Nutrition Care Process of Malnutrition in Patients with Suspected Sepsis, Anemia, and Severe Marasmic-Type PEM in the Rehabilitation Phase
Keywords:
Malnutrition, Anemia, PEM, Enteral Nutrition, Nutrition Care.Abstract
Sepsis is a life-threatening condition characterized by organ dysfunction resulting from a systemic inflammatory response to infection, often accompanied by increased metabolic demands and a risk of malnutrition. This condition becomes more complex when accompanied by chronic disease anemia and severe protein-energy malnutrition (PEM), which can further worsen the patient’s nutritional status. NCP is a systematic and standardized method used by nutritionists or dietitians to provide structured, high-quality, safe, and measurable nutritional services aimed at identifying and addressing nutritional problems. This case study was conducted in Room Gardenia 2, Prof. Dr. I.G.N.G. Ngoerah General Hospital, from March 10–17, 2026, involving a 16 year old male patient diagnosed with Suspected Sepsis, Anemia, and Severe Marasmic-Type PEM in the Rehabilitation Phase. A comprehensive nutritional assessment was performed on the patient, including anthropometric, biochemical, physical/clinical data, dietary history, and personal history. The nutritional intervention provided consisted of a pediatric diet in liquid form, administered gradually according to the patient’s clinical condition, tolerance, and acceptance of the food. The results of the intervention showed a significant increase in nutrient intake, including energy, protein, fat, and carbohydrates, which gradually increased to >80% of the patient’s daily requirements, although there was no significant change in the patient’s nutritional status. Overall, the application of the Standardized Nutrition Care Process in this case study demonstrates that this approach is effective in improving patients’ nutritional intake, making it a crucial approach in the nutritional management of pediatric patients with severe malnutrition.
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