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Setyowati Setyowati
Fakultas Ilmu Keperawatan Universitas Indonesia
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Standardized Nutritional Care with a High-Energy, High-Protein Diet in Rectosigmoid Cancer Patients Undergoing Chemotherapy: Case Reports [Accepted] Siswati, Tri; Rahmat, Noviyanti Safitri; Suryani, Isti; Utami, Siti Budi; Setyowati, Setyowati; Nurhidayat, Nurhidayat; Wirawan, Susilo
Health Dynamics Vol 3, No 1 (2026): January 2026 (In progress)
Publisher : Knowledge Dynamics

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Abstract

Rectosigmoid cancer patients undergoing chemotherapy are at high risk of malnutrition due to metabolic alterations and treatment-related gastrointestinal side effects. Evidence on the implementation of standardized nutritional care in primary healthcare settings remains limited. The case was a 50-year-old male with stage III rectosigmoid cancer undergoing chemotherapy, who presented with undernourished status, diarrhea, reduced appetite, dysphagia-related discomfort, and anemia. Nutritional assessment identified inadequate oral intake and increased energy and protein requirements. Standardized nutritional care was implemented using the Nutrition Care Process (NCP) framework, including an individualized high-energy, high-protein (HEHP) diet and nutrition education for the patient and family. Dietary intake was monitored over three consecutive days using 24-hour food recalls. The patient demonstrated improved tolerance to oral intake, increased protein consumption, stabilization of body weight, and no worsening of gastrointestinal symptoms during the intervention period. This case illustrates that standardized nutritional care using a high-energy, high-protein diet can support dietary intake and help maintain nutritional status in rectosigmoid cancer patients undergoing chemotherapy, even in a primary healthcare setting. Early and individualized nutritional intervention may play an important role in preventing further nutritional deterioration and supporting comprehensive cancer care.
Co-Authors - Anggorowati Achir Yani S. Hamid Achmad Basuki Achmad Nizar Hidayanto Agung Waluyo Agustono Agustono, Agustono Ahmad Hilal Madjdi, Ahmad Hilal Aldri Frinaldi Antia Antia Arifah M, Rifdha Atik Hodikoh, Atik Azri Yani Nurman Baju Widjasena Besral . Blacius Dedi Cahya, Anggi Choirul Anam AM Diponegoro Citra Indah Fitriwati Dahlia, Debi Dewani, Mayang Risti Dian Ratna Sawitri Djannah, Nur Dwi Pudjonarko Eka Riyanti Eko Darmanto Elly Nurachmah Elsi Utami Mayor Erlyna Wida Riptanti Etikariena, Arum Evi Martha Fanny Widadie Fitria Handayani Handayani, Fitria Hanny Handiyani Hariyati, Rr.Tutik Sri Hartal Hartal Hasnah, Hanan Nur Hastaning Sakti Hemi Fitriani, Hemi Henny Permatasari Heriandi Sutadi I Gusti Bagus Wiksuana Ika Ratna Palupi Imami Nur Rachmawati Ira Sukyati Isti Khomah Jamhari Jamhari Jamil, Muhammad Dawam Juliastuti, Dyah Kemala Rita Kurniawati, Pindi kurniawati kusnandar kusnandar Kusnaningsih, Aida Kusworo Adi Lestari, Dwi Ayu Puji Lili Fajria Maharani, Marlisa Mario Febrianus Helan Sani Mateus Sakundarno Adi, Mateus Sakundarno Mediati, Ati Surya Mei Tri Sundari Misrawati Misrawati Mohamad Harisudin Mahfud Nafi’ah, Rizka Hayyu Nizar Utami Noor Cholifah Noor Diani Noor, M. Fakhruddin Novy Helena Chatarina Daulima Nur Djanah, Nur Nurhidayat Nurhidayat Paramashanti, Bunga Astria R. Dwi Budiningsari RA. Koestoer Rahmat, Noviyanti Safitri Rahmawati, Veronica Yeni Rais, Anggy Shazia Rianosa Rianosa Rini Rahmayanti Ririn Anantasari Ririn Anantasari, Ririn Rr Tutik Sri Hariyati Ruhayati, Susila Rumdari, Rumdari S., Chiyar Edison Secha, Maulidin Nur Setiawati, Deni Setiono Setiono Siswi Jayanti Siti Rahmawati Sri Kadaryati Sri Karyati Sulasty, Siti Utami Suparyatmo, J.B Suryani, Isti Susilo Wirawan Su’ad, Su’ad Syahril Ardi Syahrul Tuba Syamsiar, Syamsiar Tifauzah, Noor Tri Budiati Tri Siswati, Tri Tri Sundari, Mei Umi Barokah Umi Sukowati Utami, Siti Budi wardani, ika adhitya Widiyanto, Santo Yoseph Didik Wiwit Kurniawati Wiwit Rahayu Wiwit Rahayu Yati Afiyanti Yayi Suryo Prabandari Yeni Rustina Yulia Irvani Dewi Yustiana Olfah