An co. ncrete example of standards uf cart! is the American Nurses Association (ANA) Standards of Clinical Nursing Practice (2004) which lists fifteen (15) standards of professional performance \vi-th appropriate measurement criteria. The use guidelin es is also beneficia J. For example, the. Philippin e Guidelines for Periodic E. xamination (2004) provide for effcclive screenin g for diseases among apparently healthy Filipinos. Guidelines provide flexible rc:commendations that can be adapted to sped fie needs. Tbis reference is a useful tool for nurses in making decisions as to what tests clients need lo have. Another vital need in indepenc. lenl practice is the u~e of accurate and concise document ation. lf sometl1ing was not documented, from a legal perspective, no nursing care was done. To cite, a young pregnant wo1m111 was discussing with the nurse her concern for her hack stool. 'f11e nurse replied" Did you remember our discussion about the effects of iron supplementation~ The client could not remember it, lnlerestingly, there was no documentation of 1hat encounter. II Is imp<>rtanl to have entries like "client verbalized understanding on the effocts of iron supplcmenlalion on the color of stools". In the principle of documentation, it is alwa~·s good practice to document as much as possible nnd reflect important clinical information. In countries where health services payment is done tl1rough insurance reimbursements, a comprehensive system of documenta tion is part of regulatory requirem ents. In the nursing clinic of UPCN, clients coming in with nutritional concerns,vill: Be assessed using the appropria te anthropometric measmements like triceps skinfold thickness, weight and height, body mass index (DMD, waist circumference (WC), hip circumference (HC); 2-4 hour dietary recall for at least one regular day and one weekend Have a dietaiy and body composition analysis Participat e in meal planning to ensure that it-is patterned to personal needs and based on the Filipino Pyramid food Guide and Recommended Energy and Nutritional Intake (REN!) Be given pointers on therapeutic diets with emphasis on what can be eaten and what needs to be avoided D Upon detection of risk conditions and medical problems, will be referred to the doctor Be n;ionitorcd on their p'rogress This nursing guideline helped in ensuring adequate care was provided for clients with problems of Allered Nutrition. Experience showed that the developm ent of guideline s for pmetice is an ongoing process. A quali1. )' circle among UP College of Nursing faculty was held to discuss the case of nvo clients,~ith Alte,-ed Nutritior L· mo,·e than body re. quiremcmts who sought c-t1re in the nursing clinic. This became an opportunity for colleagues to look into how the nursing assessment and care was delivered by the clinic practitioners. It became a chance to d. iscuss the use of waist to hips ratio (WC/HC in cm) as a national standard to determine android or central obesity (2:, 1. 0 for males a. nd ~ 0. 85 for females), proper w:iy to take waist circumference (WC) and 317 