Checklist Konseling Gizi Penderita Hipertensi dan Hiperlipidemia

No Langkah/ Tugas
1 Memperkenalkan diri
2. Assess
-Food intake and diet habits in the context of health risks
-Current physical actiity
-!eadiness to change behaior
-Fro" #$%& Nutrition Counseling Tool'
#( #eight ) !eie* +,-. blood pressure. lipid. blood sugar to screen for
"etabolic syndro"e
$( $ctiity) Conduct physical actiity assess"ent. $sk about ) ,oderate
physical actiity/ 0oal-12 "inutes/ day or "ore
%( %ariety
&( &xcess)
For hypertention) +ased on 3$45- sodiu" diet)
- Nu"ber of lo*-fat dairy foods/ 0oal) 2 to 1 serings/ day
- Nu"ber fruits and egetable/ 0oal) 6 to 12 serings/ day
- 4alt added to food/ 0oal ) no salt added at the table. only half the
usual a"ount in cooking
- 7se of fro8en. canned. or dried processed foods 9soup. spaghetti
sauce. fro8en dinners. helper "ixes:/ 0oal) reduced sodiu" fro"
processed foods
- $lcohol intake/ 0oal) no "ore than one drink/ day for *o"en and
t*o drinks/ day for "en
For Hyperlipidemia) Conduct brief diet assess"ent. $sk about)
- 5igh saturated-fat foods like cheese. ice crea". butter. fatty "eats/
0oal-lo* fat dairy. lean "eat. egetable oils
- 5igh-;ber foods like oats. barley. or legu"ens/ 0oal-daily or seeral
ti"es/*eek
- Nu"ber of fruits and egetable/ 0oal-at least ;e/day
- Nu"ber of "eals and snacks/ 0oal-at least three "eals/day
- 7se of s*eetened beerages/ 0oal-if triglycerides high. eli"inate or
reduce signi;cantly
1 Advise
Give clear, specifc, and personalized behavior change advice. You might say:
- iet changes, e!ercise, and "eight loss can reduce your blood pressure as
much as medicine.# $r %hanges in your diet and e!ercise habit can lead to
signifcant improvement in your blood &ats and reduce your risk o& heart
disease.#
- 'or patients taking medication &or diabetes, lipids, or hypertension: diet
choices are important even i& you are taking medication, since eating care&ully
helps the medicine do a better (ob. You may be able to save money by cutting
do"n on the amount o& medicine you take.#
- 'or patients )$* ready to change behavior, add: +,d like to help you "hen
you are ready to make changes in your diet and be more active.#
< Agree
-Collaborate *ith patient to select treat"ent goals and "ethods
-+ase goals on readiness to change behaior
-For patient N=T ready to change behaior) >-s it okay if - ask you again at our
next isit/?
@ossible goals for patient ready to change) !eturn for registered dietitian isit.
Aeep food and exercise records to increase a*areness. if patient *illing refer
for registered dietitian isit.
B Assist
-5elp patient acCuire kno*ledge. skills and support for behaior
-@roide hand-outs and *eb resources. based on patient interest and need
-@roide lists and reco""endations for co""unity resources 9exercise and
diet progra"s. health clubs. etc:
D Arrange
-4chedule follo* E up appoint"ent
*ambahan:
Sumber sodium dalam bahan makanan
Garam dapur
-aking po"der
-umbu penyedap
.aos
.elai
Makanan dari mentega
*erasi
/e(u
+kan asin
.osis
*auco
.o&t drink
.oda kue
M.G
0enga"et makanan
/ecap
1elli
$bat mengandung sodium
0etis
-iskuit
.ardencis
%ornet bee&
0eanut butter
Sumber lemak dalam bahan makanan
Minyak kelapa
2emak he"an
aging sapi
2impa
3hole milk
aging babi
/ambing
/epiting
4dang
%oklat
/elapa dan hasil olahannya
Mentega
5ati
1eroan
/uning telur
aging kerbau
Gin(al
/erang
%umi-cumi
Yoghurt
6n(uran:
7. /onsumsi susu skim
8. /uning telur 9 butir dalam seminggu
9. 2ebih sering mengkonsumsi tahu, tempe, dan (enis kacang-kacangan
:. -atasi konsumsi gula berlebihan
;. 2ebih banyak mengkonsumsi sayuran dan buah-buahan
<. 2emak tak (enuh: minyak (agung, minyak kedelai, minyak kacang tanah,
minyak bi(i bunga matahari, ikan, dan minyak ikan.