Tel: 09-7673204
Faks: 09-7673191
The Standard Diets utilize the Food Pyramid, Exchange Lists, and other guides for meal planning. The diet is designed to achieve or maintain an optimal nutritional status in people who do not require medical nutrition therapy. It is also used to promote health and reduce the risk of chronic nutrition-related diseases. The diet also provides a basis for modified diets.
The Regular / Normal Diet utilize the Food Pyramid, Exchange Lists, and other guides for meal planning. The diet is designed to achieve or maintain an optimal nutritional status in people who do not require medical nutrition therapy. It is also used to promote health and reduce the risk of chronic nutrition-related diseases. The diet also provides a basis for modified diets.
Menus for Normal Diet are divided into 2 which is Menu A and B. The menus are rotated for 2 weeks cycle. Menus are planned taking into consideration the Malaysian RDA. However, nutritional adequacy will depend on the patient’s food intake.
Meals Distribution Regular Diet (Menu A/B)
Exc |
E(kcal) |
CHO(g) |
Prot(g) |
Fat(g) |
BF |
LN |
AT |
DN |
|
Cereals |
11 |
825 |
165 |
22 |
5.5 |
3 |
3 |
2 |
3 |
Vegetable |
2 |
- |
- |
- |
- |
- |
1 |
- |
1 |
Fruit |
1 |
60 |
15 |
- |
- |
- |
1 |
- |
- |
Chicken |
3 |
195 |
- |
21 |
12 |
1 |
- |
- |
2 |
Fish |
2 |
70 |
- |
14 |
2 |
- |
2 |
- |
- |
Fat |
7 |
315 |
- |
- |
35 |
2 |
2 |
1 |
2 |
Skim Milk |
1 |
90 |
15 |
8 |
- |
1/2 |
- |
1/2 |
- |
Sugar |
2 |
120 |
30 |
- |
- |
1 |
- |
1 |
- |
Total |
1675 |
225 |
65 |
54.5 |
|||||
Percentage |
|
54% |
16% |
30% |
Normal Diet (Menu A/B) 1700kcal (Sample Menu) |
|
Breakfast
Rice / mee / meehoon ± 1 ½ cup + meat ± 1 mb + oil ± 2 tsp + vegetable OR Chocolate bun 1 pcs OR Sandwich ± 3 slices + meat/sardine ± 1 mb + margarine ± 2 tsp + vegetable AND Tea / Coffee + Skim Milk ± 2 tbsp + Sugar ± 1 tbsp Lunch
Rice ± 1 ½ cup + Fish / chicken ± 1 pc + Vegetable ± ½ cup + Oil ± 2 tsp + Soup ± ½ bowl Fruit/ Dessert 1 portion |
Afternoon Tea Malay Kueh 1 pc OR Cream Crackers Biscuits 3 pcs AND Tea / Coffee + Skim Milk ± 2 tbsp + Sugar ± 1 tbsp Dinner Rice ± 1 ½ cup + Fish / chicken ± 1 pc + Vegetable ± ½ cup + Oil ± 2 tsp + Soup ± ½ bowl |
Adequate nutrition is critical to child health and development. The Pediatric Diet is designed to meet nutritional needs, especially during periods of accelerated growth, in a form that is compatible with developmental ability.
Pediatric diets range from infant formula to adult regular diet. By the basis, we offer two major types of diet for pediatric wards, which are Normal Diet (Menu B) and Soft Diet (Menu E). However, the child’s diet should be ordered based on his requirement and disease condition.
For the pediatric’s Normal Diet, we named Menu B which is non spicy menus. While Soft Diet for pediatric wards is also same with the other wards except drinks.
