Nutrition Chapter 11 Cooking Companion Dietary Considerations  and Modifications
Introduction <ul><li>Diets may need to be modified to suit the needs of our clients.  </li></ul><ul><li>Modification of di...
Dietary Fiber <ul><li>The part of the plant fiber that is eaten is called dietary fiber. </li></ul><ul><li>Remember the fo...
Dietary Fiber Use <ul><li>High fiber diet will increase the amount of residue and fiber in the colon and stimulate perista...
Low-residue or Low-fiber diet <ul><li>Sometimes we need to restrict fiber. </li></ul><ul><li>Diseases that require this di...
Low Residue Diet <ul><li>Grain Products: </li></ul><ul><li>enriched refined white bread, buns, bagels, English muffins  </...
Clear Liquid Diet <ul><li>Includes beverages that are both clear and liquid at room temperature. </li></ul><ul><li>Relives...
Full Liquid Diet <ul><li>Includes foods that liquid at room temperature. </li></ul><ul><li>Advance from clear liquid diet....
Soft Diet/ Bland Diet <ul><li>A soft diet consists of foods that are easily digestible, low in fiber, soft in consistency ...
Low-residue or Low-fiber diet Uses <ul><li>Ulcers </li></ul><ul><li>Gallbladder disorders </li></ul><ul><li>Intestinal dis...
Mechanical Soft Diet <ul><li>For clients who have difficulty chewing. </li></ul><ul><li>Problems may be with teeth or from...
Mechanical Soft <ul><li>May also be advanced from a full liquid diet </li></ul><ul><li>Used for gastrointestinal disorders...
Pureed Diet <ul><li>Foods are soft and smooth </li></ul><ul><li>Easy to swallow with little or no chewing </li></ul><ul><l...
Dysphagia Diet <ul><li>A swallowing evaluation will be preformed </li></ul><ul><li>Foods may be thick, thin, smooth or tex...
Lactose Free Diet <ul><li>Lactose is sugar found in dairy products </li></ul><ul><li>Some people do not have the enzyme to...
Your Role as a Homemaker <ul><li>You will help the family adjust to changes </li></ul><ul><li>Incorporate foods while main...
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Nutrition Cooking Companion Ch 11

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Nutrition Cooking Companion Ch 11

