scholarly journals Pelaksanaan asuhan gizi dengan pendekatan terapi gizi medis (TGM) berpengaruh terhadap asupan gizi pasien di RSUD Kota Bekasi

2008 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Ika Yuliati C ◽  
I Made Alit Gunawan ◽  
R Dwi Budinigsari
Keyword(s):  
Monitoring And Evaluation ◽  
Nutrition Therapy ◽  
Nutrition Intervention ◽  
Average Percentage ◽  
Nutrition Care ◽  
Average Patient ◽  
Care Models ◽  
Nutrition Intake ◽  
24 Hour Recall ◽  
Better Than

Background: Medical nutrition therapy (MNT) is one of nutrition care models which focuses on integrated patient management involving active participation of doctors, nutritionists, nurses, and other professions within nutrition care team. An indicator of success in nutrition intervention is nutrition intake. Bekasi Municipal Hospital has not implemented integrated nutrition care within a team. The result of monitoring and evaluation during the first quarter of 2006 showed that average patient nutrition intake was only 65-70% (inadequate).Objective: To identify the influence of nutrition care implementation using MNT approach to nutrition intake and length of stay at Bekasi Municipal Hospital.Method: The study was quaci-experimental which used static-group comparison. Samples were patients hospitalized at internal medicine ward of class VIP, 1, 2, and 3. Data obtained consisted of conventional nutrition care and MNT, data of nutrition intake using Comstock visual and 24 hour recall methods. T-test and Mann Whitney statistical test were used to analyze the influence of types of nutrition care to nutrition intake.Results: Average percentage of total nutrition intake of hospital food and outside hospital food sample with MNT nutrition care was better than conventional nutrition care. Total nutrition intake was 91.71% for energy, 92.12% for protein, 111.83% for fat, and 85.41% for carbohydrate. The result was significant for energy intake (p<0.05). Nutrition intake of sample hospital was 86.08% for energy, 88.91% for protein, 108.55% for fat, and 78.91% for carbohydrate. Nutrition intake of outside hospital was 21.94% for energy, 13.77% for protein, 12.22% for fat, and 35.43% for carbohydrate. They were not significant statistically.Conclusion: There was difference in nutrition intake between samples with MNT and conventional nutrition care. Nutrition intake of samples with MNT was better than conventional nutrition care and statistically significant (p<0.05).

scholarly journals Pelaksanaan asuhan gizi terapi gizi medis (TGM) berpengaruh terhadap lama rawat inap

2011 ◽  
Vol 8 (2) ◽  
pp. 93
Author(s):  
Ika Yuliati Chasbullah ◽  
I Made Alit Gunawan ◽  
R Dwi Budiningsari
Keyword(s):  
Monitoring And Evaluation ◽  
Nutrition Therapy ◽  
Statistical Test ◽  
Medical Nutrition Therapy ◽  
Degenerative Diseases ◽  
Nutrition Care ◽  
Care Models ◽  
Internal Medicine Wards ◽  
Static Group ◽  
Medical Nutrition

Background: Medical Nutrition Therapy (MNT) is one of nutrition care models which focuses on integrated patient management involving active participation of doctors, nutritionists, nurses and other professions within the hospital nutrition care team. One benefit of MNT is the reducing of patients’ length of stay (LOS) as an indicator of hospital service quality. Bekasi Municipal Hospital has not implemented integrated nutrition care within a team. The result of monitoring and evaluation during the frst quarter of 2006 showed the average of LOS for degenerative diseases patients was 5.97 days.Objective: To identify the influence of nutrition care implementation by using MNT approach to LOS at Bekasi Municipal Hospital.Method: The study was quaci-experimental which uses static-group comparison. Samples were patients hospitalized at internal medicine wards of (class) VIP, 1 , 2  and 3  class. Datas were obtained consisted of conventional nutrition standard care (CNC), MNT, and data of LOS. T-test and Mann Whitney statistical test were used to analyze the influence of types of nutrition care to LOS.Results: LOS of patients with MNT care was 5.80 days. This was shorter than CNC and statistically significant (p<0.05).Conclusion: There was a difference between LOS of samples with MNT and CNC. LOS of samples with MNT was shorter than CNC and statistically significant (p<0.05).