Meals Distribution Pediatric Normal Diet (Menu B)
Exc |
E(kcal) |
CHO(g) |
Prot(g) |
Fat(g) |
BF |
LN |
AT |
DN |
|
Cereals |
11 |
825 |
165 |
22 |
5.5 |
3 |
3 |
2 |
3 |
Vegetable |
2 |
- |
- |
- |
- |
- |
1 |
- |
1 |
Fruit |
1 |
60 |
15 |
- |
- |
- |
1 |
- |
- |
Chicken |
3 |
195 |
- |
21 |
12 |
1 |
- |
- |
2 |
Fish |
2 |
70 |
- |
14 |
2 |
- |
2 |
- |
- |
Full Cream Milk |
1 |
150 |
10 |
8 |
9 |
1/2 |
- |
1/2 |
- |
Fat |
7 |
315 |
- |
- |
35 |
2 |
2 |
1 |
2 |
Sugar |
2 |
120 |
30 |
- |
- |
1 |
- |
1 |
- |
Total |
1735 |
220 |
65 |
63.5 |
|||||
Percentage |
51% |
16% |
33% |
Normal Pediatric Diet (Menu B) 1700 kcal (Sample Menu) |
|
Breakfast
Rice / mee / meehoon ± 1 ½ cup + meat ± 1 mb + oil ± 2 tsp + vegetable OR Chocolate bun 1 pcs OR Sandwich ± 3 slices + meat/sardine ± 1 mb + margarine ± 2 tsp + vegetable AND Full Cream Milk ± 2 tbsp + Chocolate powder ± 1 tsp + Sugar ± 2 tsp Lunch Rice ± 1 ½ cup + Fish / chicken ± 1 pc + Vegetable ± ½ cup + Oil ± 2 tsp + Soup ± ½ bowl Fruit/ Dessert 1 portion |
Afternoon Tea Malay Kueh 1 pc OR Cream Crackers Biscuits 3 pcs AND Full Cream Milk ± 2 tbsp + Chocolate powder ± 1 tsp + Sugar ± 2 tsp Dinner Rice ± 1 ½ cup + Fish / chicken ± 1 pc + Vegetable ± ½ cup + Oil ± 2 tsp + Soup ± ½ bowl |
Meals Distribution Pediatric Soft Diet (Menu E)
Exc |
E(kcal) |
CHO(g) |
Prot(g) |
Fat(g) |
BF |
LN |
AT |
DN |
|
Cereals |
9 |
675 |
135 |
18 |
4.5 |
3 |
2 |
2 |
2 |
Vegetable |
2 |
- |
- |
- |
- |
- |
1 |
- |
1 |
Fruit |
1 |
60 |
15 |
- |
- |
- |
1 |
- |
- |
Chicken |
5 |
325 |
- |
35 |
20 |
1 |
2 |
- |
2 |
Full Cream Milk |
1 |
150 |
10 |
8 |
9 |
1/2 |
- |
1/2 |
- |
Fat |
5 |
225 |
- |
- |
25 |
2 |
1 |
1 |
1 |
Sugar |
2 |
120 |
30 |
- |
- |
1 |
- |
1 |
- |
Total |
1555 |
190 |
61 |
58.5 |
Soft Diet for Pediatric (Menu E) 1600kcal (Sample Menu) |
|
Breakfast White Bread ± 3 pcs + Margarine ± 2 tsp + Jam ± 1 portion + Egg 1 egg OR Chocolate bun 1 pcs OR Sandwich ± 3 slices + meat/sardine ± 1 mb + margarine ± 2 tsp + vegetable AND Full Cream Milk ± 2 tbsp + Chocolate powder ± 1 tsp + Sugar ± 2 tsp Lunch
Rice Porridge ± 2 cup + Chicken in soup ± 1 pc + Oil ± 1 tsp + Mix Vegetable Fruit/ Dessert 1 portion |
Afternoon Tea Malay Kueh 1 pc OR Creamy Bread 1 pcs AND Full Cream Milk ± 2 tbsp + Chocolate powder ± 1 tsp + Sugar ± 2 tsp Dinner
Rice Porridge ± 2 cup + Chicken in soup ± 1 pc + Oil ± 1 tsp + Mix vegetable |
Pregnancy and lactation is an anabolic state in the life cycle occurring in women of childbearing age. Adequate nutrition during pregnancy and lactation influences a favorable course and outcome for the mother and fetus or infant.
