Panduan Asesmen Gizi

LAMP LAMPIR IRAN AN  NO TANGGAL TENTANG

: KEPU KEPUTU TUSA SAN N DIR DIREKTU EKTUR R RUMAH UMAH  SAKITAR BUNDA PRABUMULIH : 037 / RS-Bunda / PBM / I / 2017 : 03 Janua! 2017 : Panduan A" A"u#an G! G!$! Ra Ra%a& In Ina' RS AR Bunda Pa(u)u*!#

BAB I DEFINISI

A"u#an G!$! ada*a# "+an,a!an +,!a&an .an, &+,an!"!/&+"&u&u .an, )+)un,!nan un&u  !d+n&!!a" !d+n&!!a"!! +(u&u#an +(u&u#an ,!$! dan '+n.+d!aan '+n.+d!aan a"u#an un&u )+)+nu#! +(u&u#an &+"+(u& T+a'! T+a'! ,!$! )+*!'u&! (+(+a'a *an,a# .a!&u a"+")+n d!a,n"!" !n&++n"! dan )n!&!n, Ada'un .an, d!)a"ud asesmen gizi ada*a# +,!a&an )+n,u)'u*an "+)ua da&a .an, (+a!&an d+n,an '+n,a)(!*an +'u&u"an an&aa *a!n !%a.a& ,!$! !%a.a& '+"na* #a"!* *a(a&!u) an&')+&! #a"!* '+)+!"aan !"! *!n!" d!+& d+ dan '+!aan +(u&u#an $a& ,!$! P+*a.anan P+*a.anan a"u#an ,!$! d! RS AR Bunda Pa(u)u*!# Pa(u)u*!# d!*a"ana d!*a"anaan an "+4aa &+d!na" &+d!na"!! an&aa an&aa D&+ P+nan,,un,5a%a( P+*a.anan (+"a)a nu&!"!n!"/d!+&!"!+n dan '+a%a& U'a.a '+n!n,a&an "&a&u" ,!$! ,!$! dan +"+#a +"+#a&an &an )a".a )a".aaa aa&& (a! (a! d! da*a) da*a) )au'un )au'un d! *ua *ua u)a# u)a# "a!& "a!& )+u'a )+u'aan an &u,a" &u,a" dan &an,,un,5a%a( &+na,a +"+#a&an &+u&a)a &+na,a ,!$!

BAB II RUANG LINGKUP

Ruan, *!n,u' a"+")+n/'+n,a5!an ,!$! d! RS AR Bunda Pa(u)u*!# )+*!'u&! : 1 P+*a.anan G!$! Ra%a& Ja*an P+*a.anan ,!$! a%a& 5a*an ada*a# "+an,a!an '"+" +,!a&an a"u#an ,!$! .an,  (++"!na)(un,an d!)u*a! da! a"+")+n/'+n,a5!an '+)(+!an d!a,n"!" !n&++n"! ,!$! dan )n!&!n, +a*ua"! +'ada 'a"!+n/*!+n d! a%a& 5a*an A"u#an ,!$! d! a%a& 5a*an 'ada u)u)n.a d!"+(u& +,!a&an n"+*!n, ,!$! dan d!+&+&! a&au +dua"!/'+n.u*u#an ,!$! D&+   '+nan,,un,5a%a( '+n.a!& da'a& )+u5u 'a"!+n +'ada nu&!"!n!"/d!+&!"!+n un&u )+nda'a&an n"+*!n, ,!$! d+n,an )+n.+&aan )u*! '+)!n&aan n"+*!n, P+*a.anan ,!$! a%a& 5a*an )+*!'u&! +,!a&an n"+*!n, !nd!!dua* "+'+&! : '+*a.anan n"+*!n, ,!$! dan d!+&+&! d! un!& a%a& 5a*an &+'adu dan '+n.u*u#an (++*)' "+'+&! '+)(+!an +dua"! d! +*)' 'a"!+n d!a(+&+" ! (u #a)!* dan )+n.u"u! "+&a 'a"!+n 5an&un, n+ 2 P+*a.anan G!$! Ra%a& Ina' P+*a.anan ,!$! a%a& !na' )+u'aan '+*a.anan ,!$! .an, d!)u*a! da! '"+" '+n,a5!an ,!$! d!a,n"!" ,!$! !n&++n"! ,!$! )+*!'u&! '++n4anaan '+n.+d!aan )aanan '+n.u*u#an/+dua"! dan n"+*!n, ,!$! "+&a )n!&!n, dan +a*ua"! ,!$! M+an!")+ '+*a.anan ,!$! a%a& !na' &+d!! da! : 21 S!n!n, G!$! Ta#a'an '+*a.anan ,!$! a%a& !na' d!a%a*! d+n,an "!n!n,/'+na'!"an ,!$! *+# '+a%a& uan,an dan '+n+&a'an d+ d!+& a%a* 6'+"!'"! d!+& a%a* *+# d&+ B!*a #a"!* "!n!n, )+nun5uan 'a"!+n (++"! )a*nu&!"! (+a& 6(+da"aan " #a"!* "!n!n, (a! d+n,an )+&d+ MST un&u 'a"!+n d+%a"a )au'un )+&d+ S&n, K!d" un&u 'a"!+n ana a&au )+)+*uan d!+& #u"u" "+#u(un,an d+n,an '+n.a!&n.a 6H!'+&+n"! D!a(+&+" M+**!&u" H+'a&!&!" S&+ dan '"& '+a"! d!,+"&! d!u5u + nu&!"!n!"/d!+&!"!+n un&u  )+nda'a&an a"u#an ,!$! *+(!# *an5u& 22 P"+" A"u#an G!$! T+"&anda 6PAGT P"+" A"u#an G!$! T+"&anda ada*a# "ua&u )+&da '+)+4a#an )a"a*a# .an, "!"&+)a&!" da*a) )+nan,an! '(*+) ,!$! "+#!n,,a da'a& )+)(+!an a"u#an ,!$! .an, a)an ++&!  dan (+ua*!&a" &!n,,! A"u#an ,!$! d!*auan *+# nu&!"!n!"/d!+&!"!+n .an, "uda# )+nda'a&an !n4!an +%+nan,an *!n!" da! D!+&u

