In the ADIME nutrition documentation framework, which component directly follows Assessment?

• A. Diagnosis
• B. Intervention
• C. Monitoring
• D. Evaluation

Answer: (A)

In the ADIME framework, the steps flow in a clear sequence: Assessment identifies the nutrition-related problems, which are then stated as a nutrition diagnosis. That diagnosis, often expressed as a PES statement, names the problem, its cause, and the evidence, and it directly guides what you’ll do next. So after gathering and interpreting data in the assessment, you formalize the nutrition diagnosis to pinpoint exactly what needs to be addressed.

For example, if the assessment reveals consistently low energy intake and unintended weight loss, the nutrition diagnosis would capture the inadequate energy intake as the problem, the etiology such as limited access to energy-dense foods or reduced appetite, and the signs/symptoms like intake well below estimated needs and observed weight loss. This diagnosis then informs the intervention plan, which aims to address the identified problem, followed by monitoring and evaluation to see if intake, weight, and other indicators improve and to adjust the plan as needed.