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  • Formulir Skrining Gizi Malnutrition Screening Tools (MST)

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    ade rizky
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    This document contains a screening form for patients at risk of malnutrition from Puskesmas Rasau Jaya. The form has three parameters - unintended weight loss, amount of weight loss, and difficulty eating due to decreased appetite. For each parameter, the patient is given a score which are then totaled to determine malnutrition risk, with a higher score indicating greater risk.

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    Formulir Malnutrition Screening Tools

    Original Title

    Formulir Skrining Gizi Malnutrition Screening Tools (Mst)

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    This document contains a screening form for patients at risk of malnutrition from Puskesmas Rasau Jaya. The form has three parameters - unintended weight loss, amount of weight loss, and difficulty eating due to decreased appetite. For each parameter, the patient is given a score which are then totaled to determine malnutrition risk, with a higher score indicating greater risk.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    36 views1 page

    Formulir Skrining Gizi Malnutrition Screening Tools (MST)

    Uploaded by

    ade rizky
    This document contains a screening form for patients at risk of malnutrition from Puskesmas Rasau Jaya. The form has three parameters - unintended weight loss, amount of weight loss, and difficulty eating due to decreased appetite. For each parameter, the patient is given a score which are then totaled to determine malnutrition risk, with a higher score indicating greater risk.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    FORMULIR SKRINING GIZI PASIEN DENGAN RESIKO MALNUTRISI PUSKESMAS

    RASAU JAYA

    PARAMETER SCORE
    Apakah akhir-akhir ini pasien mengalami penurunan BB yang tidak
    dikehendaki ?
    Tidak 0
    Ya/ tidak yakin 2

    Jika Ya, berapa banyak penurunan BB (kg) yang hilang


    1-5 1
    6 - 10 2
    11 - 15 3
    > 15 4
    Tidak yakin 2

    Apakah asupan makan pasien sulit dikarenakan penurunan nafsu


    makan ?
    Ya 0
    Tidak 1

    TOTAL SCORE

    FORMULIR SKRINING GIZI PASIEN DENGAN RESIKO MALNUTRISI PUSKESMAS


    RASAU JAYA

    PARAMETER SCORE
    Apakah akhir-akhir ini pasien mengalami penurunan BB yang tidak
    dikehendaki ?
    Tidak 0
    Ya/ tidak yakin 2

    Jika Ya, berapa banyak penurunan BB (kg) yang hilang


    1-5 1
    6 - 10 2
    11 - 15 3
    > 15 4
    Tidak yakin 2

    Apakah asupan makan pasien sulit dikarenakan penurunan nafsu


    makan ?
    Ya 0
    Tidak 1

    TOTAL SCORE

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