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    Therapeutic Diet Nutritionist

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    Mabes
    The document discusses various therapeutic diets including clear liquid diets, full liquid diets, soft diets, pureed diets, high fiber/residue diets, sodium restricted diets, diabetic diets, and electrolyte reinforced diets for potassium, calcium, and phosphorus. It also covers bland diets, candidiasis diets, acid-ash diets, ash-acid diets, and culturally specific diets like Halal, Kosher, and vegan diets. The purpose, allowed and restricted foods are outlined for each therapeutic diet type.

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    Therapeutic Diet Nutritionist

    Uploaded by

    Mabes
    3K views3 pages
    The document discusses various therapeutic diets including clear liquid diets, full liquid diets, soft diets, pureed diets, high fiber/residue diets, sodium restricted diets, diabetic diets, and electrolyte reinforced diets for potassium, calcium, and phosphorus. It also covers bland diets, candidiasis diets, acid-ash diets, ash-acid diets, and culturally specific diets like Halal, Kosher, and vegan diets. The purpose, allowed and restricted foods are outlined for each therapeutic diet type.

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    Therapeutic Diet

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    The document discusses various therapeutic diets including clear liquid diets, full liquid diets, soft diets, pureed diets, high fiber/residue diets, sodium restricted diets, diabetic diets, and electrolyte reinforced diets for potassium, calcium, and phosphorus. It also covers bland diets, candidiasis diets, acid-ash diets, ash-acid diets, and culturally specific diets like Halal, Kosher, and vegan diets. The purpose, allowed and restricted foods are outlined for each therapeutic diet type.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3K views3 pages

    Therapeutic Diet Nutritionist

    Uploaded by

    Mabes
    The document discusses various therapeutic diets including clear liquid diets, full liquid diets, soft diets, pureed diets, high fiber/residue diets, sodium restricted diets, diabetic diets, and electrolyte reinforced diets for potassium, calcium, and phosphorus. It also covers bland diets, candidiasis diets, acid-ash diets, ash-acid diets, and culturally specific diets like Halal, Kosher, and vegan diets. The purpose, allowed and restricted foods are outlined for each therapeutic diet type.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Therapeutic Diet

    Normal diet that is modified to treat or cure


    diseases; Therapeutic = treat or cure
    Diet
    food or beverages ingested for a special reason

    Dietitian
    specialist in dietetics
    performs therapeutic and preventive roles
    works with both ill and healthy people

    Nutritionist
    science or practice of utilizing foods
    Nutritionist a specialist in the study of nutrition
    concerned with the study of nutrients, how
    nutrients are used in the body and relationship
    between diet, health, and disease.


    TYPES OF BASIC AND THERAPEUTIC DIETS

    1. Regular / Standard / House Diet
    for patients who doesnt have special needs or dietary modification
    Omitted: foods that produce flatus (cabbage), highly seasoned, and fried foods

    2. Diet as Tolerated (DAT)
    when patients appetite, ability to eat, and tolerance for food may change
    ex. 1
    st
    post op day patient may be given clear liquid. If no nausea occurs, normal intestinal motility returned
    (active bowel sounds, passes gas, and feels like eating) diet may be advanced to full liquid or regular diet

    3. Cold Liquid Diet or T & A Diet
    Purposes: Blood Clotting
    o Post tonsillectomy
    o Post thyroidectomy
    o Post adenoidectomy
    o Post dental extraction
    Cold Foods allowed
    o Plain ice cream (vanilla)
    o Sherbet
    o Cold milk
    o Cold Traditional Iced Tea

    4. Liquid Diets
    CLEAR LIQUID FULL LIQUID
    Purpose Initial diet after complete bowel rest to:
    o prevent and correct dehydration
    o relieve thirst
    o minimize gastric stimulation
    Provides fluid and carbohydrates (sugar)
    Short term diet for 24 36 hrs
    Indications:
    o post surgery
    o acute inflammatory of GIT (diarrhea,
    gastroenteritis, pancreatitis)
    o burns and illness
    Intermediate diet between clear liquid & soft diet
    Foods that melt or liquefy at body temp
    To provide additional calories to clients who are
    unable to tolerate solid foods.
    Indications
    o unable to tolerate solid or semi-solid foods
    o GIT disturbances
    o burns and illness



    Foods
    allowed
    water, coffee (decaf/regular), tea
    carbonated drinks
    fat free strained bouillon or broth (soup stock)
    clear or diluted fruit juices (apple, grape,
    cranberry)
    popsicles
    gelatin
    hard candy
    all in clear liquid diet
    milk and milk drinks
    eggs (in pudding and custards)
    plain ice cream, sherbet
    yogurt
    orange juice
    vegetable juices
    cream, butter, margarine, smooth peanut butter
    strained cream soups
    Foods not
    allowed
    Dairy products and milk
    Fruit juices with pulp





    5. Modified Consistency Diets
    SOFT DIET PUREED DIET
    Purpose diet after full liquid
    easily chewed and digested
    low residue or low fiber diet

