MNT Kanser

 NOTA CI v1

Assessment:

ANTHROPO

i) Berat sebelum (within timeframe of 3 or 6 month)

ii) Berat terkini

iii) Berat sebelum/selepas chemo

NFPE

Assess NIS

i) MUCOSITIS

- grade berapa

- ada pedih, ulcer, keputihan, kegatalan?

- if bawa pen lampu, boleh minta pt buka mulut 

ii) SORE THROAT

- any sore throat lately

iii) APPETITE

- perubahan selera makan sebelum dan selepas chemo

iv) VOMITING

- loya atau muntah sebelum dan selepas chemo

v) DIARRHEA

- perubahan sistem usus sebelum dan selepas chemo

ASSESS 7 pt SGA

FNRH

i) DIET AT WARD

- any dry ration

- any supplement (beverage/tablet)

- food prefence

ii) DIET AT HOME

- 

INTERVENTION

MUCOSITIS (ORAL)

- gosok gigi with toothpaste

- gargle  with mouthrinse/air garam

- hisap ais

- ambil aiskrim/popsicle

MUCOSITIS (GI)

because you were there

i know.

you put a smile on your face

each time you saw me

is it because you hate sadness?

because you're always the one

to see my sorrow

to see my hopelessness

to see my loneliness

of all, you were there

so thank you

for bringing me up

when i fall

life.

i thought about it.

deeply.

the reasons we met people.

and how would they cause such big impact in your life.

....

i want to be happy.

of everything..

i am glad of what i have now.

since then,

i've been blessed.

syukur alhamdulillah.

i'm still learning..over time and time.

how do i deal with this kind of thing.

how do i deal with this "happiness"

how do i act each time i won't get it.

whatever it is that i wanted.

things like this...been repeating.

ever since then.

same kind of thing, different setting, different people.

do i blame the hormones?

for making me happy?

for making me depressed later on?

in time,

i'll learn.

that the people that i met,

they're all worth it.

....

moga kita tetap bertemu dan bersama di syurga sana.

happiness

once,

you felt happiness.

you found reasons.

...

happiness and pain

everything comes in pair,

in two.

it won't be three.

after you

i always wonder..

each time i came

each time i went there

what did you think about?

how did you feel?

are you happy?

are you excited?