Nutrition finalNUTRITIONAL ASSESSMENT

PATIENT NO. 1

Name: Arian Vie A. Juan

Age: 35

Months of pregnancy: (ex. 6 months) 8 months

Nutrition History:

1. Ano po ang madalas na kinakain or may pattern po ba?

- I think wala naman po ako madalas na lagi kinakain during my pregnancy, it usually depends on the day
and my mood on what i prefer to eat that time

2. Nakakakain po ba ng tatlong beses or higit pa sa isang araw?

- yes minsan po higit sa tatlong beses ang kain ko

3. Nakakaranas po ba ng pagsusuka?

- hindi po

4. Nakakaranas ba ng diarrhea sa pagbubuntis?

-Yes twice

5. May sinusunod po bang exercise or nakakapag-exercise pa rin po ba?

- hindi na po hindi na kaya ng body ko mageexeercise, but before po i do daily exercises and tried to eat a
balanced diet
6. Meron po ba kayong food or medical allergies?

-Yes sa chicken and egg

7. Madalas po ba ang paghilab ng tiyan?

- nitong huling trimester po

Medical History:

1. May surgical or medical history? (naoperahan na po ba?)

-Yes nung unang Caesarian ko sa unang baby last 2015

2. May ginagamit po bang gamot,pills,or supplements?

- yes sa calcium & maintenance

3. Kasalukuyang may sakit po ba?

- yes diabetes and hypertension

4. Madalas po ba ang pagdumi at pagihi?

- yes, i noticed that napapadalas ito after ko kumain

Measurement:

1.Height: 5’4
2.Current Weight - 68Kgs

DBW: 68 kg x 0.9 x 24 =

PATIENT NO. 2

Name:mary anne garbin

Age:29

Months of pregnancy: (ex. 6 months) 3

Nutrition History:

1. Ano po ang madalas na kinakain or may pattern po ba?

=GULAY

2. Nakakakain po ba ng tatlong beses or higit pa sa isang araw?

=YES

3. Nakakaranas po ba ng pagsusuka?

=NO

4. Nakakaranas ba ng diarrhea sa pagbubuntis?

=YES

5. May sinusunod po bang exercise or nakakapag-exercise pa rin po ba?

=YES

6. Meron po ba kayong food or medical allergies?

=SHIRMP

7. Madalas po ba ang paghilab ng tiyan?

=NO
Medical History:

1. May surgical or medical history? (naoperahan na po ba?)

=NO

2. May ginagamit po bang gamot,pills,or supplements?

=NO

3. Kasalukuyang may sakit po ba?

=NO

4. Madalas po ba ang pagdumi at pagihi?

=NO

Measurement:

1.Height:5.2

2.Current Weight:49

PATIENT NO. 3

Name:Rose Anchelle N. Triviño

Age:28

Months of pregnancy: (ex. 6 months) Having a one month old baby

Nutrition History:
1. Ano po ang madalas na kinakain or may pattern po ba?

-Leafy vegetables or yung may sahog na gulay, gatas sa umaga at gabi,minsan depende sa gusto ng
panlasa.

2. Nakakakain po ba ng tatlong beses or higit pa sa isang araw?

Noong kasagsagan ng paglilihi,minsan 2x lang,pero 3 or more pa depende sa panlasa.

3. Nakakaranas po ba ng pagsusuka? First trimester,madalas nasusuka.

4. Nakakaranas ba ng diarrhea sa pagbubuntis? Noong una at padalawang buwan.

5. May sinusunod po bang exercise or nakakapag-exercise pa rin po ba?

Walang sinusunod na ehersisyo,kasi pumapasok pa sa trabaho,paglalakad lang ang madalas na ehersisyo

6. Meron po ba kayong food or medical allergies? Wala

7. Madalas po ba ang paghilab ng tiyan? Hindi naman,minsan lang,lalo na nung malapit na ang
kabuwanan

Medical History:

1. May surgical or medical history? (naoperahan na po ba?) Wala

2. May ginagamit po bang gamot,pills,or supplements? Wala

3. Kasalukuyang may sakit po ba? Wala

4. Madalas po ba ang pagdumi at pagihi? Noong buntis pa madalas ang pag ihi ,isang beses lang pagdumi
kada araw.

Measurement:

1.Height:5

2.Current Weight:45kg

PATIENT NO. 4

Name: Rodelyn O. Lopena

Age: 27 yrs.old

Months of pregnancy: (ex. 6 months) 6 months

Nutrition History:

1. Ano po ang madalas na kinakain or may pattern po ba? Need po ng healthy foods . Hanggang maaari
need lang po ng. 1 cup of rice per meal . with vegetables and fruits .

