The following meanings apply to all rules promulgated by the
Ohio board of dietetics
state medical board of Ohio, unless a specific
paragraph explicitly defines or uses the word or term in a different
manner.
(A) "Nutritional assessment"
means the integrative evaluation of nutritionally relevant data to develop an
individualized nutritional care plan. These data may include:
(1) Nutrient intake;
(2) Anthropometric measurements;
(3) Biochemical values;
(4) Physical and metabolic
parameters;
(5) Socio-economic
factors;
(6) Current medical
diagnosis and medications; and
(7)
Pathophysiological processes.
The mere collection of these data for use in assessment is not
nutritional assessment and does not require a dietitian licensed under section
4759.06 of the Revised
Code.
(B)
"Nutritional counseling" means the advising of individuals or groups regarding
nutritional intake by integrating information from the nutritional assessment
with information on food and other sources of nutrients and meal preparation
consistent with cultural background and socioeconomic status.
The distribution by an individual of written information
prepared by a licensee is not nutritional counseling, and any person
distributing the written information need not be licensed under section
4759.06 of the Revised
Code.
(C) "Nutritional
education" means a planned program based on learning objectives with expected
outcomes designed to modify nutrition-related behaviors. This does not prohibit
an individual from providing general non-medical nutrition information if the
person does not violate division (B) of section
4759.02 of the Revised
Code.
(D) "Nutritional care
standards" means policies and procedures pertaining to the provision of
nutritional care in institutional and community settings.
(E) "Nutritional care" means the application
of the science of nutrition in the health and disease of people.
(F) "Board" means the
Ohio board of dietetics.
state medical board of Ohio.
(G) "Commission" means "The Commission on
Dietetic Registration."
(H) "The
Academy". means "The Academy of Nutrition
and Dietetics."
(I) "Medical
nutrition therapy" means the use of specific nutrition services to treat, or
rehabilitate an illness, injury, or condition. Medical nutrition therapy
includes nutrition assessment, intervention, education, and
counseling.
(J) "Council on
postsecondary accreditation" is synonymous with "Commission on recognition of
post-secondary accreditation."
(K)
For purposes of division (B)(2) of section
4759.02 of the Revised Code, the
terms "Nutritionist",
"Nutritionist," "Nutrition counselor" and like
terms tend to indicate the person is practicing dietetics.
(L) "High nutritional risk" means, but is not
limited to, an individual to whom one or more of the following apply:
(1) Has a diagnosis of or presence of risk
factors for malnutrition, dehydration, anemia, malabsorption disorders, vitamin
and mineral deficiencies;
(2)
Receives enteral or parenteral nutrition;
(3) Has pressure ulcer(s), open wounds(s), or
non-healing wound(s);
(4)
Significantly low albumin or hemoglobin levels, or elevated blood urea nitrogen
and electrolyte imbalances;
(5)
Severe chewing or swallowing problems;
(6) Consistently poor food/fluid
intakes;
(7) Individuals who are
less than ninety per cent of standard weight for height, or who exhibit
significant weight changes as defined by accepted practice
guidelines;
(8) Decreased
activities of daily living (ADL);
(9) Decreased cognitive ability;
(10) A pregnant female who was fifteen years
of age or less at the time of conception;
(11) Infants who are small for gestational
age, or a pre-term infant of low birth weight.
(M) "General non-medical nutrition
information" means information on the following:
(1) Principles of good nutrition and food
preparation;
(2) Food to be
included in the normal daily diet;
(3) The essential nutrients needed by the
body;
(4) Recommended amounts of
the essential nutrients;
(5) The
actions of nutrients on the body;
(6) The effects of deficiencies or excesses
of nutrients; or
(7) Food and
supplements that are good sources of essential
nutrients.