ACTIVITY I.

DIET MODIFICATIONS

Description. Certain diseases require modifications of the nutritional components of a regular diet. Each diet has a purpose
and a rationale. Modifications may be done qualitatively, such as in terms of consistency, texture, or nutrients, or
quantitatively, such as in the size and the number of feedings, or control of specific nutrients. Whatever modification is
done to a patient's diet, acceptance of food is largely influenced by the nursing personnel. It is important for patients to
be educated on the diet given to them.

At the end of this activity, the students are expected to:

● Identify the indications of dietary modifications related to diet therapy,
● List down foods that should be avoided and included in the diet according to the identified modifications, and
● Identify the nursing implications or nursing interventions that must be implemented for patients with dietary
modifications.

Materials needed: The students will need information from the lecture module and research skills to be able to answer
the following tables.

Instructions. Please write legibly on the following tables. For table 1, summarize the type of diet modifications indicated
for hospitalized patients. In Column 2 (Sample Type of Diet), identify ONE example of the type of diet included under the
dietary modification. In Column 3 (Indications) identify what conditions is the diet indicated, and in Column 3 and 4
enumerate foods (those that are found in the Philippines/ Cagayan) that can be included and should be avoided. FInally
in the last column, enumerate the nursing interventions that must be implemented in order to ensure that the patient
adheres to the diet identified.

For table 2, fill out the columns in the same way as Table 1. However, the case of the patient must also be
considered.

Table 1. Dietary Modifications

Type of Diet Sample Indications Foods to Foods to Nursing Implications
Modification Type of Include Avoid
Diet

Change in
consistency

Increase or
decrease in
energy value

PNCM 1053 NUTRITION AND DIET THERAPY- LABORATORY WORKSHEET 07 1

Academic Intellectual Property Rights: Materials posted over NEO-LMS are the properties of USL and the Facilitators. Students are
not allowed to share it to any third-party individuals not part of the class without any permission from the owners.
 Increase or
decrease in
specific
nutrients or
type of food

Elimination
of spices and
condiments

Omission of
specific
foods

Adjustment
in the ratio
and balance
of proteins,
fats and
carbohydrat
es

Test diets

PNCM 1053 NUTRITION AND DIET THERAPY- LABORATORY WORKSHEET 07 2

Academic Intellectual Property Rights: Materials posted over NEO-LMS are the properties of USL and the Facilitators. Students are
not allowed to share it to any third-party individuals not part of the class without any permission from the owners.
ACTIVITY II. APPLICATION OF THERAPEUTIC DIETS

Instructions. Each group will be given a patient case scenario by the instructor. The group will then fill out the table below
based on the case provided.

Type of Diet Type of Indications Foods to Foods to Nursing Implications

Modification Diet Include Avoid

PNCM 1053 NUTRITION AND DIET THERAPY- LABORATORY WORKSHEET 07 3

Academic Intellectual Property Rights: Materials posted over NEO-LMS are the properties of USL and the Facilitators. Students are
not allowed to share it to any third-party individuals not part of the class without any permission from the owners.