2. Nakakakain po ba ng tatlong beses or higit pa sa isang araw? Minsan higit pa po . Kase madalas po
nakakaramdam ng gutom

3. Nakakaranas po ba ng pagsusuka? nung first trimester lang po . Pero ngayon 2nd trimester hindi na .
4. Nakakaranas ba ng diarrhea sa pagbubuntis? Opo .Depende po sa kinakaen

5. May sinusunod po bang exercise or nakakapag-exercise pa rin po ba? Wala pa po sa ngayon . Need daw
po pag nasa 8 months na

6. Meron po ba kayong food or medical allergies? Wala po

7. Madalas po ba ang paghilab ng tiyan? Hindi naman po

Medical History:

1. May surgical or medical history? (naoperahan na po ba?) Wala po

2. May ginagamit po bang gamot,pills,or supplements? Prenatal Vitamins po . 3. Kasalukuyang may sakit
po ba? Wala po

4. Madalas po ba ang pagdumi at pagihi? Regular naman po sa pagdumi . Sa pag ihi po ang madalas .

Measurement:

1.Height: 5'1

2.Current Weight: 57 kg.

PATIENT. NO. 5

Name: Heizel L. Abag

Age: 32

Months or weeks ni baby: 2weeks

Nutrition History:

1. Ano po ang madalas na kinakain or may pattern po ba? Gulay

2. Nakakakain po ba ng tatlong beses or higit pa sa isang araw? oo

3. Nakakaranas po ba ng pagsusuka? hindi

4. Nakakaranas ba ng diarrhea sa pagbubuntis? hindi

5. May sinusunod po bang exercise or nakakapag-exercise pa rin po ba? merun

6. Meron po ba kayong food or medical allergies? wala

7. Madalas po ba ang paghilab ng tiyan? hindi

Medical History:

1. May surgical or medical history? (naoperahan na po ba?) hindi

2. May ginagamit po bang gamot,pills,or supplements? wala

3. Kasalukuyang may sakit po ba? wala

4. Madalas po ba ang pagdumi at pagihi? oo

Measurement:

1.Height: 5'1

2.Current Weight:60

COMPUTATIONS:

PATIENT NO. 1
DBW:
5’4. 68kg
5’4 = 64 inches = 162.56 cm
162.56 - 100 = 62.56
62.56 x .10 = 6.256
62.56 - 6.256 = 56.30/56.3kg

DER:
68kg x 0.9 x 24 = 1,468.8
68kg x 0.1 = 6.8
6.8 x 8 hours - 54.4
1,468.8 - 54.4 = 1,414.4
1,414.4 + 225 = 1,639.4
1,468.8 x .10 = 146.8
1,639.4 + 146. 88 = 1,786.28

FOOD VALUE:

PATIENT NO. 2
DBW:
5’2. 49kg
5’2 = 62 inches = 157.48cm
157.48 - 100 = 57.48
57.48 x .10 = 5.748
57.48 - 5.748 = 51.73/51.7 kg

DER:
49kg x 0.9 x 24 = 1,058.4
49 x 0.1 = 4.9
4.9 x 8 hours = 39.2
1,058.4 - 39.2 = 1,019.2
1,019.4 + 225 = 1,244.2
1,058.4 x .10 = 105.84
1,244.2 + 105. 84 = 1,350.04

FOOD VALUE:

PATIENT NO. 3
DBW:
5’0, 45kg
5’0 = 60 inches -= 152.4cm
152.4 - 100 = 52.4
52.4 x .10 = 5.24
52.4 - 5.24 = 47.16/ 47.2 kg

DER:
45kg x 0.9 x 24 = 972
45 x 0.1 = 4.5
4.5 x 8 hours = 36
972 - 36 = 936
936 + 225 = 1,1661
972 x .10 = 97.2
1,161 + 97. 2 = 1,258.2

FOOD VALUE:

PATIENT NO. 4
DBW:
5’1, 57kg
5’1 = 61 inches = 154.94cm
154.94 - 100 = 54.94
54.94 x .10 = 5.494
54.94 - 5.494 = 49.45/ 49.5 kg

DER:
57kg x 0.9 x 24 = 1,231.2
57 x 0.1 = 5.7
5.7x 8 hours = 45.6
1,231.2 - 45.6 = 1,185.6
1,185.6 + 225 = 1,410.6
1,231.2 x .10 = 123.12
1,410 + 123. 12 = 1,533.72

FOOD VALUE:

PATIENT NO. 5
DBW:
5’1, 60kg
5’1 = 61 inches = 154.94
154.94 - 100 = 54.94
54.94 x .10 = 5.494
54.94 - 5.494 = 49.45/ 49.5 kg

