In order to treat anemia we must notice the balanced nutritional intake, remember that some causes of anemia is inadequate nutrition
We often only pay attention to the drug or other medical acts by forgetting the nutritional treatment of anemia. Therefore not surprising that the decision to initiate, suspend or discontinue nutrition treatment of anemia become a controversial issue.
The controversy is much debatable in the last decade. Modern medicine holds that enteral and parenteral nutrition therapy is no longer feeding, but has been become a medical therapies such as medication and other medical measures.
It means that the act of not doing nutritional therapy can bring ethical and moral consequences as applicable to the treatment.
In some developed countries that already have health legislation more complete, cessation of nutritional therapy is also being a legal issue because can be considered a violation like passive euthanasia.
One's diet is closely related to culture. There are several factors that influence how people choose their food. These factors are -
- food like and dislike,
- Habits (food habits),
- purchasing power and food availability)
- food and food fadism belief
- Religious and psychological factors,
- And the most recent and is often considered unimportant, nutrition and health considerations.
However, if we can admit the truth opinion of "health is not everything, but without health everything is nothing ", and " if medicine is seen as the base of treatment, then nutrition Should Be Considered as the base of recovery", of course, nutrition and health considerations will we put in place first.
Meanwhile, "13 Basic Message" delivering the messages to prevent nutritional problems and achieve double balanced nutrition in order to produce quality human resources are reliable. Considerations in establishing a hospital diet:
• With attention to the messages above and consider the nutritional problems of our residents are referred to as multiple nutritional problems that can be described as a coin with two sides that one describes the problems of malnutrition (CTF, nutritional anemia, endemic goiter dn.) While the Another shows the problems of excess nutrition (obesity) the following recommendations may be used as a material consideration in the nutritional care in hospitals:
• Eat a varied and balanced diet to ensure adequate energy, protein, vitamins, minerals and dietary fiber is essential for good health
• Eat with respect to the optimal weight to avoid the chances of developing metabolic syndrome, high blood pressure, heart disease, stroke, certain types of cancer diseases, diabetes (Type II) and dyslipidemia.
Especially for those who have a habit of overeating:
• Choose foods low in fat, low saturated fat and low cholesterol to reduce the risk of heart disease and certain types of cancer diseases.
• Choose foods that contain lots of fruits, vegetables and whole cereal products to get the vitamins, minerals, dietary fiber and complex hidratarang needed and will help control your intake of fat / calorie overload.
• Using the amount of sugar in moderation and only when necessary. Excessive sugar intake can lead to consumption of calories too much and consume too little of other nutrients in addition to causing tooth decay.
• Use salt and sodium in an amount not excessive to help reduce the risk of high blood pressure.
Especially for those who are less nutritional intake:
• Increase your intake of calories and fat (especially saturated fat) as needed. Groups vulnerable to malnutrition, such as children and pregnant / lactating, needs more calories so that should take precedence on the distribution of food within the family.
• Paying attention to protein intake, especially from a quality source of protein but it is not expensive and easily obtained as eggs (animal protein) and taboos or tempeh (vegetable protein).
• and the intake of vitamins and minerals with emphasis on vegetables that are cheaper than two to three servings of fruit a day. The habit of eating a salad of raw vegetables and fresh fruit (citrus, guava, papaya etc.) Should be encouraged to pay attention to cleanliness. Several types of vitamins (eg vitamin C) will be oxidized when cooked / heated so it must be obtained from fresh fruit or raw vegetables