Chapter 14: Assessment, planning, implementation and evaluation (APIE)

Case study 14.1: Jainal

The list might include:

  • Observe
  • Measure
  • Listen
  • Question
  • Examine
  • Explore
  • Analyse
  • Interpret

Case study 14.4: Graham revisited

The SMART goal for Graham’s nutrition could be that he gains 0.5kg weight per week and achieves a 3,000 calorie oral intake per 24 hours.  

Case study 14.5: Graham's weight

Your actions might include that you talk to Graham about his favourite foods and drinks, ensuring they are supplied and offered; with informed consent, refer Graham to a dietician to ensure a high calorie diet containing foods favoured by Graham; the maintenance of a food and fluid chart; assist Graham to eat and drink as required; ensure Graham is offered and provided with snacks every hour when awake; weigh Graham once a week (0900 hrs Tuesdays); weekly nutrition assessment tool completion; talk to Graham about his eating habits and possible reasons for weight loss.

Case study 14.6: Graham's evaluation

Your evaluation might say something like Graham has gained 0.6kg in seven days, his nutrition score is X; he consistently consumes all meals offered when assisted to eat and has achieved an average of 2,500 calories per 24 hours. Graham achieves a 2-litre fluid intake per 24 hours and says he looks forward to meal times although does not feel hungry in between meals. From this evaluation you can see Graham has gained weight but is not achieving the goal set of 3,000 calories or 2.5 litres oral intake although he is eating all his meals and has a positive response to meal times. Graham is still malnourished and the need still exists; the actions and implementation are suitable since they are starting to achieve the short-term goal; it would be appropriate to continue and revaluate this in a week.