Irritable Bowel Syndrome (IBS)

2021 ◽  
pp. 182-201
Author(s):  
Eram Albajri ◽  
Manal Naseeb
Keyword(s):  
Irritable Bowel Syndrome ◽  
Monitoring And Evaluation ◽  
Nutrition Therapy ◽  
Care Plan ◽  
Medical Nutrition Therapy ◽  
Self Awareness ◽  
Dietary History ◽  
Nutrition Care ◽  
Irritable Bowel ◽  
Medical Nutrition

The proposed case will discuss irritable bowel syndrome. Individualized medical nutrition therapy is critical in the disease management. In this case, the learner will be provided with details to conceptualize the case and will be able to conduct a comprehensive nutrition assessment to evaluate the nutritional status. After identifying and prioritizing nutrition problems, the learner will determine the nutrition diagnoses and write proper statements. Based on the collected data, the learner will develop a nutrition care plan with appropriate goals, interventions, and strategies for monitoring and evaluation. Unspecified-IBS encounter challenges with food as it triggers the symptoms. Thus, the learner will evaluate the nutrient composition of dietary history and provide a substitute considering individual tolerance and severity of the symptoms. In addition, FODMAP will be applied. It also teaches patients what foods or eating patterns would be best (or best to avoid) for their day-to-day activities through self-awareness of symptoms and dietary food log.

Hospital Patients Are Not Eating Their Full Meal: Results of the Canadian 2010–2011 nutritionDay Survey

2016 ◽  
Vol 77 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Luiza Kent-Smith ◽  
Corinne Eisenbraun ◽  
Heather Wile
Keyword(s):  
Food Intake ◽  
Relevant Information ◽  
Nutrition Therapy ◽  
Nutrition Assessment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Weight History ◽  
Nutrition Care ◽  
Hospital Patients ◽  
Nutrition Intake

nutritionDay is a 1-day cross-sectional survey identifying how nutrition care is provided. This paper provides results of the first 2 Canadian nutritionDay surveys. In November 2010 and 2011, data from standardized questionnaires were collected from 193 units in Canadian hospitals consisting of unit demographics and patient information including weight history, health status, nutrition assessment, nutrition therapy, food intake and 30-day outcomes. Results indicated that overall, 46% of the 1905 patients reported weight loss in the previous 3 months, and in half of these it was greater than 5 kg. Only 50% of the units had nutrition teams and nutrition therapy was provided to less than 14% of patients. More than 50% of patients ate less than normal in the previous week and 57% ate less than half of their meal on nutritionDay. Within the next 30 days the majority of patients went home, 10% remained in hospital, and 6% were readmitted. In this study, nutritionDay provided relevant information on nutrition assessment, weight history, food intake, nutrition therapy, length of stay, and outcomes in participating Canadian institutions. Data from 2010 and 2011 can help to both reflect on current practices and define continuous improvements through benchmarking with the overall goal of mitigating suboptimal nutrition intake during hospitalization.

scholarly journals Detection of Nutrient-Related SNP to Reveal Individual Malnutrition Risk

Malnutrition ◽  
2020 ◽  
Author(s):  
Junsheng Huo ◽  
Chunhong Zhang
Keyword(s):  
Clinical Symptom ◽  
Genetic Background ◽  
Nutrition Therapy ◽  
Nutrition Intervention ◽  
Nutrition Status ◽  
Food Behavior ◽  
Nutrition Care ◽  
Children Nutrition ◽  
Diet Survey ◽  
Nutrition Monitoring

Malnutrition is a result of complicated reasons from diet and food behavior and also related to genetic background which has been revealed by studies in recent decades. Traditionally, nutrition status are measured and expressed with indexes of anthropometric, diet survey, clinical symptom, biochemistry, behavior, etc. These measurement has been used in national nutrition monitoring, clinic nutrition therapy, mother and children nutrition care, nutrition intervention projects, and scientific studies. However, genetic and epigenetic information on nutrition explain malnutrition in a genetic view that would supply additional new theory and methodology for the growing requirement in terms of personalized and precise nutrition. In this chapter, an introduction on the detection of nutrient-related SNP to reveal individual malnutrition risk is discussed.

scholarly journals Medical nutrition therapy planning

2010 ◽  
Vol 63 (11-12) ◽  
pp. 816-821
Author(s):  
Budimka Novakovic ◽  
Jelena Jovicic ◽  
Ljiljana Pavlovic-Trajkovic ◽  
Maja Grujicic ◽  
Ljilja Torovic ◽  
...  
Keyword(s):  
Process Model ◽  
Nutrition Therapy ◽  
Nutrition Intervention ◽  
Care Process ◽  
Medical Nutrition Therapy ◽  
Nutrition Guidelines ◽  
Nutrition Care ◽  
Nutrition Care Process ◽  
Nutrition Diagnosis ◽  
Medical Nutrition

