SC ORAL 3 - NUTRITION CARE PROCESS FOR IMMUNE THROMBOCYTOPENIC PURPURA Achmed Forest Khan

Achmed Forest Khan 1, Cleonara Yanuar Dini 1

 

1 Dietetic Study Program, Faculty of Medicine, Brawijaya University

 

Assessment

Ny. FF (27th) the mother of two child by diagnosis ITP (Immune Trombositopenic Purpura) with weight 59kg and height 164cm with BMI 21,9 kg/m2. The last laboratory test at 16 December 2020 Hemoglobin 11,4 g/100ml, Leukocytes 12.400/mm3 and Thromocytes 13.000/mm3. With Vital sign blood presure 100/70 mmHg and had feeling some Dizziness, mild nausea and abdominal pain, difficulty defecating every 2 days, body aches, moon face. SQ-FFQ and 24 hour recall result is low dietary fiber and iron intakes. The patient ever get some nutritional education.

 

Diagnosis

NI-2.9 Limited Food Acceptance related to GI tract disorders with the risk of stomach bleeding as the result of low thrombocyt evidenced by abdominal pain

 

NI-5.1 Increased Nutrient Needs specify protein related to infection risk evidenced by leukocytes 12.400/mm3

 

NI-5.8.5 Inadequate fiber intake related to unwillingness to purchase or consume fiber containing foods evidenced by the result of SQ-FFQ and 24 hour recall low dietary fiber intake

 

Intervention

C-1 Nutrition Counceling Health Belief Model with motivational interviewing to applying High Protein and antioxidants diet for 2.300 kcal, protein 85g with moringa oliefera suplementations

 

Monitoring & Evaluation

Monitoring and evaluation result for six days is the body aches (PD-1.1.4) is disappeared from the first day, the moon face (PD-1.1.4) is disappeared at the third day and the difficulty defecating (PD-1.1.5) being more better at the fifth day of intervention. Dietary adherence (FH-5.1) is being better day after day until teh last day of monitoring. But no good changes in her food intake especially for dietary fiber and iron intakes.