Eng Ncp.docx

ASSESMENT DATA

NUTRITION DIAGNOSIS

DESIRED OUTCOMES

Mrs Sukini, a 69-year-old, a

Excess KH intake related to

Having a good diet in

masseus, hospitalized at

knowledge about nutrition

accordance with the diet for

Community Health Center.

and food and fatigue is

diabetics sufferer which is

She hospitalized because of

characterized by the habit of

must be right amount, right

diarrhea in a few days ,

patients consuming sweet tea

schedule and right type

weakness, until finally

and sweet foods

Nutritional Assesment

passed out

She usually drinks sweet tea

Changes in Lab values are

Reduce excessive physical

every morning

related to the patient's disease activity which can cause him

She eats twice a day

(Diabetes Mellitus)

fatigue and increase blood

She like sweet food like cake

characterized by the patient's

sugar

and biscuit with jam

GDA> 200 mg / dl

She likes sweet fruit like watermelon, pineapple n

Collaboration with other

mango

medical teams, namely blood sugar-lowering drugs to

Physical Examination

reduce excessive physical

Height: 152 cm

activity which can cause him

Weight: 47 kg

fatigue and increase blood

Temperature: 37°C

sugar

Respirations: 16/minute Blood

presure

:

110/70

mm/Hg Biochemistry Examination blood glucose level mg/dl Diagnostic Data She has type 2 diabetes mellitus

400

NUTRITION INTERVENTION

RATIONALE

BLOOD GLUCOSE LEVEL REDUCTION ASSISTANCE

Determine current eating patterns by having

Increases awareness of activities and

Mrs Sukini keep a diary of what, when, and

foods that contribute to excessive intake

where she eats.

especially for sweet food.

Set a realistic plan with Mrs. Sukini based on

A combined plan to change diatery

DM Diet which is called with 3J or right in

pattern to keep the blood glucose level in

TIME, AMOUNT, and TYPE of food

normal limit

Support from family can provide increase Asking for family help to maintain and pay

motivation, and offer practical solutions to

attention to Mrs. Sukiini's diet and activities

change Mrs. Sukini’s dietary pattern and daily activities

NUTRITIONAL COUNSELING Changing dietary habit by looking at the

Increases individual’s awareness of those

choice of food ingredients, namely foods with

actions that contribute to excessive intake.

a low glycemic index such as high fiber foods Comparing the individual’s dietary history with nutritional standards will facilitate

identification of nutritional deficiencies and/or excesses. Help Mrs. Sukini to consider factors of age,

Social, economic, physical, and

past eating experiences, culture, and finances

psychologic factors play a role in

in planning ways to meet nutritional

nutrition and/or malnutrition.

requirements. Helps to determine the client’s knowledge Discuss Mrs. Sukini’s knowledge of the foods

base and identify misconceptions and/or

with low glycemic index, as well as

gaps in understanding.

perceptions of the needed diet modification. Incorporating Mrs. Sukini’s food Assist Mrs. Sukini in stating her feelings and

preferences into the dietary plan will

concerns about goal achievement.

promote adherence to the weight loss program.

Fear of success, failure, or other concerns may block goal achievement. BEHAVIOR MODIFICATION Telling Mrs. Sukini to be aware of her habits

Reinforcing strengths enhances self-

that affect her illness so she can change her

esteem and encourages the individual to

habits

draw on these assets during the diet diabetes mellitus.

Encourage her to exercise physically and

Involving Mrs. Sukini in self-appraisal will

change his passive behavior with his favorite

promote identification of behaviors that

hobby

may be contributing to excessive sugar intake.

Identification of specific behaviors is essential for planning behavior modification.

Habitual behaviors are difficult to change.

Breaking old habits may be easier if viewed from the standpoint of increasing an enjoyable,healthy activity. EVALUATION Mrs Sukini has improved his diet by limiting sugar and sweet fruits. She also avoids foods with a high glycemic index and prefers high fiber foods such as red rice, vegetables, and fruits with low glycemic index. And now she likes to exercise such as cycling, gymnastics, and walking