DER:
60kg x 0.9 x 24 = 1,296
60 x 0.1 = 6
6 x 8 hours = 48
1,296 - 48 = 1,248
1,248 + 225 = 1,473
1,296 x .10 = 129.6
1,473 + 129.6 = 1,602.6

FOOD VALUE:

MEAL PLAN:
PATIENT NO. 1 (ALLERGY SA CHICKEN AND EGG)

DIABETES AND HYPERTENSION

BREAKFAST: 1 glass of milk, 1 cup of rice, 100g of fried fish, 1 cup of chopsuey, and 2 slice of
watermelon

LUNCH: 1 cup of rice, 1 cup blanched broccoli and carrots, 100 grams of pork belly steak, and 2
slice of mango

SNACK: ½ piece of boiled corn and 2 1/2 pieces of loaf bread

DINNER: 1 glass of milk, 1 cup of oats, and 1 piece of banana

DER: 1,786.28

NO. OF CHO PRO FATS CALORIES

EXCHANGE

RICE A 4 45g 4.3g 0.4g 397.6

RICE B 2 46g 8g 108g

RICE C 1 103.38g 26.35g 10.76g 140.49g

FRUIT 5 20 g 100g

VEGETABLE 2 6g 2g 16g
A

VEGETABLE 2 8.9g 13.5g 8.4g 61.6g

B

MILK 2 12g 8g 10g 120g

STARCH 4 8g 2.1 g 16.4

MEAT A 2 30.88g 26.68g 22.12g 159.36

MEAT B 2 25.7g 20.8g 93g

SUGAR 4 71.72g 286.88g

 FATS 4 71.73 g 286.93g

TOTAL 351.88g 108.63g 152.3g 1,786.29 kcal

FOOD VALUE:

Patient No. 1

351.88 x 4 = 1407. 52 = 43.81 %

108.63 x 4 = 434.52 = 13.52 %

152.3 x 9 = 1370.7 = 42.66%

TOTAL ;100%

JOULES:

3.212.74 x 4.184 = 13442.10 kjoules

TOTAL: 3212.74

PATIENT NO. 2 (PATTERN : VEGGIES) ALLERGY: SHRIMP

DER: 1,350.04

BREAKFAST: 1 glass of milk, 1 cup of rice, sauteed bottle gourd (upo), 2 boiled eggs , and 2 slice
of pineapple

LUNCH: 1 cup of rice, 1 cup sauteed sitaw and squash, 100 grams of fried bangus, and 3 slice of
mango

SNACK: 1 cup orange juice, 2 loaves of white bread, and 1 whole banana

DINNER: 1 glass of milk, 1 cup of rice, 1 cup of chicken tinola, and 2 slices of watermelon

NO. OF CHO PRO FATS CALORIES

EXCHANGE

RICE A 3 45g 4.3g 0.4g 149.1g

RICE B 2 12g 2.2g 0.8g 30g

 FRUIT 5 20 g 100g

VEGETABLE 2 14.2 g 2.88g 0.20g 34.56g

A

VEGETABLE 2 21.54g 1.64g 0.12g 46.6g

B

MILK 2 12g 8g 2.4g 44.8g

STARCH 4 16g 4.2 g 40.4g

MEAT A 2 1.52g 98.24 g 101.56g 402.64g

MEAT B 1 8.8g 30g 14.12g 105.84g

SUGAR 4 49.51g 198.04

FATS 4 49.51g 198.04

TOTAL 180.57g 151.46g 169.11g 1,350. 03 or

1,350 kcal

FOOD VALUE:

Patient No. 2

180.57 x 4 = 722.28 = 25.34 %

151.46 x 4 = 605.84 = 21.26%

169.11 x 9 = 1521.99 = 53.40%

TOTAL: 100%

JOULES:

2850.11 x 4.184 = 11924.86 kjoules

TOTAL: 2850.11

PATIENT NO. 3 (LEAFY VEG/ MILK MORNING AND NIGHT)

DER: 1,258.2
BREAKFAST: 1 glass of milk, 1 cup of rice, ginataang sitaw at kalabasa with 100 grams of ground
pork, 2 boiled eggs , and 1 slice of banana

LUNCH: 1 cup of rice, 1 cup corn and malunggay soup , 100 grams of fried chicken, and 1 whole
apple

SNACK: 1 cup apple juice, 1 pack of cassava chips

DINNER: 1 glass of milk, 1 cup of rice, 1 can of sauteed sardines with malunggay and cabbage, and
1 slice watermelon