 BAB III

TATA LAKSANA A. Skrining Gizi

Ta#a'an '+*a.anan ,!$! a%a& !na' d!a%a*! d+n,an "!n!n,/'+na'!"an ,!$! *+# '+a%a& uan,an dan '+n+&a'an d+ d!+& a%a* 6'+"!'"! d!+& a%a* *+# d&+ S!n!n, ,!$! (+&u5uan un&u  )+n,!d+n&!!a"! 'a"!+n/*!+n .an, (++"! &!da (++"! )a*nu&!"! a&au nd!"! #u"u" Knd!"! #u"u" .an, d!)a"ud ada*a# 'a"!+n d+n,an +*a!nan )+&a(**!8 #+)d!a*!"!"8 ana8 ,+!a&!8 an+  d+n,an +)&+a'!/ad!a"!8 *ua (aa8 'a"!+n d+n,an ! )un!&a" )+nuun8 "a!& !&!" dan "+(a,a!n.a Id+a*n.a "!n!n, d!*auan 'ada 'a"!+n (au 1 9 2 5a) "+&+*a# 'a"!+n )a"u u)a# "a!& M+&da "!n!n, "+(a!n.a "!n,a& 4+'a& dan d!"+"ua!an d+n,an nd!"! dan +"+'aa&an d! )a"!n,)a"!n, u)a# "a!& M+&da "!n!n, ,!$! .an, d!,unaan d! RS AR Bunda Pa(u)u*!# ada*a#  Malnutrition Scrining Tools 6MST un&u 'a"!+n d+%a"a 6; 1 &a#un dan )+&d+ S&n, K!d" un&u   'a"!+n ana-ana 60-1 &a#un Ada'un &a#a'an '+*a.anan ,!$! "+(a,a! (+!u& 'a"!+n .an, )a"u )+*a*u! IGD 6In"&a*a"! Ga%a& Daua& d!uu (+a& (adan dan &!n,,! (adann.a a&au (!*a &!da (!"a d!&!)(an, d!*auan '+n,uuan LLA 6 L!n,a L+n,an A&a"  un&u 'a"!+n ana < ana u"!a 0 < 1 &a#un d!uu (+a& (adan dan 'an5an,  (adan "!n!n, ,!$! d!*auan *+# '+a%a& d! a%a& !na' da*a) 2 5a) "+&+*a# 'a"!+n d!a%a& d+n,an )+n,,unaan Malnutrition Screening Tools 6MST B!*a #a"!* "!n!n, ,!$! )+nun5uan 'a"!+n (++"! )a*nu&!"! )aa d!*auan  '+n,a5!an/a"+")+n ,!$! dan d!*an5u&an d+n,an *an,a#-*an,a# '"+" a"u#an ,!$! &+"&anda *+# nu&!"!n!"/d!+&!"!+n Ba,! 'a"!+n d+n,an "&a&u" ,!$! (a! dan 'a"!+n +"! )a*nu&!"! !n,an dan "+dan, )aa 4uu' d!*auan '+)an&auan *+# '+a%a& uan,an (++5a"a)a d+n,an DPJP dan (!*a 'a"!+n )a*nu&!"! (+a& )aa a"+")+n ,!$! d!*auan *+# Nu&!"!n!"/D!+&!"!+n Ba,! 'a"!+n d+n,an "&a&u" ,!$!  (a! +a*ua"! da'a& d!*auan "+&+*a# 7 #a! a%a& Pa"!+n d+n,an +"! )a*nu&!"! (+a& d!)n!& dan d!+a*ua"! "+&!a' #a! +)ud!an d!*auan a""+")+n u*an, "+&+*a# 3 #a! S!n!n, a%a* d!*auan *+# '+a%a& d+n,an )+n,,unaan IMT 6 Ind+" Ma"a Tu(u#  dan  '+n,uuan L!LA un&u 'a"!+n d+%a"a .an, &!da (!"a d!&!)(an, "+&a 'a"!+n ana-ana u"!a 0 "a)'a! 1 &a#un S!n!n, d+n,an )+&d+  Malnutrition Screening Tool   6MST (+&u5uan un&u )+n,!d+n&!!a"! dan )+na&a *a"ana 'a"!+n d+%a"a .an, )+n,a*a)! ,!$! (uu uan, ,!$! a&au (+"!&a" Un&u 'a"!+n ana 60-1 &a#un )+n,,unaan )+&d+ S&n,-K!d" 1

