Glossary

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ACBN

American Clinical Board of Nutrition, whose Diplomate of the American Clinical Board of Nutrition credential is accredited by the National Commission for Certifying Agencies.

ACEND

The Accreditation Council for Education in Nutrition and Dietetics, which is the Academy of Nutrition and Dietetics’ accrediting agency for education programs preparing students for careers as Registered Dietitian Nutritionists or Nutrition and Dietetic Technicians, Registered.

ACEND

Accreditation Council for Education in Nutrition and Dietetics

Act

Dietetics/Nutrition Practice Act in Article 25 of Chapter 90 of the General Statutes.

Alternate Supervised Experiential Learning

Observational hours that do not involve direct patient or client care or the discussion thereof. Such hours are limited to: observing videos of client and practitioner interactions; shadowing an experienced clinician; participating in simulation exercises or role playing; or utilizing case studies to prepare treatment plans.

Applicant

Any person who has applied to the Board for a license to lawfully do any of the acts listed under G.S. 90-365(a).

Application

A written request directed to and received by the Board, on forms supplied by the
Board, for a license to lawfully do any of the acts listed under G.S. 90-365(a), together with all information, documents, and other materials necessary to demonstrate that the applicant has met the requirements for licensure as specified in the Act.

BCNS

Board for Certification of Nutrition Specialists, whose Certified Nutrition Specialist credential is accredited by the National Commission for Certifying Agencies.

Board

The North Carolina Board of Dietetics/Nutrition.

CDR

Commission on Dietetic Registration, whose Registered Dietitian Nutritionist credential is accredited by the National Commission for Certifying Agencies.

Certified Nutrition Specialist

An individual certified by the Board for Certification of Nutrition Specialists.

Degree

A degree received from a college or university that was regionally accredited at the
time the degree was conferred, or a validated foreign equivalent.

Dietetics

The integration and application of principles derived from the science of nutrition, biochemistry, physiology, food, and management and from behavioral and social sciences to achieve and maintain a healthy status. The primary function of dietetics is the provision of medical nutrition therapy.

Dietitian/Nutritionist or Nutritionist

One who is engaged in dietetics or nutrition practice.

Diplomate of the American Clinical Board of Nutrition

An individual certified by the American Clinical Board of Nutrition.

Direct Supervised Experiential Learning

Nutrition care services provided for the benefit of patients or clients. Such hours are limited to: counseling individuals and groups; researching and developing patient or client treatment plans for current patients or clients; researching, preparing, and presenting patient or client workshops; community education involving development and delivery of education to a specific population; supervisor grand rounds and one-on-one meetings with one’s supervisor to discuss current patient or client care; or direct hours approved as part of a programmatically accredited supervised practice program.

Exempt

A person may be exempt from the requirement of a license to provide nutrition care services if they are listed under NCGS § 90-368. For example, a health care professional licensed under Chapter 90 of the General Statutes who is acting within the scope of the individual’s licensed profession, does not need to obtain a license with the NCBDN to provide nutrition care appropritate under their profession, provided that the individual does not use the titles licensed dietitian/nutritionist or licensed nutritionist.

Health Care Practitioner

Any individual who is licensed under G.S. 90 and whose licensed scope of practice includes dietetics or nutrition.

LDN

Licensed Dietitian/Nutritionist

Licensed Dietitian/Nutritionist or Licensed Nutritionist

An individual licensed in good standing to practice dietetics, nutrition, or both.

LN

Licensed Nutritionist

Medical Nutrition Therapy (aka "MNT")

The provision of nutrition care services for the purpose of managing or treating a medical condition.

Non-Exempt

This term is used in Guideline A and other locations to describe an unlicensed person, who is not “otherwise” exempt under NCGS § 90-368.

Nutrition

The integration and application of principles derived from the science of nutrition, biochemistry, metabolism, and pathophysiology to achieve and maintain a healthy status. The primary function of nutrition practice is the provision of medical nutrition therapy.