Introduction. Diet has vital, preventive and therapeutic functions. Medical nutrition therapy is a part of the Standardized Nutrition Care Process integrated in health care systems. Material and methods. An overview of the Nutrition Care Process model and the application of nutrition guidelines based on literature, reports, documents and programmes of international health, food and physical activity authorities was done. Results. The Nutrition Care Process model requires registered dieticians, standardized terminology as well as nutrition diagnosis categorization. It consists of four distinct, but interrelated and connected steps: (a) nutrition assessment, (b) nutrition diagnosis, (c) nutrition intervention, and (d) nutrition monitoring and evaluation. An individual approach is essential for successful medical nutrition therapy. Nutrition guidelines facilitate the process of understanding and application of medical nutrition therapy. Conclusion. The Nutrition Care process provides dietetic professionals information on high-quality client nutrition care. The success of medical nutrition therapy rests not only upon the advice of the dietician, but also upon the client?s compliance.

scholarly journals Identifying and Managing Malnutrition, Frailty and Sarcopenia in the Community: A Narrative Review

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2316
Author(s):  
Shelley Roberts ◽  
Peter Collins ◽  
Megan Rattray
Keyword(s):  
Healthcare Professionals ◽  
Monitoring And Evaluation ◽  
Community Dwelling ◽  
Community Context ◽  
Care Process ◽  
Community Settings ◽  
Community Based ◽  
Comprehensive Overview ◽  
Nutrition Care ◽  
Community Dwelling Older Adults

Malnutrition, frailty and sarcopenia are becoming increasingly prevalent among community-dwelling older adults; yet are often unidentified and untreated in community settings. There is an urgent need for community-based healthcare professionals (HCPs) from all disciplines, including medicine, nursing and allied health, to be aware of, and to be able to recognise and appropriately manage these conditions. This paper provides a comprehensive overview of malnutrition, frailty and sarcopenia in the community, including their definitions, prevalence, impacts and causes/risk factors; and guidance on how these conditions may be identified and managed by HCPs in the community. A detailed description of the care process, including screening and referral, assessment and diagnosis, intervention, and monitoring and evaluation, relevant to the community context, is also provided. Further research exploring the barriers/enablers to delivering high-quality nutrition care to older community-dwelling adults who are malnourished, frail or sarcopenic is recommended, to inform the development of specific guidance for HCPs in identifying and managing these conditions in the community.

scholarly journals Commentary: Quality nutrition care is integral to the Oncology Care Model

2021 ◽  
Author(s):  
Mary Beth Arensberg ◽  
Beth Besecker ◽  
Laura Weldishofer ◽  
Susan Drawert
Keyword(s):  
Best Practice ◽  
Treatment Guidelines ◽  
Nutrition Therapy ◽  
Care Model ◽  
Nutrition Care ◽  
Ambulatory Oncology ◽  
Oncology Care ◽  
Improvement Programs ◽  
And Performance ◽  
Registered Dietitian Nutritionists

AbstractThe Oncology Care Model (OCM) is a US Centers for Medicare & Medicaid Services (CMS) specialty model implemented in 2016, to provide higher quality, more highly coordinated oncology care at the same or lower costs. Under the OCM, oncology clinics enter into payment arrangements that include financial and performance accountability for patients receiving chemotherapy treatment. In addition, OCM clinics commit to providing enhanced services to Medicare beneficiaries, including care coordination, navigation, and following national treatment guidelines. Nutrition is a component of best-practice cancer care, yet it may not be addressed by OCM providers even though up to 80% of patients with cancer develop malnutrition and poor nutrition has a profound impact on cancer treatment and survivorship. Only about half of US ambulatory oncology settings screen for malnutrition, registered dietitian nutritionists (RDNs) are not routinely employed by oncology clinics, and the medical nutrition therapy they provide is often not reimbursed. Thus, adequate nutrition care in US oncology clinics remains a gap area. Some oncology clinics are addressing this gap through implementation of nutrition-focused quality improvement programs (QIPs) but many are not. What is needed is a change of perspective. This paper outlines how and why quality nutrition care is integral to the OCM and can benefit patient health and provider outcomes.

scholarly journals Peningkatan Pengetahuan dan Keterampilan Pembuatan “Basabokas” untuk Siswa Kelas 5 Sekolah Dasar

2019 ◽  
Vol 2 (1) ◽  
pp. 45
Author(s):  
Kartika Yuni Purwanti ◽  
Anni Malihatul Hawa
Keyword(s):  
Market Access ◽  
Positive Response ◽  
Monitoring And Evaluation ◽  
Open Market ◽  
Environmental Preservation ◽  
Average Percentage ◽  
Service Activity ◽  
Three Stages ◽  
Implementation Method ◽  
Achievement Indicators

