Student s Name: Last Years, Seventh Semester

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STUDENT’S GUIDELINE

Course: Maternal Nutrition

Student’s Name: Last Years, Seventh

Semester

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C ha pt er : Ma te rna l N ut ri ti on 20 10

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Nutritional Program Faculty Of Medicine Brawijaya University 2011 List Of Content A. Introduction B. Goal C. Objective D. Content (outline) E. Required Reference F. Teaching Staff and Contact

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A. Introduction

Welcome to elective course maternal nutrition, hope we will enjoy this elective course. This course create to giving knowledge, experience and finally we are believe hard working and the best effort can be showed from course participants. We will ready to give the best course program, topic and lecture to make beyond our best achievement.

1. Course Title : Maternal Nutrition 2. Major : Health Nutrition 3. Course Code/Credits : DKG/2

4. Meeting : 11 (include test) 5. Credits Hours : 2 x credit hours

6. Pre-Requisites : Nutrition in The Life Cycle, Drug and Nutrition Interaction, Intermonev Clinic

7. Course Grading :

a. Written exam = 60%

b. Assignments and seminar = 30 %

c. Attendance and class participation = 10% 8. Course Description :

Maternal Nutrition course is designed to give students an advance issue, medical nutrition therapy and important care strategy for life cycle specially in maternal level. It will discus about maternal nutrition problem that it will found by dietician in hospital and community field more deeper than pre-requisites courses.

B. Goal

Competencies based on Committee on Accreditation for Dietetics Education (CADE) of American Dietetic Association (ADA)

Number Of Competencies

Competencies General Objective Specific Objective 33 Design and implement nutrition

care plans as indicated by the patient’s/client’s health status (perform)

Mampu melaksanakan nutrition care proses secara benar meliputi assessment, diagnosa, intervensi, monitoring evaluasi 1. Mampu melaksanakan assessment 2. Mampu melaksanakan diagnosa 3. Mampu melaksanakan intervensi

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4. mampu melaksanakan monitoring dan evaluasi 34 Manage monitoring of

patient’s/client’s food and/or nutritient intake

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35 Select, implement, and evaluate standard enteral and parenteral nutrition regimens, i.e., in a medically stable patient to meet nutritional requirement where recommendation/adjustment involve primary macronutrient (perform)

1. Mampu memilih nutrisi enteral dan parenteral sesuai dengan kondisi pasien (patologis, fisiologis, sosekbud) 2. Mampu menghitung kebutuhan nutrisi enteral dan parenteral pasien sesuai dengan kondisi penyakitnya

1.

Memahami patofisiologi pasien

2.

Mampu menghitung kebutuhan nutrisi enteral sesuai kondisi penyakitnya

3.

Mampu menghitung kebutuhan nutrisi parenteral sesuai kondisi penyakitnya 36 Develop and implement

transitional feeding plans i.e., conversion from one form of nutrition support to another, e.g., total parenteral nutrition to tube feeding to oral diet (perform)

Mampu menentukan kapan perpindahan diet (parenteral ke enteral maupun oral) berdasarkan kondisi dan kemampuan pasien.

1.

Mampu memantau perkembangan kondisi patofisiologi pasien

2.

Mampu mengevaluasi kondisi patofisiologi pasien

3.

mampu

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membuat keputusan penentuan kapan perpindahan diet pada pasien 37 Coordinate and modify nutrition

care activities among caregivers (perform)

1. Mampu menjelaskan kepada petugas kesehatan yang lain dan pihak keluarga bahwa diperlukan kerjasama yang baik (team) yang solid untuk membantu kesembuhan pasien

2. Memahami fungsi dan peran dari masing –masing anggota health care team 1. mampu menjelaskan kepada petugas kesehatan yang lain dan pihak keluarga bahwa diperlukan kerjasama yang baik (team) yang solid untuk membantu kesembuhan pasien. 2. Memahami fungsi dari masing-masing anggota health care team 3. Memahami peran dari masing-masing anggota health care taeam 38 Conduct nutrition care

component of interdisciplinary team conferences to discuss patient/client treatment and discharge planning 1. Memahami indikator dari discharge planning patient 2. Mampu 1. Memahami indikator dari discharge planning patient

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memfasilitasi dan menjelaskan apabila terdapat perbedaan pendapat dalam penanganan nutrisi pada pasien 2. Mampu menfasilitasi apabila terdapat perbedaan pendapat dalam penanganan nutrisi pada pasien 3. mampu menjelaskan apabila terdapat perbedaan pendapat dalam penanganan nutrisi pada pasien 43 Conduct community-based health

promotion/disease prevention program 1. mampu memformulasika n materi promosi kesehatan yang tepat untuk sasaran tertentu 2. mampu merencanakan suatu kegiatan promosi kesehatan - C. Objective

1. Participant can achieve the goal that it have been determine. D. Content (outline)

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Class meeting Topic Description 1 Maternal Nutrition National

