), Child (6 to 12 years), Adolescent (13 to 18 years), Adult (19 to 44 years), Middle Age (45 to 64 years), Aged (65 to 79 years), Male, Female
Target Population Description
People with celiac disease.
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 celiac disease care from International Dietetics & Nutrition Terminology Reference Manual. Standardized Language for the Nutrition Care Process. Third Edition.
1. Client history
- Medical/health history
- Medication and supplement history
- Social history
- Personal history
- Height, weight and BMI
- 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
- 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/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 celiac disease 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
- Nutrition-related ADLs and IADLs
- Physical activity
- Food and nutrient intake outcomes
- Nutrition-related physical sign/symptoms outcomes
- Nutrition-related patient/client centered outcomes
For more information on the guideline components, use the links on the left to access:
- Scope of Guideline
- Statement of Intent
- Guideline Methods
- Implementation of the Guideline
- Benefits and Harms of Implementing the Recommendations.