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  • Formulir Asuhan Gizi Terstandar

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    This document contains a standardized nutrition care plan form. The form includes sections for patient information, assessment data, diagnosis and planned nutrition intervention and monitoring. The nutrition intervention section covers dietary intervention including goals, principles, requirements and nutrient calculations. It also includes a section for planned nutrition education or counseling covering goals, methods, time, place, materials and topics. There is a section to plan menus according to the nutrition intervention.

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    This document contains a standardized nutrition care plan form. The form includes sections for patient information, assessment data, diagnosis and planned nutrition intervention and monitoring. The nutrition intervention section covers dietary intervention including goals, principles, requirements and nutrient calculations. It also includes a section for planned nutrition education or counseling covering goals, methods, time, place, materials and topics. There is a section to plan menus according to the nutrition intervention.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    16 views7 pages

    Formulir Asuhan Gizi Terstandar

    Uploaded by

    Aiden
    This document contains a standardized nutrition care plan form. The form includes sections for patient information, assessment data, diagnosis and planned nutrition intervention and monitoring. The nutrition intervention section covers dietary intervention including goals, principles, requirements and nutrient calculations. It also includes a section for planned nutrition education or counseling covering goals, methods, time, place, materials and topics. There is a section to plan menus according to the nutrition intervention.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 7

    lOMoARcPSD|17108054

    Formulir Asuhan GIZI Terstandar

    Skrining Kesehatan (Universitas Airlangga)

    StuDocu is not sponsored or endorsed by any college or university


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    lOMoARcPSD|17108054

    FORMULIR ASUHAN GIZI TERSTANDAR

    Nama: Jenis Kelamin:

    Usia: No. Register:

    Tanggal MRS: Diagnosis Medis:

    Assesment
    Rencana Monitoring
    Diagnosa Gizi Rencana Intervensi
    Evaluasi
    Data Dasar Identifikasi Masalah

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    lOMoARcPSD|17108054

    Assesment
    Rencana Monitoring
    Diagnosa Gizi Rencana Intervensi
    Evaluasi
    Data Dasar Identifikasi Masalah

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    lOMoARcPSD|17108054

    A. RENCANA INTERVENSI

    1. INTERVENSI DIET (ND)


    a. Tujuan Intervensi:

    b. Prinsip Diet

    c. Syarat Diet

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    lOMoARcPSD|17108054

    d. Perhitungan Kebutuhan Energi dan Zat Gizi

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    lOMoARcPSD|17108054

    2. INTERVENSI EDUKASI/KONSELING

    a. Tujuan :

    b. Metode :

    c. Waktu :

    d. Tempat :

    e. Alat dan Bahan :

    f. Sasaran :

    g. Materi :

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    lOMoARcPSD|17108054

    B. PERENCANAAN MENU

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