DiraChart · Clinical Reference · Read-only baseline inherited by all agencies
Core Assessment Domain · 2.4
Nutrition
Nutritional status, dietary intake, therapeutic diets, malnutrition and weight-change risk, and enteral nutrition — assessment and the skilled teaching that supports adequate intake and diet adherence.
General / Constitutional · Vital Signs (weight) · Hydration · GI · Endocrine / Metabolic · Taste / Swallowing · disease overlays (DM, CHF, renal) · Foundations apply to every visit.
How to use this module
This module supplies nutritional assessment and the skilled language that proves it required a licensed nurse — intake adequacy, therapeutic-diet adherence, malnutrition screening, and enteral-nutrition management. Weight measurement is shared with Vital Signs, swallowing mechanics with Taste / Swallowing, and disease-specific diet parameters (carbohydrate, sodium, renal restrictions) live in the relevant Disease overlays. The orientation throughout is toward adequate intake and preventing undernutrition. Each narrative is a structured example to be edited to the actual visit and the patient's ordered diet.