A"+")+n G!$! Pa"!+n D+%a"a K+*!)a *an,a# MST ada*a# "+(a,a! (+!u&: 1 H!&un, Ind+" Ma""a Tu(u# 6IMT 'a"!+n d+n,an )+n,,unaan ua d!(a%a# !n! dan  (+!an*a# "4+

P+n,uuan a*&+na&!:  J!a &!n,,! (adan &!da da'a& d!uu ,unaan '+n,uuan 'an5an, *+n,an (a%a# 6u*na un&u )+)'+!aan &!n,,! (adan d+n,an )+n,,unaan &a(+* d!(a%a# !n! 

2 Lan,a# 2: n!*a! '+"+n&a"+ +#!*an,an (+a& (adan .an, &a d!+n4anaan )+n,,unaan &a(+* d! (a%a# !n! dan (+!an*a# "

3 Lan,a# 3: n!*a! adan.a ++/'+n,au# au& da! '+n.a!& .an, d!d+!&a 'a"!+n dan (+!an " 6+n&an, an&aa 0-2 S+(a,a! 4n&# 5!a 'a"!+n "+dan, )+n,a*a)! '+n.a!& au& dan "an,a& "+d!!&/&!da &+da'a& a"u'an )aanan ; = #a! d!(+!an " 2  Lan,a# : &a)(a#an " .an, d!'+*+# da! *an,a# 1 2 dan 3 un&u )+n!*a! adan.a !"! )a*nu&!"! : a S 0 > !"! +nda#  ( S 1 > !"! "+dan, 4 S ? 2 > !"! &!n,,!/(+a& = Lan,a# =: ,unaan 'anduan &a&a*a"ana un&u )++n4anaan "&a&+,! +'+a%a&an (+!u& !n! : a R!"! +nda# P+a%a&an u&!n: u*an,! "!n!n, 'ada 'a"!+n d! u)a# "a!& 6&!a' )!n,,u 'ada 'a"!+n • a%a& 5a*an 6&!a' (u*an )a".aaa& u)u) d+n,an u"!a ; 7= 6&!a' &a#un  ( R!"! "+dan, O("+a"!: • – @a&a& a"u'an )aanan "+*a)a 3 #a! – J!a a"u'an ad+ua& u*an,! "!n!n, : 'a"!+n d! u)a# "a!& 6&!a' )!n,,u 'ada  'a"!+n a%a& 5a*an 6&!a' (u*an )a".aaa& u)u) 6&!a' 2-3 (u*an – J!a &!da ad+ua& +n4anaan "&a&+,! un&u '+(a!an dan '+n!n,a&an a"u'an nu&!"! 'an&au dan a5! u*an, ',a) '+)(+!an nu&!"! "+4aa &+a&u 

4 R!"! &!n,,! Ta&a*a"ana: • – Ru5u + a#*! ,!$! – P+(a!! dan &!n,a&an a"u'an nu&!"! – Pan&au dan a5! u*an, ',a) '+)(+!an nu&!"!: Pada 'a"!+n d! u)a# "a!& 6&!a' )!n,,u 'ada 'a"!+n a%a& 5a*an 6&!a' (u*an )a".aaa& u)u) 6&!a' (u*an d Un&u "+)ua a&+,!: A&a"! '+n.a!& .an, )+nda"a! dan (+!an "aan da*a) '+)!*!#an 5+n!" )aanan • @a&a& a&+,! !"! )a*nu&!"! • @a&a& +(u&u#an aan d!+& #u"u" dan !u&! +(!5aan "+&+)'a& •

2

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BAB I4 D'KU2ENTASI

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D!&+&a'an d! : Pa(u)u*!# Tan,,a* : 03 Janua! 2017 DIREKTUR RUMAH SAKIT AR BUNDA

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