Program

Discussing about government program for maternal nutrition, analysis the problem that founded in community based on problem

2 Maternal Size in Pre-pregnancy

Discussing about preconception, maternal size related pregnancy, how to prepare pregnancy from nutrition prespective

3 Pregnancy in Obesity Discuss how to manage pregnancy with obesity and it’s problems

4 Pregnancy with Twin Infant Discuss how to manage pregnancy with twin infant and it’s problem

5 Pregnancy in Diabetes Discuss how to manage gestational diabetes, and pregnancy with diabetes mellitus, including insulin application related nutrition

6 High Risk Pregnancy Discuss how to manage high risk pregnancy: pregnancy with birth problem, pregnancy in elderly, hypertension and vascular problem, history of miscarriage.

7 HIV Pregnancy (infant feeding and HIV transmission)

Discuss about infant feeding and HIV transmission in pregnan women with HIV

8 Breastfeeding During Pregnancy

Discus how breast feeding can effect in pregnancy and problem than can be happen

9 Review journal: Hyper-emesis Gravidarum

Analysis one of nutrition scientific journal related topic (years between 2010-2011)

10 Review journal: ectopic pregnancy, placenta previa, abnormal bleeding

Analysis one of nutrition scientific journal related topic (years between 2010-2011)

2. Time Table Hari,Tanggal

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Topic Sub Topic Student Activity Lecture Senin, 3 Oktober 2011 (08.00-Maternal Nutrition National Program (1)

1. Suplementasi pada ibu hamil 2. Program terkait ibu hamil

Class meeting

Fajar Ari Nugroho

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09.40) (10.00-11.40) Maternal Size in Pre-pregnancy (2)

1. Kehamilan pada ibu dengan kondisi underweight

2. Kehamilan pada ibu dengan kondisi obesitas

3. Kehamilan dengan tinggi badan kurang dari 155 cm

Class meeting Leny Budhi Harti (13.00-14.40) Pregnancy in Obesity (3) 1. Perubahan/Metabolism pada ibu hamil dengan obesitas 2. Resiko terkait dengan

obesitas pada ibu dan bayi 3. Penanganan obesitas pada

ibu hamil Class meeting Leny Budhi Harti Selasa, 4 Oktober 2011 (08.00-09.40)

Test for topic 1, 2, & 3 Team (10.00-11.40) Pregnancy in Diabetes (4)

1. Resiko malnutrisi pada kehamilan ganda

2. Resiko gangguan kehamilan

Class meeting Laksmi Karunia (13.00-14.40)

High Risk Pregnancy (5)

1. Perubahan metabolism yang ada

2. Pengaruh pada ibu dan bayi 3. Specific medical nutrition

therapy Class meeting Laksmi Karunia Rabu, 5 Oktober 2011 (08.00-09.40)

Test for topic 4 & 5

Team

(10.00-11.40)

HIV Pregnancy (infant feeding and HIV transmission) (6)

1. Kehamilan dengan usia >35 2. Kehamilan dengan

antropometri ibu tidak normal (ibu pendek-pinggul kecil, ibu LILA < 23, ibu KEK)

Class meeting

Laksmi Karunia

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3. Kehamilan dengan keadaan klinis penyulit (penderita jantung)

(13.00-14.40)

Pregnancy with Twin Infant (7)

1. Pregnancy with twin infant needs

2. Pregnancy with twin infant risk Class meeting Fajar Ari Nugroho Kamis, 6 Oktober 2011 (08.00-09.40)

Test for topic 6 & 7 Team (10.00-11.40) Breastfeeding During Pregnancy (8)

1. Efek terhadap janin

2. Hal yang perlu dilakukan dalam pengelolaannya Class meeting Fajar Ari Nugroho (13.00-16.00) Review journal: Drugs-Nutritions Interaction in Pregnancy (9)

1. DNI yang umum terjadi pada ibu hamil

2. Efek yang mungkin terjadi 3. Bagaimana mengatasi resiko

negative dari DNI yang terjadi 4. Medical nutrition therapy

ter-update

5. Kontradiksi yang ditemukan dalam penanganan dan bagaimana cara mengatasinya Presentation Discussion Fajar Ari Nugroho Review journal: Hyper-emesis Gravidarum, ectopic pregnancy, placenta previa, abnormal bleeding (10) Jumat, 7 Oktober 2011 (08.00-09.40)

Test for topic 8,9 & 10

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E. Teaching Team and Contacts

No Teaching Team Contact 1 Leny Budhi Harti S.Gz Phone: 0858 55 83 9001

Email: ini_leny@yahoo.com 2 Laksmi Karunia S.Gz Phone: 081 330 542 395

Email: laksmi_karunia@yahoo.co.id 3 Fajar Ari Nugroho S.Gz Phone: 0856 55 13 8697

Email: fanmerah@gmail.com