AFChSRND

• Branch of dietetics that is concerned with the

use of food for therapeutic purposes.
• Apply knowledge of biological sciences like
sociology, psychology and education and
artistic principles for food presentation.
• Not only in hospital also involves home
situations.
• To maintain or restore good nutritional status
• To correct nutritional deficiency, if present
• To afford rest to a particular part of the body that
may have been affected by illness and surgery
• To adjust the diet based on the digestive
capability of client
• To treat edema
• To eliminate offending food substances
 Liberalization
 Individualization
 Simplication
Food limitation should
not be necessary. The
diet should be meet the
body’s requirement for
essential nutrients as
generously as the
disease condition
permits.
The diet regimen
should take into account
the patient’s food
habits, preferences,
socioeconomic status,
cultural practices and
other environmental
factors that have
bearing on the diet.
The therapeutic diet
should be vary from
adequate, normal diet
as little as possible. The
foods are similar as
possible to those of
general, adequate diet.
• Alternate Names: Normal, Standard, Full or
House Diet
• Designed for patients who require no special
diet modifications or restrictions
• Basis for all modified diet
• Used: A patient health and medical conditions
does not required any food restrictions.
Breakfast Lunch/Supper Snack
Fruit Meat/Fish (or (as desired)
Meat/Fish (or substitute) Sandwich/Pasta/Noodle
substitute) Vegetable Hot or cold
Rice/Bread (or Rice (or beverage
substitute) substitute)
Beverage Fruit
• Easily absorbed and leave minimal residue in GIT.
• To provide adequate amts. of fluid and electrolytes
• Consume allowed foods in 1 to 2 hours.
• Avoid solid and opaque foods.
• Indication: As initial feeding progression bet. IV fluid to
full liquid diet or soft diet following surgery; as
transition to oral feeding after tube or parenteral diet;
diet prep. for medical test; pre-diet for surgery to
reduce fecal matter; acute disturbance of GI function;
initial feeding of severely malnourished
Breakfast Lunch Supper Snack
Strained Clear Broth Clear Broth Strained fruit
Fruit Juice Strained Strained juice or soft
Clear broth Fruit Juice Fruit Juice drink
Plain gelatin Fruits Ice Plain gelatin Plain gelatin
dessert Coffee or tea dessert dessert
Coffee or tea with sugar Coffee or tea
with sugar with sugar
• General Liquid Diet
• Both clear and opaque liquid foods and some
semiliquid at body temperature.
• Indications: As a step between clear liq. And soft
diet; difficulty in chewing; in conjunction with
parenteral nut.; patients who been w/o food for
long period of time; moderate GIT inflammations
and mouth lesion; too ill to eat such as during
fevers and infections; short term diet in
preparation for surgery and medical test
 Suggested Meal Plan
Breakfast Lunch/Supper Snack
Strained fruit juice
Strained fruit juice Strained fruit
Milk or cream juice/milk
Strained cream
Coffee or tea with soups Eggnog or yogurt
sugar or honey
Pudding/ice cream
Milk
Sugar or honey
Salt and pepper
 Soft Diet
• Modification of the regular diet to provide
food that are soft in consistency and texture,
easily digested and simply prepared.
• Indication: as a transition diet from liq. To
regular diet; ease of chewing, swallowing and
digestion; patients recovering from trauma or
debilitating disease
 Suggested Meal
Breakfast Lunch/Supper AM Snack PM Snack
Fruit or Juice Soup Sandwich Pasta or
Cereal or soft Meat dish Fruit Shake porridge
bread Well-cooked Fruit juice
Egg dish vegetables
Soft-cooked
Coffee or tea rice or soft
Cream and bread
Sugar Canned fruit or
juice
Custard or
gelatin
• Geriatric diet and dental soft diet
• Exclude foods that are difficult to chew or
swallow.
• Indication: Broken Jaw; Dental Caries; dry
mouth, ulceration of mouth; elderly;
debeliated patients; oral surgery, plastic
surgery or radiation therapy of head an neck;
when dysphagia or swallowing problem
Breakfast Lunch/Supper Snack
Fruit Meat/Fish (or (as desired)
Meat/Fish (or substitute) Sandwich/Pasta/Noodle
substitute) Vegetable Hot or cold
Rice/Bread (or Rice (or beverage
substitute) substitute)
Beverage Fruit
• About 20 to 30 grams of Dietary Fiber
• 2-4 servings Fruit; 3-5 servings Vegetables; 6
to 11 servings of cereals and grains
• Indication: Cancer prevention; constipation;
CHD; DM; diarrhea (more on soluble fibers) ;
diverticulosis
• Low-fiber diet
• Limits the consumption of fiber-rich foods
• Not exceed 15 to 20 grams total dietary fiber
per day
• Indications: Reduction of fecal output before
or after surgery; acute phases of intestinal
disorders; intestinal gas reduction; progessive
diet; radiation enteritis
• Easily digested and almost completely absorbed
to produce moderate amount of stool.
