Nutritional Management of Children With Viral Encephalitis, Hydrocephalus Communicans, Sepsis, Status Epilepticus : Case Study
Keywords:
Nutrition management, Epilepticus, Ketogenic DietAbstract
Complications of neurological diseases can have a significant impact on malnutrition, such as stunting. This study aims to assess the effect of nutritional management in pediatric patients with diagnoses of viral encephalitis, hydrocephalus communicans, sepsis, and status epilepticus in a comprehensive nutritional care process (NCP).
This research is a case study with an individual approach to pediatric patients at Wahidin Sudirohusodo General Hospital Makassar. The focus of the study was to conduct nutritional screening, nutritional assessment, nutritional diagnosis, nutritional intervention, nutritional monitoring and evaluation carried out for 10 days.
The results of nutritional screening showed a high risk of malnutrition with disease complications. The nutritional diagnoses are Nutrition Intake, Clinical and Behaviour domains. Anthropometric measurements showed the child's nutritional status in the underweight category based on the percentage of LLA. Biochemical examination is at risk of anaemia and risk of hyponatremia. Physical examination of nutritional focus observed wasting, moderate general illness (minimal mobilisation), gastrointestinal disorders, and anorexia. The child's enteral feeding intake via NGT was gradually increased from 50% to 100% of needs according to the modified ketogenic diet nutrition intervention provided. The results of continuous nutrition education and counselling showed an improvement in the child's feeding practices.
Individualised nutrition management was shown to increase the patient's enteral intake adequately to prevent further muscle mass loss during the intervention and to improve feeding practices by the patient's mother.
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Copyright (c) 2025 PUTRI INDAH NIRMALASARI, Sukmawati Sukmawati, Suriani Rauf, Nusrah Ningsih, Musyawarah Thahir
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