Prepared by intern of SKV Sector 16 Rohini for Action Research under student Internship Program of Ladli Foundation

1. MALNUTRITION
INTERN- KHUSHBOO (20150116775)
SCHOOL – G.S.K.V SECTOR-16 ROHINI (1413070)
INTERNSHIP TEACHER CORDINATOR – DR. SUSHMA SINGH
SUMMITED TO – SOCIAL INTERNSHIP PROGRAM (LADLI
FOUNDATION)

2. What is malnutrition
Malnutrition is defined as imbalance between the body need and
the intake of nutrition ,which can lead to nutrition disorders.
Malnutrition is the condition that develops when the body does
not get .
The right amount of the vitamins ,minerals and other nutrition
it need to maintain healthy tissues and organ function.

3. This Photo by Unknown Author is licensed under CC BY-NC-ND
TYPE OF
MALNUTRITION
Malnutrition is divide
into two type
a. Under nutrition
b.Over nutrition

4. UNDER
NUTRITION
UNDER NUTRITION
 Insufficient intake of energy and nutrients meet an individual need to
maintain good health.
This Photo by Unknown Author is licensed under CC BY

5. Over nutrition
Overnutrition is a from of malnutrition
(imbalance nutrition ) arising from
excessive intake of nutrition ,leading to
accumulation of body fat that impair health.
This Photo by Unknown Author is licensed under CC BY

6. ADOLESCENCE
Adolescence, transitional
phase of growth and
development between
childhood and adulthood.
This Photo by Unknown Author is licensed under CC BY-NC-ND

7. ADOLESENCE SYMPTOMS OF
MALNUTRITION
• Weight loss
• Reduced appetite
• Feeling tried all the time
• Feeling weaker
• Poor concentration
• Lack of interest in food and drink
• Feeling cold most of the time

8. CASUES
1. Poor feeding habits due to improper training.
2. Infections, which produce anorexia.
3. Loss of food through vomiting and diarrhea.
4. Diseases , which interfere with the assimilation of food
e.g. cystic fibrosis.
This Photo by Unknown Author is licensed under CC BY-NC

9. CAUSES OF
MALNUTRITION
 Reduced dietary intake
Mental health condition
Alcohol use disorder
Low intake of food
Risk factor
This Photo by Unknown Author is licensed under CC BY-NC-ND

10. Prevention of malnutrition
Primary prevention
Health education to mother about good nutrition and food hygiene through lady health
worker .
Immunization of children
Secondary prevention
Mass screening of high risk population ,using simple tools like weight for age or MUAC.
Tertiary prevention
Good nutrition care supplementary feeding and rehabilitation ,counselling of mothers.

12. Disorders due to malnutrition
1) Protein – energy malnutrition
- kwashiorkor
- marasmus
2 ) Under nutrition of vitamins and minerals
3) obesity

13. Under nutrition of vitamins and minerals
Under nutrition of minerals
• Calcium
rickets
• Iodine deficiency
goiter
• Iron deficiency
Anemia
• Zinc
Growth retardation
Under nutrition of vitamins
• Thiamine (vitamin B1)
beriberi
• Niacin (vitamin B3)
pellagra
• Vitamin C
scurvy
• Vitamin D
Rickets

14. KWASHIORKOR
(Between 1-3 years old
children)
• Kwashiorkor is a from of severe
protein malnutrition characterized by
edema and an enlarged liver with
fatty infiltrates. It is caused by
sufficient calorie intake , but with
insufficient protein consumption.
• Kwashiorkor is a serious condition
that can happen when a person does
not consume enough protein .
Severe protein deficiency can lead to
fluid retention . Which can make the
stomach lood bloated.
This Photo by Unknown Author is licensed under CC BY-
SA

15. Nursing care of kwashiorkor
Support the infant and parents
• Proper diet intake protein and CHO vitamins .
• Nursing care for vomiting , diarrhea or dehydration .
• Skin care for child for edema , injuries .
• Nutritional counselling .
• Record intake and output .

16. Common nursing diagnoses
• Body image disturbance related to bone deformities .
• High risk for infection related to low of immunity
• High risk for injury related to weakness of bones and deformities.

17. Marasmus
• The term marasmus is derived from the Greak word marasmus , which
means “withering” or “wasting”.
• Marasmus is a form of serve protein - energy malnutrition characterized by
energy deficiency and emaciation . (abnormally thin or weak )
• Primarily caused by energy deficiency, marasmus is characterized by stunted
growth and wasting muscle and tissue.

18. Complication of Marasmus
• Lack of proper growth in children
• Joint deformities
• Serve weakness
• Organ failure
• Coma.

19. DIFFERENCE BETWEEN KWASHIORKOR AND MARASMUS

20. OBESITY
Obesity is that condition of body in which the
amount of fat increases to extreme levels . The
size and number od fat cells increases in obese
people. A person is said to be obese, when the
body weights 20% more than the ideal weight.

23. Causes of
obesity
 Poor diet
 Life style
 Heredity
 Metabolism rate
 Less physical activity

24. Disease due to
obesity
o Diabetes
o Hypertension
o Cancer
o Cardiovascular disease
o Flat foot

25. Symptoms of obesity
 Having short breath
 Increase in body weight
 Pain in joints and bones
 Less moisture in skin

26. Millets
• A good source of protein, fibre , key vitamins , and minerals.
• The potential health benefits of millets include protecting cardiovascular
health, preventing the onset of diabetes, helping people achieve and maintain
a healthy weight , and managing inflammation in the gut.
• Millet is an adaptable grain.

27. Example of Millets (RAGI)
• Ragi is a great source of dietary fibre, complex carbs and proteins that keep
you satiated and delay gastric emptying time, there by helping once to reduce
overall calorie intake and promote weight loss.
• Beside this, it also helps in controlling blood sugar spikes and maintaining
bone health.

28. Example of Millets (MAKKA)
• The main health benefits of makka cholam are gives ample of energy,
promotes weight gain, balances blood glucose level and preserving optimal
eyesight.

29. WORKSHOP

30. COMMUNITY WORKSHOP

31. Parents Input
• Malnutrition is still a serious issue that mostly affects children under the age of worldwide, not
just in impoverished nations. Early on in life, ensuring that children get the nutrients they need is
critical to their immune system health, as well as their physical and intellectual growth Objectives:
To explore the perception of mothers regarding malnutrition in children under years old in
Muzaffargarh. Methods: Overall, these were extracted from 20 categories which highlighted the
perception of mothers regarding malnutrition in children under years old. These extracted themes
were “Lack of Awareness”, “Contributing Factors”, “Poor socioeconomic status”, “Poor quality
of diet” and “Poor child Health”. Conclusions: Parents perceived that they done have enough
understanding regarding malnutrition. Besides, poor hygiene, improper nutrition, lack of balance
diet is some of the contributors of malnutrition among children under years old.

32. SPECIAL THANKS TO:
DIRECTOR OF EDUCATION DELHI
LADLI FOUNDATION
PRINCIPLE - MRs. ALPNA KUMARI
INTERNSHIP TEACHER CORDINATOR – DR. SUSHMA
SINGH
MY PARENTS – BANNAM , PINKI
EDITOR – KHUSHI