Nutrition Care Process of Malnutrition in Patients with Bronchopneumonia and Atopic Dermatitis
Keywords:
Nutrition Care Process, Malnutrition, intake, Nutritional StatusAbstract
Bronchopneumonia and atopic dermatitis due to cow's milk allergy are common comorbidities in children with severe malnutrition. These conditions increase the risk of morbidity and mortality by impairing dietary intake and metabolism. The Nutrition Care Process (NCP) provides a structured approach to identify and address nutritional issues in such complex cases. This descriptive case study aimed to evaluate the effectiveness of NCP in improving nutrient intake and Clinical outcomes were reduced fever and shortness of breath. The study was conducted in the PICU of Dr. Tajuddin Chalid Hospital, Makassar, from April 8–12, 2025, involving a 1-year-old male patient. Nutritional assessment included anthropometric, biochemical, clinical, and dietary intake parameters. Intervention consisted of a high-energy, high-protein liquid diet administered via nasogastric tube in a staged manner. Results showed a weight gain of 200 grams and significant improvements in energy, protein, fat, carbohydrate, vitamin, and mineral intake. Clinical improvements were also observed, including reduced fever and shortness of breath. Although the nutritional status remained in the category of malnutrition, the integrated implementation of NCP proved effective in enhancing nutrient intake and stabilizing clinical condition. Personalized nutritional strategies and caregiver education on food allergy management are essential in treating pediatric patients with complex medical and nutritional needs
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