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    Malnutrition

    Alfit Amirah

    Bambang S

    Fhebby M

    Laeli F

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    Definitions of Malnutrition

    Malnutritionis a broad term which refers to

    both undernutrition(subnutrition) andovernutrition. Individuals are

    malnourished, or suffer from undernutrition if their diet does not

    provide them with adequate calories and protein for maintenance and

    growth, or they cannot fully utilize the food they eat due to illness.

    People are also malnourished, or suffer from overnutrition if they

    consume too many calories.

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    What are the signs and symptoms

    of malnutrition?????

    Signs and symptoms of malnutrition (subnutrition) include:

    Loss of fat (adipose tissue)

    Breathing difficulties, a higher risk of respiratory failure

    Depression

    Higher risk of complications after surgery

    Higher risk ofhypothermia- abnormally low body temperatureThe total number of some types of white blood cells falls; consequently,

    the immune system is weakened, increasing the risk of infections.

    Higher susceptibility to feeling cold

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    Longer recover times from infections

    Longer healing times for wounds

    Longer recovery from illnesses

    Lower sex drive

    Problems with fertility

    Reduced muscle mass

    Reduced tissue mass

    Tiredness, fatigue, or apathy

    Irritability

    http://www.medicalnewstoday.com/articles/248002.phphttp://www.medicalnewstoday.com/articles/248002.php
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    In more severe cases:

    Skin may become thin, dry, inelastic, pale, and cold

    Eventually, as fat in the face is lost, the cheeks look hollow and the

    eyes sunken

    Hair becomes dry and sparse, falling out easily

    Sometimes, severe malnutrition may lead to unresponsiveness (stupor)If calorie deficiency continues for long enough, there may be heart, liver

    and respiratory failure

    Total starvation is said to be fatal within 8 to 12 weeks (no calorie

    consumption at all)

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    What are the causes of

    malnutrition??

    In more wealthy industrialized nations malnutrition is usually

    caused by:

    Poor diet Mental health problems

    Mobility problems

    Digestive disorders and stomach conditions

    Alcoholism

    In poorer, developing nations malnutrition is commonly caused by:

    Food shortages

    Food prices and food distribution

    Lack of breastfeeding

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    What are the treatment options for

    malnutrition

    NICE (National Institute for Health and Clinical Excellence), UK

    guidelines state that individuals who are receiving nutritional

    support, as well as their caregivers Should be fully informed about their treatment

    Should be given tailored information

    Should be given the opportunity to discuss diagnosis, treatment

    options and relevant physical, psychological and social issues.

    Should be given contact details of relevant support groups,

    charities and voluntary organizations.

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    When a diagnosis of either malnutrition or malnutrition risk has

    been made, the healthcare professional (either a doctor or

    dietician) who is responsible for the patient will devise atargeted care plan.

    The care plan- aims for treatment will be set out, which should

    include the treatment for any underlying conditions/illnesses

    which are contributory factors to the malnutrition.

    Diet- a good healthcare professional will discuss eating and

    drinking with the patient and provide advice regarding healthy

    food choices. The aim is to make sure the patient is receiving a

    healthy, nutritious diet.

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    Preventing malnutrition

    Malnutrition is caused mainly by not consuming what the

    National Health Service (NHS), UK, calls "the right balance of

    nutrients from major food groups". These include:

    Consume plenty of fruits, grains, and vegetables

    Eat a variety of foods that are low in fats and cholesterols and

    contain only moderate amounts of salt, sugars, and sodium

    Engage in moderate physical activity for at least 30 minutes, at

    least several times a week

    Achieve or maintain their ideal weight

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