KONSELING GIZI PARIWISATA

“KONSELING PASIEN KONSTIPASI”

Oleh:
Mahasiswa Semester IV A

NI MADE SINTIA ARIYUNI NIM.P07131217001

IDA AYU INTHAN PRADNYANI NIM. P07131217011

KEMENTERIAN KESEHATAN REPUBLIK INDONESIA

POLITEKNIK KESEHATAN DENPASAR
PRODI SARJANA TERAPAN
GIZI DAN DIETETIKA
TAHUN 2020

COUNSELING STEPS
A. Step 1 : Build The Basics Of Counseling
Counselo : Good afternoon, Sis. Please come in!
r
Client : Good afternoon, ms. Yes, thank you.
Counselo : Please, sit down. Let me introduce you, my name is Ida Ayu
r Inthan Pradnyani, I am a student of the Department of
Nutrition Poltekkes Denpasar will help you to give counseling
problems that are being experienced by your sis. Previously,
can I check the personal data first?
Client : Oh yeah ms. My name is Grosella Anastasia. I am 20 years
old, I'm a 4th semester student and currently on vacation in
Bali. So it's like this ms, from three days ago, I have had
difficulty defecating until now and sometimes I feel nausea.
Just now, I went to the general clinic and was referred to a
nutrition installation.
Counselo : I see. Well now, I first measure the anthropometric data.
r
Client : Yes, pleas ms.

B. Step 2 : Explore The Problem

Counselo : After I checked, the sister's anthropometrics were all normal.
r You only weigh 2 kg more with your ideal body weight, but
that's still normal. Maybe there are other complaints that you
feel?
Client : I feel a bit queasy because I haven't pooped, so I have less
appetite
Counselo : Is your the frequency of eating disturbed because of this
r complaint?
Client : No ms, It's just that eating patterns become irregular, because
I feel nauseous, so I eat only in small portions.
Counselo : What about your daily dietary habit, is it organized?
r
Client :
I usually eat 3 meals a day and 2 to 3 snacks. But, because of
this incident I eat less often with smaller portions and eat
 more snacks to avoid nausea. Because I was enjoying my
vacation so I rarely ate vegetables, because I prefer culinary
meats like lawar, satay and other foods.
Counselo : From what you explained, your diet is good, it's just
r disturbed because of constipation. Well next I will regulate
your diet.

C. Step 3 : Establish a Nutrition Diagnosis

Counselo : Well, from your anthropometric data, clinical physical and
r biochemical shows everything is normal, there are no
problems related to these data.
So I will give steps and dietary advice that you can run so
that your problems are resolved and return to normal.
Pasien : Yes, ms. I will follow the diet that you will advice for me.

D. Step 4 : Nutrition Intervention Plan

Counselo : Of the problems that children experience, the diet that I will
r give is a high-fiber diet. As you know, constipation is
caused by a lack of fiber intake. From this sister's problem,
I see a few days back sister rarely consumes vegetables and
often eat meat. That's what makes your sister constipated.
Here, a daily menu form for food and leaflets that will help
you to go on the diet that I recommend.
Pasien : Ohh, yes ms. Thank you
Counselo : This diet aims to provide food according to nutritional needs
r that are high in fiber so that it can stimulate intestinal
peristalsis so that the defection runs normally.

E. Steps 5 : Get a commitment

Counselo : You go on this diet for 3 days, after that I hope you come
r back again to check the progress of the diet that I have given.
That's from me, maybe there is something to be asked?
Client : Ms. for the diet that you recommend, what are examples of
 high-fiber foods, ms ?
Counselo : Examples of foods for this high-fiber diet include wheat,
r vegetables, spinach for example, nuts or vegetable protein
and fruits.
Client : How about dietary diet ms ?
Counselo : Actually, your diet before constipation is right, and therefore
r the diet remains 3 main meals and 2 intermittent meals.
However, the type of food that needs to be controlled and
balanced to prevent constipation.
Client : Aside from dieting, are there other things I should do, ms?
Counselo : My other suggestion is that you should drink water more
r often, which is about 2 liters per day and exercise regularly
and possibly practice defecation by being in the toilet for 15
minutes after breakfast. Regular defecation must be managed.
Client : Okay ms. But whether the diet that I will run will success ?
Counselo : I am sure that you will be able to carry out the diet that I have
r given, especially since your diet is actually right before your
constipation appears. You only need to control the food
intake that you consume during this vacation with the sample
menu that I have provided.
Client : Okay ms. I will try to follow the diet that you recommends.
In 3 days I will come back to you to tell you the progress of
the diet that you have given me.
Counselo : Okay, I wait 3 more days, good luck in running the diet. I am
r waiting for good results in 3 days. Maybe that's all I can say.
is there anything that needs to be asked again?
Client : Already ms. Thank you very much. I will excuse myself to go
home, ms.
Counselo : You're welcome, Sir, let me go outside.
r

F. Step 6 : Monitoring and Evaluation

Counselo : Good morning sis Please come in.
r
Client : Good morning ms.
Counselo : Please sitdown. How are you to day?
r
Client : Yes ms, Thank you. I am fine ms.
Counselo : How, have you improved about the constipation experienced?
r
Client : Already ms. I am not nausea again, my diet is regular and
back to normal
Counselo : Very well. What about the other? Is there any problem?
r
Client : Most of the dietary recommendations that you suggested I
could do, ms.
It's just that sports activities are still lacking, because I spend
more time on vacation with my friends. To drink water, more
or less I only drink 1 liter because I consume more fresh
drinks. But now I can defecate smoothly.
Counselo : If you want to defecate smoothly it means that the younger
r sibling has no more problems. My desire to get well is also
very appreciated. But you also need to be introspective. Even
though it's no problem, food and drinks that cause
constipation should be avoided first. Especially now that you
are in the recovery phase, so first reduce it and drink it more
water per day.
Client : Oh, okay ms. Next, I will control the food I consume again
Counselo : He is very right, it should be guarded first. Okay, now I want
r to check the anthropometric data, may I check ?
Client : Yes, of course ms.
Counselo : Your weight has dropped 1 kg from the previous one. This is
r because you have defecated smoothly and do not experience
fullness in the intestine anymore. So this is normal.
Client : Oh okay ms, I’m glad to hear it.
Counselo : Good, the nutritional counseling plan 3 days ago, the process
r or dietary therapy that was carried out until the evaluation
monitoring had been carried out. So, nutrition counseling
session about constipation, I will finish here. If there are
complaints, you can consult here again. That is all from me.
Thank you for your trust in me as a counseling counselor or
diet therapy that you have to do.
Pasien : I also thank you very much, ms. Now I can defecate again.
 Thanks to the diet that you gave me. Once again, thank you.
Then I will leave, ms.
Counselo : Yes, your welcome. Let me take you outside.
r