Transcript Lecture Five

Number One, Most Important, Extremely Critical Practice Concept:
“If the gut works, use it!”
Routine Hospital Diets
General or “House”: Regular foods served by choice or
offered as a “set” menu.
“Soft”:
One or more diets that include tender cuts of
meat, cooked veg & fruits with skins/seeds.
(may include pureed diets)
•
Soft diets may include the “bland” diet since these
are usually low in fiber (“residue”).
•
Typically they do not include fried foods, spices,
so-called “gas-forming” vegetables (Cruciferae)
or onions and corn.
•
One variation is the “mechanical soft” diet which
lies between the pureed and soft diets in consistency.
•
Can be available in many forms: clear vs. full
are common
Clear= Coffee, tea, carbonated beverages
Clear fruit juices
Gelatin, popsicles, hard candy
Broth, boullions
Problem:
Low nutrient density
High CHO, Low protein, Low fat
At most, provide ~900 kcal/ day.
>3 days = “at nutritional risk”
Full Liquid Diets can include:
Strained creamed soups
Strained cereals
Spray-dried eggs in liquids Vegetable juices
Sherbet, ice creams, etc.
All fruit juices
Milk products, smooth yogurts
Mild seasonings
Butter, margarine, etc.
Must individualize based on pt tolerances
Can be low in niacin, folate, iron
Another variant: Cold, semiliquid after throat surgery
No acidic juices, hot beverages, chocolates
Eat more often
Enhance nutrient
density
Encourage eating
at mealtime
Increase number and
size of servings
5.
A.
Protein source for depleted, anorexic pt.
B.
Why?
What other component is important to this
supplement?
6.
Pt supplemented with 240 ml of 3 different formulas:
Sustacal, Meritene, and Delmark Milkshake.
What do these products contribute (pro, kcal) to pts
diet?