The Nutrition Care Process (NCP) is designed to improve the consistency and quality of individualized care for patients or groups and the predictability of the patient outcomes. We aimed to examine the NCPT that dietitian nutritionists would use to formulate a diagnostic statement relating to refeeding syndrome (RFS). The NCP allows the dietitian to make precise nutrition diagnoses, which reflect the complexity of the renal dietitian’s involvement with the dialysis patient. Nutrition Care Manual process allows the renal dietitian to make precise nutrition diagnoses because of the relationship that develops between the patient and the dietitian.