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. 1st 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 Post tonsillectomy Post thyroidectomy Post adenoidectomy Post dental extraction Cold Foods allowed Plain ice cream (vanilla) Sherbet Cold milk Cold Traditional Iced Tea

4. Liquid DietsCLEAR LIQUIDFULL LIQUID

Purpose Initial diet after complete bowel rest to: prevent and correct dehydration relieve thirst minimize gastric stimulation Provides fluid and carbohydrates (sugar) Short term diet for 24 36 hrs Indications: post surgery acute inflammatory of GIT (diarrhea, gastroenteritis, pancreatitis) 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 unable to tolerate solid or semi-solid foods GIT disturbances 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 DietsSOFT DIETPUREED DIET

Purpose diet after full liquid easily chewed and digested low residue or low fiber diet

Indications chewing and swallowing difficulties stroke patient 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 mobility or refused food as obstruction of esophagus Anorexia nervosa Severe burns 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 allowedlong 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 DietsHigh Fiber or High ResidueSodium RestrictedDiabetic 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 1 cup rice = 1 half burger 1 egg = cottage cheese 1 tsp margarine = 2 tsp mayonaise

7. Electrolyte Reinforced DietsHigh PotassiumHigh CalciumHigh 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 diarrhea indigestion gastritis gall bladder disease ulcer Foods Allowed mild flavour soft and smooth in texture Not Allowed Fibrous, hard meats, herbs and spices, coffee, tea, citrus fruits, very hot and cold beverages strong flavoured vegetables (cabbage, onion, leek, cauliflower, turnip)

9. Candidiasis Diet Free of: Fruits Fermented Foods Sugar 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)

HALALKOSHERVEGAN

PurposeTo 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 BaptistMormons (The Church of Jesus Christ of the latter day saint)Protestants (Greek Orthodox)Roman Catholic

Foods No porkNo gelatinNo alcoholKosher 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 apartFull Vegetarian diet

May lead to VB12 deficiency

No coffee, alcohol, tea,

No Coffee, Alcohol, TeaNo Coffee, Alcohol, Tea

No porkNo dairy Products and meat during FastingFasting before communionand during Holy Week

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