Tujuan pengabdian ini yaitu peningkatan pengetahuan dan keterampilan siswa dalam pembuatan bak sampah dari botol bekas. Metode pelaksanaan yang digunakan adalah metode partisipatif dengan melalui tiga tahap yaitu 1) sosialisasi, 2) pendampingan, 3) monitoring dan evaluasi. Hasil dari pelaksanaan adalah: 1) pemahaman siswa tentang pengelolaan sampah menjadi botol bekas dalam kategori sangat baik. Hal ini ditandai dengan rata-rata persentase indikator ketercapaian sebesar 90,48% serta peningkatan rata-rata keterampilan siswa dari 2 menjadi 3,7, 2) memperoleh respon positif yang dilihat dari indikator kehadiran peserta mencapai 100% dari target dan peserta antusias selama mengikuti kegiatan dari awal sampai akhir kegiatan. Kegiatan ini perlu dilaksanakan oleh selruh kelas agar seluruh siswa mampu mengetahui manfaat 3R (reuse, reduce and recycle). Kegiatan pengabdian ini diharapkan ke depan dapat sampai membuka akses pasar bagi hasil produksi (aneka kreasi daur ulang) serta dapat dilanjutkan pada tahun-tahun berikutnya di lokasi lain untuk menunjang kelestarian lingkungan dan budaya hidup sehat. Kata kunci: basabokas, daur ulang, botol bekas AbstractThe purpose of this service is to increase students' knowledge and skills in making trash bins from used bottles. The implementation method used is participatory method through three stages, namely 1) socialization, 2) mentoring, 3) monitoring and evaluation. The results of the implementation are: 1) students' understanding of waste management into used bottles in the excellent category. This is indicated by the average percentage of achievement indicators of 90.48% and the average increase in student skills from 2 to 3.7, 2) obtaining a positive response as seen from the attendance indicator reaching 100% of the target and the enthusiastic participants participating in activities from the beginning to the end of the activity. This activity needs to be carried out by the whole class so that all students are able to know the benefits of 3R (reuse, reduce and recycle). This community service activity is expected in the future to be able to open market access for production results (various recycled creations) and can be continued in the following years in other locations to support environmental preservation and a culture of healthy living.

scholarly journals TESTING OF THE BLACK SCHOLES AND GARCH MODELS IN LQ45 USING LONG STRADDLE STRATEGY IN 2009-2018

2021 ◽  
Vol 22 (1) ◽  
pp. 30-39
Author(s):  
Riko Hendrawan ◽  
Anggadi Sasmito
Keyword(s):  
Time Series Data ◽  
Mean Squared Error ◽  
Series Data ◽  
Call Option ◽  
Due Date ◽  
Average Percentage ◽  
Put Option ◽  
Option Contract ◽  
Black Scholes ◽  
Better Than

The purpose of this study is to examine the implementation of option contracts using Black Scholes and GARCH on the LQ45 index using the long straddle strategy. This study uses time-series data as a time frame for conducting research, using a sample of closing price data for the LQ 45 daily index for 2009-2018. For the test the model, we used the secondary data of the closing stock price index from February 28, 2009 to March 31, 2019The results of this study are seen by comparing the average percentage value of Average Mean Squared Error (AMSE) of Black Scholes and GARCH with the application of a long straddle strategy, where the smaller the percentage value, the better the model will be. Within one month of option contract due date, Black Scholes is better than GARCH, with an error value on the call option of 2.77% and the put option of 1.56%. Within two months of option contract due date, GARCH is better than Black Scholes, with an error value on the call option of 8.12% and the put option of 4.00%. Within three months of option contract due date, Black Scholes is better than GARCH, with an error value on the call option of 12.38% and on the put option of 5.50%. The long straddle strategy in the LQ45 index only reached a maximum of 60% of possible profits, with an average of around 30% possible profits.

Lactose Intolerance

2021 ◽  
pp. 115-134
Author(s):  
Jomanah Abduljalil H. Bakhsh
Keyword(s):  
Lactose Intolerance ◽  
Gastrointestinal Symptoms ◽  
Monitoring And Evaluation ◽  
Nutrition Therapy ◽  
Nutritional Deficiencies ◽  
Medical Nutrition Therapy ◽  
Case Scenario ◽  
Therapy Goals ◽  
Medical Nutrition

This chapter presents a case scenario of lactose intolerance. Lactose intolerance is the inability to digest and absorb lactose, which is the sugar in milk, due to deficiency of the enzyme lactase. This condition commonly occurs after weaning, and it results in various gastrointestinal symptoms such as diarrhea. In addition, it may result in nutritional deficiencies. Management of lactose intolerance requires diet manipulations. This case study provides the needed information to implement the appropriate intervention such as patient's details and case history. Moreover, the case analysis section discusses in detail the disease pathophysiology and the medical nutrition therapy goals. This comprehensive analysis will allow the dietetic professional to follow the nutrition care process (NCP) framework (assessment, diagnosis, intervention, and monitoring and evaluation) to properly intervene and deal with the case. This case study will show the importance of the medical nutrition therapy for the management of lactose intolerance.

Sign in / Sign up

Export Citation Format

Share Document