Objectives
     At the end of this presentation students 
     should be able to:
     Identify the purpose of diet/nutrition 
     therapy
     Describe methods of dietary modifications 
     for clients in primary and secondary care 
     settings
     Relate the role of the nurse in nutritional 
     care
      Diet/Nutrition Therapy
       Nutrition care that encompasses the assessment 
       and treatment of any disease, condition, or 
       illness- Medical nutrition therapy
       Includes
         Modified diet
         Nutrition education
         Specialized nutrition support with oral nutrition 
         supplements
         Tube feedings
         Intravenous nutrition
    Purpose of Nutrition Therapy
    The purpose of nutrition therapy is to :-
     Ensure adequate energy and nutrient intake- to 
     prevent under and over nutrition (malnutrition)
     Prevent insufficient intake of some 
     micronutrients such as iron and folate
     Prevent physiological consequences of 
     malnutrition- LBW babies, NCDs and mortality
     Improve adherence of recommendations such 
     as RDA, UL, EAR etc. 
    Dietary modifications in nutrition therapy
       Regular
       Liquid     
       Soft
       Diabetic
       Low Calorie
       High Calorie
       Low Cholesterol
       Fat-restricted
       Sodium-restricted
       Protein
        Bland
        Low-residue
 Diet           Use                  Foods Allowed         Foods not          Nutritional 
                                                           allowed            adequacy and 
                                                                              advice
 Regular        General diet for     All                   None               Adequate if 
                people who do                                                 consumed as 
                not require                                                   ordered
                texture or 
                nutrient 
                modification
 Clear          Hydration, bowel  See through items        Opaque             Inadequate in all 
 Liquids        prep for some        liquid at room        Liquids, solid     nutrients, low in 
                procedures,          temperature-          foods              energy. Consider 
                transition to        juices, drinks,                          nutrition 
                solids from NPO      broth, popsicle,                         supplement; 
                                     gelatin                                  monitor length, 
                                                                              refer 5 or more 
                                                                              days
 Full Liquids   Chewing or           Foods liquid or       Solid foods,       Nutri. adequate 
                swallowing           pourable at room      liquid at room     when supplements 
                difficulties         temperature- all      temp. foods        consumed. If 
                                     clear items &         with added         dysphagia consult 
                                     dairy, custards,      solids e.g. ice    doc for eval. High 
                                     supplements           cream with         fat/ low fibre long 
                                                           nuts               use