Nutrition ICNP terms for discussion
Here is the list of nutrition ICNP terms for discussion at the March 2021 Meeting
Positive Appetite: https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10040333
Positive Nutritional Status: https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10025002
Impaired Low Nutritional Intake: https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10025519
Nutritional Intake Within Normal Limits: https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10037572
Risk For Nutritional Excess: https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10025471
Deficient Food Intake:https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10000607
Fluid Balance Within Normal Limits: https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10033721
Risk For Excess Food Intake:https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10015114
ICNP definitions
Appetite definition: Sensation of desire to satisfy bodily need for nutrients or particular types of food. See: https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10002455
Nutritional status definition: Weight and body mass in relation to intake of nutrition and specific nutrients estimated according to height, body build and age. See: https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10013419
Nutritional Intake definition: Quantity and quality of nutrients or food taken into the body. See: https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10013403
Comments
Sorry I missed the meeting yesterday. For some reason, I don't always get notified, even though I am watching.
ICNP is represented under the Web Ontology Language. The information in the ICNP browser is derived from this source and has most of the associated information about individual concepts. It does however lack the formal OWL definition (which in some contexts is more important than the textual description). Other important information that is sometimes a little hidden in the browser is hierarchical placement, although parents and children are given. I don't want to go into the structure of ICNP here but there is often an apparent mirror concept - both a focus and a diagnosis/outcome that looks very similar. For this work, we are really only interested in the diagnosis/outcome and not in the focus. And finally, to avoid the proliferation of nuances of concepts such as impaired, altered, abnormal, etc. and their corresponding opposites, ICNP uses in its knowledge name negative and positive. This is interpreted into the preferred term 'Impaired Low Nutritional Intake' in its most natural or usual form. Impaired does not mean low - it means negatively judged - and conversely low does not necessarily imply negative.
I hope this is helpful - or at least informative.
Thanks for this information, it is helpful
I understand all of these nutrition DC except: Impaired Low Nutritional Intake. It does not make sense to me
What a very interesting discussion yesterday. I'm going into the ICNP browser today and make an initial pass at these terms. I will probably not go in order as listed. This my first time into the browser. I was notable to find the definition of "positive" that Kathy referred to. My recollection is that it is term used to embrace concepts like normal, within normal limits and similar. I could also not find a definition for "body mass" and am not assuming it is the same as body mass index.
Risk for nutritional excess and Risk for excessive food intake are not differentiated in the browser only that the former is the parent of the later. These terms and their opposites, Risk for nutritional deficit and Risk for deficient food intake, correspond to IDNT terms Predicted Excessive Nutrient Intake and Predicted Inadequate Nutrient Intake. Noteworthy that in the IDNT only the parent concept is considered. IDNT would use the terms "nutrient" or " nutrition" not "nutritional" and would not differentiate between food and nutrition or nutrients since food is just one way to get nutrition or nutrients.
There are 2 Positive Nutritional Status terms. They have differing codes, parents and children; but, they are similar. They also lie in different Axis. I'm not sure what that means. I think we are working on terms in the Diagnosis/Outcomes Axis
Normal definition: Normality State: Conforming with a norm, typical, standard, the usual or expected state, https://neuronsong.com/_/_sites/icnp-browser/#/2019/concepts/en/10013295. Normal appetite would probably work for Positive appetite.
There are number of references to judgement in the descriptions of terms that include Impaired. I assume this is referring to nursing judgment. Impaired Low Nutritional Intake almost seems like a double negative. I am having difficulty getting my head around this concept. Is an interpretation of this term, It is my negative judgement the patient has low nutritional intake? Is low the same as inadequate?
Today's final thought: going back to body mass and the definition of nutritional status, nutritional status here seems to be solely a function of weight. I am not aware of weight standards by age. There are some weight standards that consider frame size (body build?). It is possible to have normal weight persons in poor nutritional status.
Looking forward to our continued discussions. Is there a source document for the ICNP that goes into more detail than the browser?