When should a nurse initiate a referral to a dietitian for a client?

Initiating a referral to a dietitian is particularly important when a client experiences unintentional weight loss. This situation may suggest underlying health issues, nutritional deficiencies, or medical conditions that require assessment and intervention by a nutrition specialist. A dietitian can provide an individualized meal plan, ensure that the client receives adequate nutrition, and address the specific needs related to their weight loss.

While expressing an interest in healthy eating, having a family history of obesity, or declining food options may warrant nutritional guidance, these scenarios do not typically indicate an urgent need for professional dietary assessment or intervention. They may be points of discussion but do not demonstrate the immediate concern for the client's health that unintentional weight loss does. Thus, weight loss signals the need for a more comprehensive evaluation of the client's dietary habits and nutrition status, making it essential to involve a dietitian in their care.