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clinical dietetic internship report.pptx
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- 3. 3 Road map Wards visit Camps Nutritionalassessment Diet plan Case studies Conclusion References
- 4. 4  OPD  Emergency General ward  Male ward  Female ward  Gynecology ward  Children ward INTERNSHIP SCHEDULE WARDS
- 5. 5 CONT… • CCU unit •Dialysis room • Liver ward • Private cabins • Semi private rooms • Shafi Akhtar Wing/VIP Room
- 6. 6 Nutritional Camping Obesity camp SOS“Safe of Soul”
- 7. 7 • Anthropometric measurements • Biochemicaltest • Clinical assessment • Diet history Nutritional assessment • Dietary goals • Exchange list • Meal planning • Counseling Diet planning Nutritional Care Plan
- 8. NAME Age BMIDIAGNOSE Mushtaq Ahmad 48 23 Diabetes Khuram sehzad 55 26 HTN Gullam ali 40 35 Obesity,HTN Basharat hussain 35 25 Constipation Rashid naeem 65 22 Arthritis Bilal yosuf 29 24 Tuberculosis Anwar ali 33 18 Jaundice 8
- 9. 9 NAME AGE(years) BMIDIAGNOSE Osama yasin 35 22 Gastritis Khalil-ur- rehman 45 27 Celiac disease Atif barkat 55 23 Ulcerative colitis Owais zia 38 22 Kidney failure Kamran nadeem 58 22 COPD Akram ali 50 28 IHD M.Waseem 21 23 Typhoid fever
- 10. 10 Diabetes  Metabolic disorder Elevated blood glucose Types • Type 1 Diabetes : Insulin-dependent diabetes • Type 2 Diabetes : Insulin resistance • Gestational Diabetes: During pregnancy due to hormonal imbalance
- 11. 11 Case study  Name: Mushtaq Ahmad  Diagnose : Diabetes Mellitus  Age : 48 year  Height : 5’7”  Weight : 70 kg  BMI : 23  BEE : 1500 Kcal
- 12. 12 Medical Nutrition Therapy 3 main meal, 3 snacks  1500-1600 calories  Moderate-carbohydrate 45%-60%  In meals 45-60 grams  In snacks 10-25 grams  Limit trans-fat  Saturated fat <10%  Cholesterol of <300 mg  >25 g/day Dietary fiber  2300 mg/day Sodium or less (American diabetic association )
- 13. 13 Patient Recommendation  Calorie: 1600 Kcal  Cho 52% =187g  Pro :18 % = 75 g  Fat : 30% = 50 g  Fluid : 2.5 L
- 14. Time Food Early Morning 2-3 figsor 1 glass water with lemon Breakfast 2 slice brown bread/1 chapatti 2 egg white 1 cup tea Snack 1 medium pomegranate/ 6 jamun/1 peach /½ cup fruit juice Lunch ½ roti (barley, wheat) 2 tbsp. olive oil 1cup lean meat chicken soup 1 cup raw salad (cabbage, cucumber) or1 cup cooked vegetables(egg plant or
- 15. 15 Time Food Snacks GreenTea 1 cup Dinner ½ roti/1 cup boiled rice 1 cup salad 3 oz cooked fish/ ½ cup cooked daal Snacks 1 glass fat free milk without sugar or ½ cup porridge
- 16. 16 Food groups Food Allowed Foodrestricted Bread and cereals Whole-grain bread, brown rice, wild rice, beets, oatmeal, artichoke, all type of whole meal Barley chaptti, Corn, white rice and white pasta, refine wheat flour, corn syrup, sugar syrup and white flour, white bread, milky bread processed breakfast cereals, daal with fats, oils Meat Lean meat, boil eggs, fish, cooked with low fats, kidney beans Red meat, high fat meat, cooked with high oil and ghee.
- 17. 17 Vegetables Fresh vegetablescarrots , mustard, brinjal, okra, karela, meethi, garlic, onion Starchy vegetables like peas, potatoes, Fruits All fresh fruits specially figs, guava, papaya, jamun, apple, peaches, Pear Canned fruits like canned cherry excess use of banana and mango Milk Low fat milk, skim milk, yogurt, low fat cheese Whole milk, high fat cheese, cream, custard Fats and oils Canola oil, fish oil, olive oil and nuts Saturated fats: high-fat dairy products, fatty red meats deep fried foods. cream sauces, dessert foods and high-fat cheeses, bakery products
- 18. 18 Conclusion  Good experienceof my professional life  Gained good knowledge and their practical implementations  File reading and extraction of nutrition related data  Diagnostic tests of different diseases  Nutritional assessment and diet planning  Medical nutrition therapy of different diseases  Patient counseling
- 19. 19 References • Anis, A,R., Raiz, S, Athar, N, Laik, Z and Ali, A. 2008. Diet Manual for Pakistan. Nutrition Wing, Ministry of Health, Islamabad, Pakistan. Pages, 135. • Mahan, L, K and Stump, S, E. 2007. Krause’s Food and Nutrition Therapy. Saunders Elesevier, 11830 Westline Industrial Drive, Canada. Pages, 1352.
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