Nutrition & Foodservice Edge Magazine - March/April 2024 - 15

REFERENCES
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COMPETENCY
NUTRITION SCOPE OF PRACTICE FOR THE CDM, CFPP
TASK
Gather Nutrition Data
* Interview and identify client specific nutritional needs/problems
* Review nutrition screening data and calculate nutrient intake
* Document in the medical record
* Identify food customs and nutrition preferences based on race, culture, religion, and food
intolerances
Apply Nutrition Data
* Implement and include in the nutrition care plan prescribed diet orders, special nourishments,
supplemental feedings
* Modify diet plan as needed following standards of nutrition care/evidence-based guidelines
* Utilize standard nutrition care procedures following ethical and confidentiality principles and
practices
* Participate in care conferences and review effectiveness of nutrition care
Provide Nutrition Education
* Utilize evidence-based educational materials to teach clients and staff about basic diet information
*
Honor specific client preferences and the appropriateness of acceptable food substitutions
CDM, CFPP Scope of Practice, www.CBDMonline.org/cdm-resources/cdm-cfpp-scope-of-practice
DISEASE STATE
Poor Dentition
Xerostomia (dry mouth)
Dysphagia
GERD
GI Cancer
Gastroparesis
IBS
Food Intolerances
Food Allergies
Celiac Disease
Crohn's Disease/Colitis
Mouth
Mouth
Esophagus
DIGESTIVE DISEASE OVERVIEW
ORGAN/S AFFECTED
NUTRITION THERAPY/RESOURCE*
Soft foods, assistance with cutting as needed
Increased fluids (30 cc/kg), hard candy or
mints if not a choking risk
IDDSI diet as prescribed (IDDSI-IDDSI Framework)
Esophagus
(can also affect teeth and mouth) Low-fat, avoid heavy spices, peppermint,
chocolate, elevated upper body after eating,
small meals
All organs of GI tract
Stomach
Stomach, small intestine, large intestine
Mouth, esophagus, stomach, small intestine,
large intestine, anus
Mostly immune system involvement, symptoms
can occur in many areas of GI tract
Small intestine
Distal part of small intestine, large intestine
Diet and preferences per symptoms,
individualized treatment per MD
Small meals, low-fat diet, CHO controlled diet
to manage DM
FODMAP diet, stress management
Avoid foods that cause symptoms
Avoid allergens, avoid cross-contamination/
cross-contact
Gluten-free diet (Celiac Disease Foundation)
Avoid foods that cause symptoms, correct vitamin
and mineral deficiencies, individualized
nutrition plan (Homepage | Crohn's & Colitis
Foundation, crohnscolitisfoundation.org)
Diverticulitis
Constipation
Large intestine
Large intestine
Low-fiber diet, possibly liquid diet in acute
phases, plenty of fluids
High-fiber diet (25-38 grams), increased fluid
(28-30 cc/kg), movement/exercise
* General diet information source: Zikmund (2020). Use your approved diet manual for more information and handouts.
NUTRITION & FOODSERVICE EDGE | MARCH-APRIL 2024 15

https://www.anfponline.org/news-resources/nutrition-and-foodservice-magazine/qr-code-landing-pages/march-april-2024 http://www.CBDMonline.org/cdm-resources/cdm-cfpp-scope-of-practice http://www.crohnscolitisfoundation.org

Nutrition & Foodservice Edge Magazine - March/April 2024

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