The diet should be well-balanced an in normal-nourished women, an additional intake of 360 kcal/day is required during the second and 470 kcal/day during the third trimester of pregnancy. While an additional of 500kcal/day for lactating mother who’s the infant of 0 to 6 months of age. Adequate protein intake is important for normal fetal growth and the development of maternal accessory tissues.
For our practice, we provide Normal Adult Diet (Standard Diet) which consisting of Menu A and B for obstetrical wards as pregnancy mother needs well-balanced diet that is made up all nutrients based on Malaysian Food Pyramid. While for postnatal ward, we provide modified normal diet which is the main dish (fish or meat) is only grilled.
Physiological changes take place with increasing age hence the nutritional requirements also change accordingly. During old age, energy requirements are less as the Basal Metabolic Rate (BMR) starts decreasing from the age of 35. The requirement of energy reduces at the rate of about 5% to 20% between the age of 35 to 70 years. To cater to this change in requirement calorie intake should be reduced to maintain ideal body weight as per age and body frame. Overweight individuals need to reduce and attain ideal body weight.
While protein, minerals and vitamins requirements remain unchanged, higher intake of minerals and vitamins especially calcium, iron, B complex vitamins and vitamin D may help. These aid the processes of digestion, absorption and utilization as they do not function at an optimal level.
Dietary considerations
Vegetarian diets are practiced by certain groups of people for reasons of health, economy, religion, ecology or philosophy. The diets are most frequently classified according to the extent by which animal foods are excluded.
Vegetarian diet’s source of protein are from plants such as legumes, seeds, nuts and grain-cereals which are incomplete in their protein quality since they may be deficient in some essential amino acids. However, when vegetable protein sources are combined correctly, such a meal can provide a complete protein of nutritionally sound quality.
Classification of Vegetarian Diet
There are 4 food groups have to be used by a vegan in order to get essential amino acid. The food groups are:
A vegan can get a complete protein in their diet if combining at least 2 from 4 food groups above
The influence of nutrition on the health of the individual is measured through assessment of nutritional status. Within the past decade, there has been tremendous interest in nutritional status, especially that of hospitalized patients, and in developing methods to assess it.
DEFINITION
An individual’s nutritional status is the measurement of the degree to which the individual’s physiological need for nutrients is being met. It is the state of balance in the individual between the nutrient intake and the nutrient expenditure or need. Many factors influence this balance. The individual’s nutritional status has an effect on his or her well-being, performance, resistance to disease and growth.
In a thorough nutritional status assessment, all of the following aspects are considered:
Besides adding to the assessment of health, this information will give the health professional information for anticipating problems and prevention poor nutrition before it develops.
The minimal nutritional screening, especially for the hospitalized patient, includes measurement of height and weight, non-volitional weight loss, change in appetite and serum albumin, all of which can be easily measured in the hospital. This identifies patients at nutritional risk. With regard to all aspects of nutritional status assessment, a finding below the standard means only that the individual is thus ‘at risk’ of developing a clinical nutritional deficiency, which should be verified by a clinical examination.
POTENTIAL FOR DEVELOPMENT OF NUTRITIONAL DEFICIENCY
Certain types of patients are at rick of developing one or multiple nutritional deficiencies. These are:
PURPOSES OR NUTRITIONAL ASSESSMENT
The purpose of the nutritional assessment are (1) to identify a subset of patients in need of further nutritional determinations, and to formulate the Nutrition Diagnosis (2) to establish baseline and (3) to provide a system for early recognition of the probability of health risk due to nutritional factors.
Tel: 09-7673204
Faks: 09-7673191