Browsing by Author "Senay, Kebron"
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Item Report on Pediatric Ward Attachment at Tikur Anbessa Specialized Hospital(Addis Ababa University, 2021-02-01) Senay, Kebron; Zeki, Eman; Debebe, Zelalem (PhD); Tefera, Muluwork (PhD); Habtamu, Abebe (PhD)TikurAnbessa specialized hospital (TASH) started providing service to the whole country since 1964 (‘Healthcare in Ethiopia’, 2020) as a memorial of Prince Mekonnen, the Duke of Harar. TASH annually serves about half a million patients in the outpatient department; 50,000 patients in the inpatient department and 40,000 patients in the emergency department.The pediatric department provides services under different units and the ward consists around 200 beds. In general, the hospital does not provide optimal food service for pediatric patients admitted except for malnutrition treatment unit and the hematology unit that are temporarily supported by Non-Governmental Organizations (NGOs). Hospital malnutrition is a one major health concern in hospitals adding more to the existing disease conditions. Malnutrition in hospitals may include the nutritional status before and after admission and in both cases, dieticians are going to intervene to restore the health of the patient.According to the initial communication done with Tikur Anbessa Specialized Hospital (unpublished communication), the rate of malnutrition on discharge is higher than rate of malnutrition on admission in the pediatric department. Objective The objective of this project is to ensure that optimal nutritional care service is included in the health care management of the pediatric patients in TASH Methods This project was done between October 2020 G.C. and February 2021 G.C. in TASH pediatric ward. It included proposal development, general patient assessments on the patients admitted and were able to participate, ward inspection and information gathering, report writing and developing a meal guide. Result We found 2 (5.4%) children who were severely malnourished (<11cm) and were also identified by the hospital and are on nutrition therapy, 1(2.7%) child who is moderately malnourished (11cm -12.5cm) was identified as having a nutritional problem but was not put on a special nutritional support, 5 (13.5%) children at risk of malnutrition (12.5cm – 13.5) were not identified as at risk and 15 (40.5%) children who were well nourished (>13.5cm). Using other anthropometric parameters such as weight for age, weight for height and height for age we were able to differentiate children who had actual and potential nutrition related problems.Item St. Paul Hospital Attachment Report(Addis Ababa University, 2021-03-01) Senay, Kebron; Debebe, Zelalem (PhD)St. Paul hospital was the first institution I started my hospital attachment (Dietetics internship) for departments such as Internal medicine, Surgery and Pediatrics. My stay lasted from December-March 2020 until a notification to discontinue came from our instructor due to the corona virus case in the country and the institution closed for unknown period of time. During my stay, things I have accomplished included, individual patient nutritional assessment and interventions, baseline anthropometric assessment for all patients admitted to Internal medicine ward, designing individual as well as general menu and recipe to be given to the patients or the hospital kitchen, developing health education materials and individual information sheets (on specific health conditions and their questions related to their diet) to be given for patients on discharge, giving health educations and developing a proposal for the pediatric ward to develop a separate kitchen that can provide an optimal nutrition to pediatric patients (this I did with my colleague). Ward activities Ward activities included developing different forms that are used in the clinical practices and working with patients at internal medicine, surgery and pediatric wards. Additionally giving health education and preparing educational materials such as leaflets, posters, presentations and brochures are among the works accomplished during the clinical practice period.