ASSESMENT DATA
Nutritional Assesment
Mrs Sukini, a 69-year-old, a
masseus, hospitalized at
Community Health Center.
She hospitalized because of
diarrhea in a few days ,
weakness, until finally
passed out
She usually drinks sweet tea
every morning
She eats twice a day
She like sweet food like cake
and biscuit with jam
She likes sweet fruit like
watermelon, pineapple n
mango
Physical Examination
Height: 152 cm
Weight: 47 kg
Temperature: 37°C
Respirations: 16/minute
Blood presure : 110/70
mm/Hg
Biochemistry Examination
blood glucose level 400
mg/dl
Diagnostic Data
She has type 2 diabetes
mellitus
NUTRITION DIAGNOSIS
Excess KH intake related to
knowledge about nutrition
and food and fatigue is
characterized by the habit of
patients consuming sweet tea
and sweet foods
Changes in Lab values are
related to the patient's disease activity which can cause him
(Diabetes Mellitus)
characterized by the patient's
GDA> 200 mg / dl
DESIRED OUTCOMES
Having a good diet in
accordance with the diet for
diabetics sufferer which is
must be right amount, right
schedule and right type
Reduce excessive physical
fatigue and increase blood
sugar
Collaboration with other
medical teams, namely blood
sugar-lowering drugs to
reduce excessive physical
activity which can cause him
fatigue and increase blood
sugar
 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