  1. 1. Nutrition Chapter 11 Cooking Companion Dietary Considerations and Modifications
  2. 2. Introduction <ul><li>Diets may need to be modified to suit the needs of our clients. </li></ul><ul><li>Modification of diet may be needed because of injury , disease, illness or dementia and may be temporary or permanent. </li></ul><ul><li>The whole client, his medications and culture should always be taken into consideration. </li></ul>
  3. 3. Dietary Fiber <ul><li>The part of the plant fiber that is eaten is called dietary fiber. </li></ul><ul><li>Remember the following when adding fiber to the diet: </li></ul><ul><li>Add small increments to the diet </li></ul><ul><li>Drink at least 8 glasses of water </li></ul><ul><li>Discuss how addition of fiber may affect absorption of vitamins. </li></ul><ul><li>Monitor the affect of BM’s, gas and reaction to medication. </li></ul>
  4. 4. Dietary Fiber Use <ul><li>High fiber diet will increase the amount of residue and fiber in the colon and stimulate peristalsis. </li></ul><ul><li>Used for constipation and other gastrointestinal disorders. </li></ul>
  5. 5. Low-residue or Low-fiber diet <ul><li>Sometimes we need to restrict fiber. </li></ul><ul><li>Diseases that require this diet may include; acute diverticulitis, Crohn’s, ulcerative colitis, diarrhea and following bowel surgery. </li></ul><ul><li>May need to monitor the intake of fruits, veggies and calcium. A multivitamin may be needed. </li></ul>
  6. 6. Low Residue Diet <ul><li>Grain Products: </li></ul><ul><li>enriched refined white bread, buns, bagels, English muffins </li></ul><ul><li>plain cereals e.g. Cheerios, Cornflakes, Cream of Wheat, Rice Krispies, Special K </li></ul><ul><li>arrowroot cookies, tea biscuits, soda crackers, plain melba toast </li></ul><ul><li>white rice, refined pasta and noodles </li></ul><ul><li>avoid whole grains </li></ul><ul><li>Fruits : </li></ul><ul><li>fruit juices except prune juice </li></ul><ul><li>applesauce, apricots, banana (1/2), cantaloupe, canned fruit cocktail, grapes, honeydew melon, peaches, watermelon </li></ul><ul><li>avoid raw and dried fruits, raisins and berries . </li></ul><ul><li>Vegetables : </li></ul><ul><li>vegetable juices </li></ul><ul><li>potatoes (no skin) </li></ul><ul><li>well-cooked and tender vegetables including alfalfa sprouts, beets, green/yellow beans, carrots, celery, cucumber, eggplant, lettuce, mushrooms, green/red peppers, squash, zucchini </li></ul><ul><li>cabbage, kale, Swiss avoid vegetables from the cruciferous family such as broccoli, cauliflower, Brussels sprouts, chard etc </li></ul><ul><li>Meat and Protein Choice: </li></ul><ul><li>well-cooked, tender meat, fish and eggs </li></ul><ul><li>avoid beans and lentils </li></ul><ul><li>Nuts and Seeds: </li></ul><ul><li>Avoid all nuts and seeds, as well as foods that may contain seeds (such as yogurt ) </li></ul><ul><li>Dairy : </li></ul><ul><li>as directed by your healthcare providers </li></ul>
  7. 7. Clear Liquid Diet <ul><li>Includes beverages that are both clear and liquid at room temperature. </li></ul><ul><li>Relives thirst, maintains fluid balance, electrolyte balance and stimulates peristalsis after surgery. </li></ul><ul><li>No milk or milk products. </li></ul><ul><li>Tea, coffee, fat free broth, ginger ale, clear fruit juices and gelatins. </li></ul><ul><li>Also used for acute illness, infection, nausea and vomiting and in prep for gastrointestinal exams. </li></ul>
  8. 8. Full Liquid Diet <ul><li>Includes foods that liquid at room temperature. </li></ul><ul><li>Advance from clear liquid diet. </li></ul><ul><li>Used for stomach irritation, fever, nausea and vomiting or for people unable to chew, swallow or digest solid foods. </li></ul><ul><li>It is high in fat, calcium and low in fiber. </li></ul><ul><li>Protein can be added </li></ul><ul><li>Usually high in lactose. </li></ul><ul><li>Foods include ; milk and milk products, cooked thin cereal, soups and all juices, all foods not allowed on clear liquid diet, and fiber (may have to be added as a supplement) </li></ul>
  9. 9. Soft Diet/ Bland Diet <ul><li>A soft diet consists of foods that are easily digestible, low in fiber, soft in consistency and bland in flavor. </li></ul><ul><li>Can be used as a transition meal before a regular meal plan is followed. </li></ul><ul><li>No spice </li></ul><ul><li>The consistency of the food does not have to be altered. </li></ul><ul><li>Soft refers to soft to the digestive tract. </li></ul>
  10. 10. Low-residue or Low-fiber diet Uses <ul><li>Ulcers </li></ul><ul><li>Gallbladder disorders </li></ul><ul><li>Intestinal disorders </li></ul><ul><li>After abdominal surgery </li></ul>
  11. 11. Mechanical Soft Diet <ul><li>For clients who have difficulty chewing. </li></ul><ul><li>Problems may be with teeth or from stroke, neck or head surgery. </li></ul><ul><li>The only change in the diet is texture. </li></ul><ul><li>Common modifications include; veggies well cooked, soft fruits mashed, meats ground or minced, breads soft, desserts such as puddings, custards cake and some pies. </li></ul>
  12. 12. Mechanical Soft <ul><li>May also be advanced from a full liquid diet </li></ul><ul><li>Used for gastrointestinal disorders and infections </li></ul>
  13. 13. Pureed Diet <ul><li>Foods are soft and smooth </li></ul><ul><li>Easy to swallow with little or no chewing </li></ul><ul><li>Liquids may need to be added when blending for desired consistency </li></ul><ul><li>No baby foods </li></ul><ul><li>Puree each item separately for attractiveness. </li></ul>
  14. 14. Dysphagia Diet <ul><li>A swallowing evaluation will be preformed </li></ul><ul><li>Foods may be thick, thin, smooth or textured, light or heavy. </li></ul><ul><li>Commercial thickeners may sometimes may be used. </li></ul><ul><li>Do not leave clients alone when they are eating. </li></ul><ul><li>May sure temperature is appropriate. </li></ul><ul><li>Notice and report any changes in the clients ability to swallow </li></ul><ul><li>Sit upright for meals </li></ul><ul><li>Feed slowly. </li></ul>
  15. 15. Lactose Free Diet <ul><li>Lactose is sugar found in dairy products </li></ul><ul><li>Some people do not have the enzyme to digest this. </li></ul><ul><li>Eating milk products may lead to cramping, bloating and diarrhea. </li></ul>
  16. 16. Your Role as a Homemaker <ul><li>You will help the family adjust to changes </li></ul><ul><li>Incorporate foods while maintaining client satisfaction </li></ul><ul><li>Be aware of facial expressions when feeding clients </li></ul><ul><li>Present meals in a pleasant atmosphere. </li></ul><ul><li>Only changes diets upon the advise of a health care professional. </li></ul>

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