5. September 26, 2014
therapeutic diet
5
Objectives
Describe Introduction of therapeutic diet
Identify purpose of therapeutic diet.
Define Indication of therapeutic diet.
Discus significance of therapeutic diet
6. September 26, 2014therapeutic diet 6
Classify types of therapeutic diet.
Explain Dietary guidelines of therapeutic
diet
Focus Role of nurse in therapeutic diet.
Provide Conclusion for therapeutic diet.
Recognise the therapeutic diet for
malnutrition.
11. WHAT IS THERAPEUTIC DIET
September 26, 2014therapeutic diet 11
planned diet
modification of normal diet
used to supplement the
medical or surgical treatment
prescribed by doctor and
planned by dietician
12. September 26, 2014therapeutic diet 12
Removing or adding foods
change nutrients, caloric
content and/or texture
Increase or decrease bulk in
the diet e.g. high or low fiber
diets
Increase or decrease the energy values
13. .
Purposes of therapeutic diets
Regulate amount of
food
Assist body organs
to maintain normal
function
Aid in digestion
September 26, 2014therapeutic diet 13
14. September 26, 2014
therapeutic diet
14
To improve specific
health conditions
Increase or decrease
body weight
Modify the intervals
of feedings.
15. September 26, 2014therapeutic diet 15
Useful in managing disease
SIGNIFICANCE
promote greater resistance to specific
conditions.
prevention or supplemental treatment
16. September 26, 2014therapeutic diet 16
kidney failure
lower serum cholesterol,
control elevated blood sugar levels
treat celiac disease
a disease where the small intestine can't
absorb nutrients
For example, gluten-free diets,
Indication
18. September 26, 2014therapeutic diet 18
High
Protein diet
Bland diet
Low
residue diet
Low Protein
diet
Sodium
restricted
diet
low-fat diet
19.
20. September 26, 2014
therapeutic diet
20
Balanced diet usually used for ambulatory
patients
At times is has a slightly reduced caloric
content
Foods such as rich desserts, cream sauces,
salad dressings and fried foods may be
decreased or omitted
Regular Diet
21. September 26, 2014therapeutic diet 21
Nutritionally inadequate and should only be
used for short periods of time
Uses:
After surgery or a heart attack
Pts with acute infections or digestive
problems
To replace fluids lost by vomiting or
diarrhea
Before some Xrays of digestive tract
liquid diet
22. September 26, 2014therapeutic diet 22
Clear liquid diet
Water, apple or grape juice, fat-free
broths, plain gelatin, popsicles, ginger
ale, tea, coffee
23. September 26, 2014therapeutic diet 23
clear liquid diet plus strained soups
and cereals, fruit and vegetable juices,
yogurt, hot cocoa, custard, ice cream,
pudding, sherbet, and eggnog
Full liquid diet
24. September 26, 2014therapeutic diet 24
Similar to regular diet but foods must
require little chewing and be easy to
digest
Avoid meat and shellfish with tough
connective tissue, coarse cereals, spicy
foods, rich desserts, fried foods, raw
fruits and veggies, nuts, and coconuts
Soft Diet
26. September 26, 2014therapeutic diet 26
Used for pts with digestive and rectal diseases such
as colitis or diarrhea
Eliminates or limits foods high in bulk or fiber such
as raw fruits and veggies, whole grains and cereals,
nuts, seeds, beans and peas, coconut, and fried foods
Low residue
diet
27. September 26, 2014therapeutic diet 27
Diet contains exchange lists
Goods are grouped according to type,
nutrients, and calories
Pts are allowed a certain number of items
from each exchange list according to
individual needs
Diabetic Diet
29. September 26, 2014therapeutic diet 29
Used for pts who are overweight
Avoid or limit high calories foods such as:
Butter, cream, whole milk, cream soups or
gravies, sweet soft drinks, alcoholic beverages,
salad dressings, fatty meats, candy and rich
desserts
Low-Calorie Diet
30. September 26, 2014therapeutic diet 30
Used for pts who are underweight, or who
have anorexia nervosa, hyperthyroidism,
or cancer
Extra proteins and carbs are included
Avoid high-bulk foods such as green
salads, watermelon and fibrous fruits
Avoid high-fat foods such as fried foods,
rich pastries, and cheese cake because
they digest slowly and spoil appetite
High-Calorie Diet
31. September 26, 2014therapeutic diet 31
Restricts foods containing cholesterol
Used for pts with atherosclerosis and heart
disease
Limit foods high in saturated fats such as
beef, liver, pork, lamb, egg yolk, cream,
cheese, natural cheeses, shellfish, whole
milk, and coconut and palm oil products
Low cholesterol
diet
33. September 26, 2014therapeutic diet 33
Fat Restricted or
Low-Fat Diet
Used for pts with gallbladder and liver
disease, obesity, and certain heart
diseases
Avoid cream, whole milk, cheese, fats,
fatty meats, rich desserts, chocolate,
fried foods, salad dressings, nuts, and
coconut
34. September 26, 2014therapeutic diet 34
Used for pts with cardiovascular diseases such
as hypertension or congestive heart disease,
kidney disease, and edema
Avoid or limit addition of salt to any food,
smoked meats or fish, processed foods, pickles,
sauerkraut, olives, and processed cheeses
Sodium Restricted Diet
(Low Sodium or Low Salt
Diet)
35. September 26, 2014therapeutic diet 35
High Protein Diet
Used for children and
adolescents who need
additional growth, pregnant or
lactating women, before
and/or after surgery, pts
suffering from burns, fevers, or
infections
Regular diet with added
protein rich foods such as
meats, fish, milk, cheese, and
eggs
36. September 26, 2014therapeutic diet 36
Low Protein Diet
Used for pts with certain kidney diseases and
for certain allergic conditions
Regular diet with limited or decreased protein
rich foods
Low Protein Diet
37. September 26, 2014therapeutic diet 37
Bland Diet
Consists of easily digested foods that do not
irritate the digestive tract
Used for pts with ulcers and other digestive
diseases
Avoid coarse foods, fried foods, highly
seasoned foods, pastries, raw fruits and
veggies, alcohol, carbonated beverages, nuts,
coffee, tea, smoked and salted meats and fish.
38.
39. September 26, 2014therapeutic diet 39
High energy and high protein
Energy and nutrient dense foods
Pick foods from the menu which can be
fortified
Use of supplements
Recipe fortification
Examine what a resident like to eat and
encourage those types of foods
Therapeutic diet for
malnutrition
40.
41. September 26, 2014therapeutic diet 41
Dietary guidelines
Also eat a variety of food.
Maintain ideal weight.
Avoid excess fat (total and
Unsaturated) and cholesterol.
Eat foods with adequate dietary
fiber.
Avoid excess sugar.
Avoid excess salt.
45. September 26, 2014therapeutic diet 45
Therapeutic diets to be used when necessary
Ensure that residents with malnutrition are eating
foods which taste good and full of flavour
Menu design should aim for diet integration so
that
everyone eats the same types of foods
Portion control is an essential tool in menu
planning
Standard recipes help with the delivery of
nutritional
care
Conclusion
