Ini kisah 4 minggu lepas..........my 1st week attachment at UM Medical Centre..as 'dietitian student'...maybe ramai yg tak tau ape itu 'dietitian' kan? takpe2 kalau nak tau boleh google k..:) first time jejak kaki kat UMMC..sgt la besar x mcm HUKM ok..UMMC 10x ganda lagi besar kot..huuu...so kalau sesat itu normal! haha...actually ni 1st time attach kat hospital luar untuk clinical, before ni 'terperuk' dalam hukm je..huh...beza hukm & ummc yg paling dasyat is dekat ummc kalau dari jabatan dietetik nak naik wad, amik mase 10 minit kot..so paham2 la kalau hari2 naik turun wad, mau tercabut kaki ku..tu tak termasuk perjalanan dari kg baru pegi ummc lagi..huwaaaa...from Plaza Rah ke LRT kg baru dah 10 minit (ni kalau brisk walk), kg baru ke LRT universiti 20 minit (sempat kalau nak tdo lagi seround), then naik bas Metro or Rapid dalam 10 minit sampai la..dah sampai 2, nak jalan pegi jabatan dietetik 15 minit lak...so kalau total up pegi balik mau 2 jam..2 JAM OK! 2 jam aku burn macam 2 je bersame $$$$ per week.....
1st week aku takde la busy sangat pun, penat berjalan je...just masuk ward surgery and pediatric only in 1st week..total up 4 case only i seen in 1 week..itupun share with other 3 friends....sob3...kalau banding ngan mber yg attach kat hospital lain kan, sehari mau dapat 4 patient paling sikit..ye tak?hehehe...so dekat ward surgery patient yg refer dietitian is for either counseling or for enteral feeding...kalau kaunseling memang bosan sikit la, tak banyak..haha...dekat ummc standard formula is either osmolite or ensure but at hukm just ensure only for standard formula....then for product with fiber, they have jevity..i'm not sure hukm has nutren fiber o not but no jevity....so sume hospital pun ade lain2 product, depend budget la kot...yg penting patient dapat product yg sesuai ikut condition diorg...
walaupun tak banyak aku gain at 1st week, still ade benda baru yg aku belajar dkt ummc...for example product for pediatric patient.....before this tak pernah tau special product untuk pediatric patient, bcoz tak pernah attach kat ward pediatric dekat hukm dulu....kesian2.....case pediatric sangat mencabar for me bcoz not familiar, walaupun case 2 senang..haha....like failure to thrive (FTT)....how to gain their weight so that their weight in normal range for their age??? hoho..need to do nutritional assessment 1st, and come out with nutrional diagnosis, then baru boleh buat intervention.....every patient has different nutrition intervention...
so salah satu sebab berat aku tak naik2 is:
'Inadequate oral intake related to not have enough time to consume food and
insufficient food available in my stock as evidenced by intake not meet the requirement'
what are the different between neosure, premature and infant formula??
