Sedikit pesanan pade mereka..

dah lame x update blog kan..dh bertahun2, baru laa ni rase mcm nk update..nie pon update ringkas khas buat junior2 dietetic..sedikit panduan sebelum attach kat mane2..lagik setahun je..

(ehem, cik datol bolehlah tolong sebar2 kan ekh)..

1/ kena ade semua formula and calculation yg wujud kat muke bumi nih..kire height, weight, energy from dialysate, energy requirement, protein, etc..pendek kate sume formula n calculation..

2/ kena ade list yg lengkap about every ONS kat malaysia..x cukup kalau takat energy, protein, and fat je..Na, K, PO4, etc pon kne ade sekali..kalu boleh hafal sekali esp formula yg common macam nutren diabetik, nutren optimum, etc..sbb bile dh attach nnt lagik byk ONS yg pelik2..

3/ kne tau kire energy requirement utk semua penyakit..yeah, even xde special MNT yg KKM wat pon kne tahu jugak..so, boleh start carik energy requirement2 tu suma dr journal or buku2..mcm utk liver cirrhosis, SLE, cancer, CVA, head injury, non head injury with neuro prob, surgical pt, etc

4/ practice mcm mane nk tgk folder pt..kat hospital serdang mmg x dpt nk practice sbb dorg gune system computer..

5/confident bile jwb soklan even x sure jwpan tu betul atau x..tanya soalan bile x faham..dt mmg x kisah bile kite tny soklan..dia x kan anggap yg kite bodoh..kalu dia ty tp kite x tau nk jwb bru dia akan anggap macam tu..

6/ info yg basic mcm proses penuaan etc tu penting esp bile masuk ward geriatrik..nnt xdelah ternganga ble dt tnya, ape beza org tua ngn orang muda?? atau dt tanye pe yg berlaku dlm bulan terakhir baby dlm kandungan?? pergh, mase first year dh belajar kot..

7/ need to know ape kemungkinan yg menyebabkan blood result abnormal..macam tgi glucose boleh sbbkan K tgi..low albumin maybe sbb ade edema..high creat n urea maybe sbb pt dehydrated..etc..so bile present kes xdelah terblur bile dt tny why??

8/ kalau boleh start hafal formula yg simple mcm HB, knee height, etc.. ye, sume tu simple formula kalau nk bandingkan ngn formula2 yg len..

9/ kne tau management utk jenis2 ward yg berlainan..mcm kt wad geriatrik assessment fall, pressure ulcer tu penting.. len wad, len bende yg kne focus..at least need to know the basic..

10/ TPN? x payah ler risau..asal ade list TPN dh ok..adjust dr situ je..dt pon x hafal sgt bende tuh..hoho..

11/ lagik satu yg sgt penting...kalu lecturer tny tajuk2 last nk bace sendiri atau nk wat kelas, sila jawab NAK BUAT KELAS..sebab tajuk2 yg last ler yg paling penting sekali mase kt IPD..mase OPD mmg mcm x penting, tp bile masuk IPD tajuk2 tu yg penting giler sbnrnye..

12/ ubat yg simple mcm ubat dm, ubat HTN, IHD, sume tu kne tau..insulin management kne tau..bile suntik, mcm mane..etc..

tu je kot..xdelah kne wat semua ni dlm satu mase..mulakan dr sekrg and nnt bile dh nk attach dh complete sume info yg diperlukan..

lecturer and senior kate jgn beritahu junior ape2 sgt supaya diorg boleh belajar sendiri..tp rase mcm x sanggop nk biarkan dt kat hosp terus anggap yg student dr UPM x bermutu..pon x nak others student (x kirelah student UPM, IMU, junior or senior) rase diri sendiri sangat bodoh mcm yg ak selalu rase bile masuk wad..T_____T..nnt akan rase sgt2 down..

btw, nie adalah drpd pengalaman aku semate2 selepas 8 minggu berada kat PPUM..sekian..