NO. OF CHO PRO FATS CALORIES

EXCHANGE

RICE A 3 45g 4.3g 0.4g 149.1g

RICE B 2 1.2g 12g 10g 46.4g

FRUIT 5 20 g 100g

VEGETABLE 2 18 g 28g 30g 152g

A

VEGETABLE 2 13.4g 6.7g 1.7g 46.6g

B

VEGETABLE 1 6.10g 30g 22.18g 58.28g

C

MILK 2 12g 8g 2.4g 44.8g

STARCH 4 16g 4.2 g 40.4g

MEAT A 2 25.7g 28g 107.4g

MEAT B 1 3.6g 30g 12g 45.6g

SUGAR 4 58.45g 233.81

FATS 4 58.45g 233.81

TOTAL 193.75g 148.9g 165.13g 1,258.2 kcal

FOOD VALUE:
Patient No. 3

193.75 x 4 = 775 = 27.13%

148.9 x 4 = 595.6 = 20.85%

165.13 x 9 = 1486.17 = 52.02%

TOTAL: 100%

JOULES:

2856.77 x 4.184 = 11952.73 kjoules

TOTAL: 2856.77

PATIENT 4: FOOD PATTERN (1Cup rice with fruit and Vegetables)

Breakfast: 1 glass of milk, 1 cup of rice, 1 eggplant omelette, and 1 apple

Lunch: 1 cup of rice, 100 grams pork chop, 1 banana, and 1 cup of chopsuey

Snack: 1 glass of milk, 1 orange and 3 slices of bread

Dinner: 1 cup of rice, 1 cup of chicken tinola with malunggay leaves, 2 slices of apple

DER: 1533.72

NO. OF CHO CHON FATS CALORIES

EXCHANGE

RICE A 3 45g 4.3g 0.4g 149.5g

RICE B 3 45g 5g 1.8g 155.4g

RICE C 2 20g 1.6g 0.1g 43.4g

FRUIT 4 14g 0.3g 0.2g 68g

VEGETABLE 2 13g 5g 9g 54g

A
 VEGETABLE 2 8.9g 16g 8.4g 66.6g
B

VEGETABLE 2 3g 26g 14g 86g

C

MILK 2 12g 8g 2.4g 44.8

STARCH 3 31g 5.5g 2.1g 115.8

MEAT A 2 - 24g 20.8g 89.6

MEAT B 2 - 31g 3.6g 69.2

SUGAR 4 73.68g - - 295.71

FATS 5 - - 59.14g 295.71

TOTAL 265.58g 126.7g 121.8g 1533.72kcal

265.58 x 4 = 1062.32 = 40%

126.7 x 4 = 506.8 = 19%

121.8 x 9 = 1096.2 = 41%

TOTAL ;100%

JOULES:

2671.32 x 4.184 = 11176.80 kjoules

TOTAL: 2671.32

PATIENT 5 ( VEGETABLES)

BREAKFAST: 1 cup of rice, 1 cup malunggay soup, 2 boiled eggs, 1 glass of milk, and 1 apple
LUNCH: 1 cup of rice, 1 cup sauteed squash, 100g pork belly, and 2 mangoes

SNACK: 3 slices of wheat bread, 1 apple,1 glass of milk, 1 cup potato salad and 1 yogurt

DINNER: 100g fried tilapia, 1 cup mixed veggies, 1 cup rice, 1 orange, and 1 cup potato salad

DER: 1,602

NO. OF CHO CHON FATS CALORIES

EXCHANGE

RICE A 3 45g 4.3g 0.4g 149.5g

RICE B 2 0.6g 6.3g 5.3g 24.4g

FRUIT 5 20g - - 100g

VEGETABLE 2 9.1 8.1 1.7g 36.8g

A

VEGETABLE 2 12g 2g 3.3g 34.6g

B

VEGETABLE 2 9g 2.4g 0.5g 23.8

C

VEGETABLE 1 27.9g 6.7g 20.5g 54.2

D

MILK 3 57g 13.3g 4g 108.9

STARCH 3 42g 9.3g 2.8g 162.3

MEAT A 2 - 9.34g 53.01g 124.7

MEAT B 2 7g 16g 12g 70

SUGAR 4 81.74g - - 326.95

FATS 5 60.61g 5.3 1.6 326.95

TOTAL 371.95g 83.04g 105.11g 1,602kcal

371.95 x 4 = 1487.8 =54%

83.04 x 4 = 332.16 = 12%

105.11 x 9 = 945.99 = 34%

TOTAL ;100%

JOULES:

2765.95 x 4.184 = 11572.73 kjoules

TOTAL: 2765.95