NCM 105 LAB NUTRITION AND DIET THERAPY LAB ROUTINE HOSPITAL DIET - Referred as the “house diet,” the majority of the diet orders in hospital are: a. Regular diet General, house, full hospital diet Most frequent ordered Normal diet plan that provide RDA for essential nutrient and caloric needs All food are not allowed (avoid highly spiced, fatty food and gas former) b. Soft diet Regular diet with modification in consistency and texture Designed for psychologically and physically unable to tolerate Low fiber and connective tissue, bland in flavor Should easy to digest Prescribed for intestinal disorder, infection, period of convalescence c. Liquid diet Type of liquid diet: 1. Full liquid diet All food liquid at room temperature or liquified at body temperature For acute infection and fever for short duration For patient who are ill to chew, cannot tolerate solid food due to lesion on the mouth or GI disturbance Post operatively Unable to chew and swallow following surgery of face, neck, or dental Protein level of food is increased Example: Milk, ice cream, plain pudding, bland cream, chocolate 2. Clear Liquid diet Liquid without residue or fiber To supply fluid and energy in forms of minimal digestion The primary purpose is to relieve thirst and help maintain water balance A small amount of carbohydrates, some protein, and very little fat Broth provide little sodium, fruit juices contribute potassium Should give in small frequent feeding Often used after surgery, to relieve thirst, prevent dehydration, stimulate GI tract Example: Plain tea, black coffee. Fat free broth, ginger-ale, plain gelatin, popsicles, clear fruit juices Variation of routing hospital diet Light Diet Consist of food easily digest(replace soft diet in some hospital) Indicated for elder ones who cannot tolerate rich and heavy meals Fatty foods, rich pastries, fibrous fruit and vegetable are restricted Mechanical soft diet Consist of food easily digest (replace soft diet in some hospital) - Indicated for elder ones who cannot tolerate rich and heavy meals) Fatty foods, rich pastries, fibrous fruit and vegetable are restricted Cold liquid diet A cold smooth liquid to minimize pain and avoid bleeding Tube Feeding - Diet require consistency that can pass through polyvinyl/siliconized tube Vegetable Diet A. Vegan Diet – contains only plants (such as vegetables, grains, nuts, and fruits) and foods made form plants. Vega do not eat foods that come from animals, including dairy products and eggs B. Lacto-Vegetarian – excludes meat, poultry, seafood, and eggs, but includes dairy products C. Ovo Vegetarian – diet excludes all animal-based foods except for eggs. Meat, poultry, fish, or dairy products like milk, yogurt, and cheese are eliminated, but whole eggs, egg whites, and egg-containing foods like mayonnaise & egg noodles D. Lacto-ovo Vegan – include both milk, milk products and eggs E. Pesco Vegetarian – also called Pescetarians, eat freshwater and saltwater fish and shellfish in addition to the fruits, vegetables, grains, legumes, egg, and dairy vegetarians typically consume. F. Semi-Vegetarian - also called a flexitarian, is one that is centered on plant foods with the occasional inclusion of meat Pre-Operative Diet To improve nutritional status To prepare him for nutrient losses during surgery To hasten post-operative recovery To strengthen bodily resistance to infection Post-Operative Diet Dietary Management for specific surgical condition Surgery in the mouth, neck, and esophagus Tube feeding is required/Parental feeding if surgery is extensive If condition improves gradually initiate oral feeding Gastric surgery as Gastrectomy Cholecystectomy Rectal Surgery