    Indications
    o chewing and swallowing difficulties
    o stroke patient
    o mandibular fractures, broken jaw
    Modification of soft diet
    Any food that is added with water and blended to
    produce a semi-solid consistency
    To supply nutrition to clients with NGT or
    gastrostomy tubes (osterized feeding food is
    placed into a sterile bottle and discarded after
    24hrs)

    Indications
    o mobility or refused food as obstruction of
    esophagus
    o Anorexia nervosa
    o Severe burns
    o Comatose

    Foods
    allowed
    all foods in liquid diet
    lean, tender, cooked, minced ground meat,
    poultry, and fish (chopped / shredded)
    scrambled egg, omelet, poached eggs, cottage
    cheese, and mild cheeses
    low fiber fruits without skin and seeds (banana,
    mango, sectioned orange, papaya)
    low fiber cooked chopped vegetables (mashed
    potato, carrots, chayote, squash)
    Rice, Pasta, soft bread, soft cake, bread pudding
    pureed and blended foods
    Foods not
    allowed
    long fibers, hard fried foods, highly seasoned, foods
    with skin/nuts/seeds, raw and gas forming fruits and
    vegetables (apple, beans, cabbage, celery, onions,
    cherries, coconut, egg plant, melons, onions, wheat)


    6. Content Modified Diets
    High Fiber or High Residue Sodium Restricted Diabetic Diet
    Purpose To prevent and treat
    constipation and
    diverticulitis
    To treat cardiovascular, renal,
    and liver disorder
    To control blood sugar level
    Diet varies with individual,
    severity of diseases type and
    extent of insulin therapy
    received.
    Foods
    allowed
    fruits (apples, oranges)
    vegetables (broccoli,
    carrots, corn)
    whole grain (cereals,
    wheat, grain)
    Fresh fruits and vegetables
    NO CANNED products, seafoods,
    and dairy products
    Balanced diet
    Use dietary list exchange
    o 1 cup rice = 1 half
    burger
    o 1 egg = cottage
    cheese
    o 1 tsp margarine = 2 tsp
    mayonaise

    7. Electrolyte Reinforced Diets
    High Potassium High Calcium High Phosphorous
    Purpose To maintain skeletal and
    cardiac muscle activity
    To provide rigidity and structure
    to bones
    To treat hypophosphotemia

    Foods
    allowed
    Coffee
    Milk
    Meat
    Fruits (banana,
    cantaloupe, avocado,
    raisins, strawberry)
    Vegetables
    Dairy and milk products
    Green leafy vegetables
    Small fish with bones
    Tuna
    Sardines

    Soft drinks
    Chocolate
    Milk

    8. Bland Diet
    Diet to allow stomach lining to heal (doesnt stimulate gastric secretion)
    Indications
    o diarrhea
    o indigestion
    o gastritis
    o gall bladder disease
    o ulcer
    Foods Allowed
    o mild flavour
    o soft and smooth in texture
    Not Allowed
    o Fibrous, hard meats, herbs and spices, coffee, tea, citrus fruits, very hot and cold beverages
    o strong flavoured vegetables (cabbage, onion, leek, cauliflower, turnip)

    9. Candidiasis Diet
    Free of:
    o Fruits
    o Fermented Foods
    o Sugar
    o Yeast

    10. Acid Ash Diet
    To alkalinize urine
    To soothe irritated bladder or urethra
    Foods: Citrus fruits and vegetables
    Not Allowed: Prune juice and cranberry juice (both produce acidic urine)

    11. Ash Acid Diet
    For UTI to acidify urine
    Give protein, meat, poultry

    12. Culture Related Diets (Religion and Their Dietary Practices)

    HALAL KOSHER VEGAN
    Purpose To maintain
    dietary
    requirements
    of Muslim
    Clients
    (Islamic)
    To maintain
    dietary
    requirements of
    Jewish Clients
    (Judaism/Jewish
    Faith)
    To maintain
    dietary
    requirements of
    Seventh Day
    Adventist
    Clients
    Baptist Mormons
    (The Church
    of Jesus
    Christ of the
    latter day
    saint)
    Protestants
    (Greek
    Orthodox)
    Roman
    Catholic
    Foods No pork
    No gelatin
    No alcohol
    Kosher foods
    cant be
    prepared using
    the utensils that
    was prepared in
    a non kosher
    food

    Milk and meat
    are not eaten
    together but
    may be eaten 6
    12 hrs apart
    Full Vegetarian
    diet

    May lead to
    VB12 deficiency

    No coffee,
    alcohol, tea,


    No Coffee,
    Alcohol, Tea
    No Coffee,
    Alcohol, Tea

    No pork
    No dairy
    Products and
    meat during
    Fasting
    Fasting
    before
    communion
    and during
    Holy Week


    Chinese, Japanese, Koreans, Far East Rice and Tea
    Scandinavians All fishes
    Americans Fast Food, Meat Group, Processed Food (frozen or canned)
    Italians Pasta (Spaghetti, Lasagna, Fettuccine, etc)
    Hispanic Tomatoes, Tacos, Burritos

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