ONC: Scope of Guideline (2007)
Guideline Scope Characteristics
The major focus of this guideline is on nutritional assessment and treatment, and cancer site specific dietary interventions.
Below you will find a list of characteristics that describe the Scope of this Guideline.
Counseling, Management, Treatment
Family Practice, Nutrition, Oncology, Pharmacology
- To define evidence-based 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 elements
- To reduce variations in practice among RDs
- To promote self-management strategies that empower the patient to take responsibility for day-to-day management
- To enhance the quality of life for the patient, utilizing customized strategies based on the individual’s preferences, lifestyle and goals
- To develop guidelines for interventions that have measureable clinical outcomes
- To define the highest quality of care within cost constraints of the current healthcare environment.
Adult (19 to 44 years), Middle Age (45 to 64 years), Aged (65 to 79 years), Male, Female
Target Population Description
Interventions and Practices Considered
- Monitoring and Evaluation.
I. Referral to a Registered Dietitian
Below you will find the nutrition assessment terms related to oncology care from International Dietetics & Nutrition Terminology Reference Manual: Standardized Language for the Nutrition Care Process, Second Edition.
1. Medical history and relevant laboratory values
- Height, weight and BMI
- Comprehensive diet history, including current dietary intake and willingness to undertake behavior change
- Physical activity pattern
- Psychosocial and economic issues impacting nutrition therapy
- Consideration of co-morbid conditions and need for additional modifications in nutrition care plan.
Below you will find the nutrition diagnoses related to oncology care from International Dietetics & Nutrition Terminology Reference Manual: Standardized Language for the Nutrition Care Process, Second Edition.Hypermetabolism NI-1.1
- Hypometabolism (NI 1.3)
- Inadequate energy intake (NI-1.4)
- Excessive intake (NI-1.5)
- Inadequate oral food or beverage intake (NI-2.1)
- Excessive oral food/beverage intake (NI-2.2)
- Inadequate intake from EN or parenteral nutrition (PN) infusion (NI-2.3)
- Excessive intake from EN or PN infusion (NI-2.4)
- Inappropriate infusion of EN or PN infusion (NI-2.5).
- Inadequate fluid intake (NI-3.1)
- Excessive fluid intake (NI-3.2)
- Inadequate bioactive substance intake (NI-4.1)
- Excessive bioactive substance intake (NI-4.2)
- Inadequate vitamin intake (NI-54.1)
- Excessive vitamin intake (NI-54.2)
- Swallowing difficulty (NC-1.1)
- Altered GI function (NC-1.4)
- Underweight (NC-3.1)
- Involuntary weight loss (NC-3.2)
- Involuntary weight gain (NC-3.4)
- Food and Nutrition-Related Knowledge Deficit (NB-1.1)
- Harmful beliefs/attitudes about food- or nutrition-related topics (NB-1.2)
- Limited access to foods (NB-3.2)
- Dietary interventions
- Physical activity interventions
- Behavioral interventions
- Pharmacotherapy or surgery, when indicated.
Below you will find the nutrition interventions related to oncology care from International Dietetics & Nutrition Terminology Reference Manual: Standardized Language for the Nutrition Care Process, Second Edition.Modify distribution, type, or amount of food and nutrients within meals or at specified time Meals and Snacks (ND-1)
- Initiate enteral or parenteral nutrition (ND-2)
- Medical Food Supplements (ND-3)
- Vitamin and Mineral Supplements (ND-3.2)
- Bioactive Substance Supplement (ND-3.3)
- Feeding Environment (ND-5)
- Nutrition Education (E)
- Nutrition Counseling (C)
- Coordination of Nutrition Care (RC)
The monitoring of progress, measuring of outcomes, and evaluating of outcomes against criteria to determine changes in specific indicators of nutrition care outcomes.
Below you will find the nutrition monitoring and evaluation terms related to oncology care from International Dietetics & Nutrition Terminology Reference Manual: Standardized Language for the Nutrition Care Process, Second Edition.