• Food contain minimal fiber and connective tissue
• A low fiber food is not necessarily low in residue.
• Indication: Acute diarrhea with abdominal
cramping; acute phases of inflammatory
condition of bowel; as an intermediate diet after
intestinal or rectal surgery; esopagheal varices,
ileostomies, colostomies, or narrowed intestinal
lumen
• A regular diet with the omission of foods
known to cause GIT discomfort
• Indication: As progression step-in post-op
advancement; Esopagitis; GERD; PUD
• Extra calories prescribe for individuals
• 500 kcal = 1 lb/week
• Indication: Hypermetobolic conditions; cystic
fibrosis; growing period; undernutrition
Breakfast Lunch/Supper Snack
Fruit or Fruit Meat/Fish (or (as desired)
juice substitute) Sandwich/Pasta/Noodle
Meat/Fish (or Vegetable Smoothies/Liquid
substitute)
Rice (or formula
Rice/Bread (or substitute)
substitute)
Fruit
Warm Beverage
• Bring out steady loss of body weight
• Subtracting TER by 500-1000kcal to loss 1-2 lb
per week
• Indication: CHF; Excessive weight assoc. with
DM, Heart Disease, Gout, HPN amd Pre-
surgery patient, Hypothyriodism
Breakfast Lunch/Supper Snack
Fruit or Fruit Meat/Fish (or (as desired)
juice substitute) Sandwich/Pasta/Noodle
Meat/Fish (or Vegetable Diet Soda or
substitute)
Rice (or Artificially
Rice/Bread (or substitute) Sweetener Drinks
substitute)
Fruit or
Warm Beverage Artificially
Artificial Sugar Flavored Gelatin
• No more than 45% CHO of TCI but not should
be less than 100 grams per day to prevent
ketosis.
• Simple sugar are restricted by 10-15% of TCI
or avoided at all
• Indication: Celiac Disease; COPD;
Hyperproteinemia; hyperinsulism; spotaneous
hupoglycemia; dumping syndrome ;epilepsy.
Breakfast Lunch/Supper Snack
Fruit or Fruit Meat/Fish (or (as desired)
juice substitute) Sandwich/Pasta/Noodle
Meat/Fish (or Vegetable
Diet Soda
substitute) Rice (or substitute)
Rice/Bread (or Fruit or Artificially
substitute) sweetened
dessert
Warm Beverage
Artificial Sugar
• Limits but do not exclude milk and milk
products
• 10 grams lactose per day (Approx. 1 C Milk
=10g Lactose)
• Indication: Lactose def.; Malabsorption of
lactose
• Above normal protein level.
• Minimum of 1.5 g per kilo DBW or 100 to 200
g protein
• Indication: Hypermetabolic or catabolic state;
preparing for nutritionally wasted patient for
surgery; PEM
• Same as regular diet but snacks must be given
frequently
• 0.5 to 0.8 g per kilogram BW in absence of
edema.
• Indication: ARF; Acute glomerulonephritis;
CRF without dialysis; Liver failure with coma
• Limit the amt. of purine to 120 to 150 mg/day
as compared to usual intake of 600 too 100
mg/day
• Indication: Gout; Hyperuremia; Uric acid
stones
• Gliadin-free Diet
• Gliadin is found in wheat and some other
grains, including oats, rye, barley, and millet.
• Indication used: Dermatitis herpetiformis;
Gluten Sensitive enteropathies
• Less than 10- 15% of TCI or about 30 to 50
grams per day
• Indication: CVD; CRD; Chronic Pancreatitis;
Disorder of digestion, absorption and
transport of fat.
• 30% Total fat; less 10% of TC from SFA; 10-15%
of TC MUFA; Up to 10% of TC PUFA; no more
than 300mg Cholesterol per day
• Indication: Atherosclerosis; Elevated
Cholesterol level; Hyperlipidemia or
hyperproteinemia
Breakfast Lunch/Supper Snack
Fruit Meat/Fish (or Low Fat
Lean Meat/Fish substitute) Sandwich/
(or substitute) Vegetable Noodle
Rice/Bread (or Rice (or substitute) Fruit Juice or Diet
substitute) Fruit or juice Cola
Coffee or fat-
free milk
• Mild SR (3000mg/day); Moderate
SR(2000mg/day); Strict SR (1000mg/day); Very
strict SR (500mg/day)
• Indication: Mild SR (Mild HPN, Mild Edema);
Moderate SR(Congestive HF, Moderate HPN,
Pregnancy Induced- HPN, Corticosteroid therapy,
cirrhosis, CRD); Strict SR (Severe HPN, Cirrhosis
with ascites, Pulmonary edema, CHF and
eclampsia); Very strict SR (severe sodium
restriction)
Breakfast Lunch/Supper Snack
Fruit Meat/Fish (or (as desired)
Lean Meat/Fish substitute) Sandwich/
(or substitute) Vegetable Noodle/Pasta
Rice/Bread (or Rice (or substitute) Hot or Cold
substitute) Fruit beverage
Beverage