Hing Mook Lin.1, Nur Atiqa Binti Ali.1, Noor Zarirah Binti Jusoh.2, Nurulainin Sofia Binti Hussin.2
1Division of Nutrition and Dietetics, School of Health Sciences, International Medical University Bukit Jalil, Kuala Lumpur.
2Department of Dietetics and Food Service, Hospital Tuanku Jaafar, Negeri Sembilan.
The patient has healthy weigh at 30.3kg at 140cm (BMI:15.4kg/m≤). Before admission, he was suffering from vomiting. Patient has no other issue aside from dietary behaviour. He is a picky eater who has inadequate vegetables, fruit, and fluid intake. Patients’ mother tried forced patient to consume but failed due to stubborn behaviour. Patients’ mother is the main meal provider, occasionally prepare food when patient went schooling (morning). Patient consumed three main meals per day, in between meals patient took certain snacks and beverages. While usual intake was adequate (1500kcal/day‚88% or TER), with less than 10g fibre and 1L fluid requirement per day. Patients’ mother is demotivated on correcting her son’ eating behaviour as most of the time she seems compliant to what her son is practicing. However, she is willing to seek advice in helping patient to improve his diet intake.
Inadequate fibre and fluid intake RT limited food acceptance due to picky eating AEB diet recall of consuming less than RNI’srequirement of 19-25g fibre and less than 1L while consuming sugary beverage frequently instead of plain water.
The long term goal is to allow patient to achieve adequate fibre intake comply with RNI Malaysia 2017 and adequate fluid intake through nutrition education, counselling, and coordination of care. Patients’ prescription is 1700kcal/day, 28g protein, 19-25g fibre and 1L/day.
Monitoring & Evaluation
No required follow-up due to paediatric eating behaviour rather than acute clinical presentation. Outcomes are speculative based on the intervention operated