The ADIME template by s10.ai is an all-encompassing documentation tool designed for dietitians to evaluate, diagnose, intervene, and monitor patients' nutritional health. This template is perfect for dietitians aiming to develop comprehensive nutrition care plans, incorporating dietary assessments, weight management strategies, and lifestyle changes. It addresses various elements such as anthropometrics, dietary habits, physical activity, and lifestyle factors, ensuring a thorough approach to patient care. The ADIME template is especially beneficial for tracking progress and establishing SMART goals, making it an indispensable asset for successful nutrition management.
Organized sections for comprehensive clinical documentation
Example of completed documentation using this template
Reason for visit: Patient is seeking advice on weight management and enhancing overall nutrition.Assessment:- Female, 35 years old, born on 15 March 1989- Personal history: No significant medical history, family history of diabetes, non-smoker, occasional alcohol use- Anthropometrics: Height 165 cm, weight 70 kg, BMI 25.7, weight history includes a gain of 5 kg over the past year, ideal body weight 61 kg based on Hamwi equation- Weight history: Current goal is to lose 5 kg over the next 6 months- GI: Regular bowel movements, no GI symptoms reported- Nutrition-focused physical findings: Normal muscle and fat assessment, good skin turgorMedications:- NoneSupplements:- Multivitamin dailyBiochemical data: Normal blood glucose levels, slightly elevated cholesterolDiet pattern: 3 meals and 2 snacks per dayDiet recall: Breakfast includes oatmeal and fruit, lunch is a salad with chicken, dinner is grilled fish with vegetables, snacks include nuts and yogurt, drinks 2 litres of water daily- Diet history: Prefers vegetarian meals, no food allergies, food secure- Previous diet attempts: Tried low-carb diet in the past- Disordered eating: Occasional emotional eating during stressPhysical activity:- Physical activity history: Jogging for 30 minutes, 3 times a week- Physical limitations: None- Interested in starting yogaLifestyle/social factors:- Occupation: Marketing manager, hybrid work schedule- Sleep quality: Fair, 6 hours per night, occasional disruptions- Stress levels: Moderate, manages stress through meditationSummary: The patient is a 35-year-old female seeking nutritional advice for weight management. She has a family history of diabetes and has gained 5 kg over the past year. Her current goal is to lose 5 kg in 6 months. She maintains a balanced diet and regular physical activity but experiences occasional emotional eating. She is interested in incorporating yoga into her routine.Diagnosis:- Nutrition diagnosis: Overweight (ICD-10: E66.3)- PES statement: Overweight related to excessive caloric intake as evidenced by BMI of 25.7 and recent weight gainIntervention:- Nutrition prescription: Reduce daily caloric intake by 500 kcal- Food and/or nutrient delivery: Increase intake of fruits and vegetables, reduce processed foods- Education discussed on specific nutrition guidelines, physical activity, health behaviors- Counseling: Strategies to manage emotional eating and stress- Coordination of nutrition care with other healthcare professionals if needed- SMART goals: Lose 5 kg in 6 months by reducing caloric intake and increasing physical activityMonitoring and Evaluation:- Progress evaluation: Track weight, dietary intake, and physical activity- Follow-up care: Schedule follow-up appointment in 3 months
Key advantages of using this template in clinical practice
Common questions about this template and its usage