Nutrition Assessment
  • The initial and ongoing, dynamic, and systematic process of obtaining, verifying, and interpreting biochemical, anthropometric, physical, nutrigenomic, clinical, and dietary data to determine nutritional needs and order therapeutic diets, including enteral and parenteral
    nutrition;
  • the ordering of laboratory tests related to the practice of nutrition and dietetics; and
  • the conducting of a swallow screen.

The collection of data does not, by itself, constitute nutrition assessment.

Nutrition Care Services

Any part or all of the following:

  • Assessing and evaluating the nutritional needs of individuals and groups, and determining resources and constraints in the practice setting, including ordering laboratory tests related to the practice of nutrition and dietetics.
  • Establishing priorities, goals, and objectives that meet nutritional needs and are consistent with available resources and constraints.
  • Providing nutrition counseling in health and disease.
  • Developing, implementing, and managing nutrition care systems.
  • Evaluating, making changes in, and maintaining appropriate standards of quality in food and nutrition services.
  • Ordering therapeutic diets.
Nutrition Counseling

The advice and assistance provided to individuals or groups on nutrition intake by integrating information from the nutrition assessment with information on food and other sources of nutrient and meal preparation consistent with therapeutic needs and cultural background, which shall include ethnicity, race, language, religious and spiritual beliefs, education, and socioeconomic status.

Nutrition Education

A formal process to instruct or train a client, patient, or population group in a skill or to impart knowledge to help clients, patients, or population groups voluntarily manage or modify food, nutrition, and physical activity choices and behavior to maintain or improve health.

Nutrition Intervention

Planned actions and nutrition counseling by a provider of nutrition care, intended to improve a nutrition-related behavior, risk factor, environmental condition, or aspect of the health status, consistent with therapeutic needs and cultural background.

Nutrition Monitoring or Evaluation

Regular re-evaluation of the nutrition care treatment and prevention plan, which may include review of clinical research and standards of care, to compare the outcomes with the patient’s previous health status, intervention goals, or reference standards to determine the progress made in achieving desired outcomes of nutrition care and whether planned interventions should be continued or revised.

Nutrition Services

For the purposes of G.S. 90-357.5(c)(2) this means the provision of nutrition assessments,
nutrition intervention, education, counseling, or management, and nutrition monitoring or evaluation.

PLDN

Provisionally Licensed Dietitian/Nutritionist

PLN

Provisionally Licensed Nutritionist

Regionally Accredited

“Regionally Accredited” means the institution is accredited by one of the following regional accrediting bodies: Northwest Commission on Colleges and Universities (NWCCU), Higher Learning Commission (HLC), WASC Senior College and University Commission (WSCUC), Accrediting Commission for Community and Junior Colleges, Western Association of Schools and Colleges (ACCJC), Southern Association of Colleges and School Commission on Colleges (SACSCOC), Middle States Commission on Higher Education (MSCHE), or New England Commission on Higher Education (NECHE).

Registered Dietitian Nutritionist

An individual registered with the Commission on Dietetic Registration, the credentialing agency of the Academy of Nutrition and Dietetics.

Swallow Screen

A minimally invasive evaluation procedure conducted by a licensed dietitian/nutritionist that provides for the determination of:

  • the likelihood that dysphagia exists;
  • whether the patient requires referral for further swallowing assessment;
  • whether it is safe to feed the patient orally for the purposes of nutrition, hydration, and administration of medication; and
  • whether the patient requires referral for nutritional or hydrational support.
Telepractice

The delivery of licensed services by means other than in-person, including, but not limited to, telephone, e-mail, Internet, or other methods of electronic communication.

Therapeutic Diet

A nutrition intervention prescribed by a physician or other authorized non physician practitioner that provides food, fluid, or nutrients via oral, enteral, or parenteral routes as
part of treatment of disease or clinical conditions to modify, eliminate, decrease, or increase identified micronutrients and macronutrients in the diet, or to provide mechanically altered food when indicated.

Weight Control Services

As used in G.S. 90-368(7) means a general program of instruction with food, supplements, food products, or a food plan designed for one or more healthy population groups in order
to achieve or maintain a healthy weight. A weight control program is not individualized to provide medical nutrition therapy as defined in G.S. 90-352(3a) or nutrition care services as defined in G.S. 90-352(4) to manage or treat a medical condition for a specific person or group.