DIVERTICULITIS HEALTH EDUCATION PLAN (HEP) Objectives: (at least 3) 1.

Within 1 hour of giving health teachings, inform the patient of what exacerbates diverticulitis and how to properly manage it on their own. 2. Within 2-3 hours of educating, stresses the importance of adequate fiber intake during non-acute phases, adequate water intake and foods that are contraindicated for diverticulitis. 3. Within 30-45 minutes, patient will verbalize the importance of having good bowel hygiene. Materials Needed: 1. Visual aid 2. Ballpen 3. Notebook General Health Teachings 1. 1. Hygiene    Specific Health Teachings Good bowel hygiene. Getting plenty of dietary fiber to keep stools soft and bowel movements regular Drinking plenty of water and exercising regularly are also important.

2. 2. Diet

a. A. Clear liquid diet means no solid foods. Juices should have no pulp. b. Purpose—to provide hydration to a post-op patient. During the clear liquid diet, you may consume:
   

> Broth > Clear juices such as apple, cranberry and grape. (Avoid orange juice) > Jell-O

tender. this is often ordered. B. beans. choose low fiber foods while healing. Low fiber foods include:           > Canned or cooked fruit without seeds or skin. milk and yogurt > Eggs > Low-fiber cereal > Meat that is ground or tender and well cooked > Pasta > White bread and white rice . stewed. Foods Allowed—all foods that are liquid or are liquid at room temperature Foods Not Allowed—nuts. solid food C. dried fruits and nuts d. D. minced. sharp cheeses. Soft Diet Purpose—for post-op patients after full liquid or for patients with infections or GI problems Foods Allowed—all foods that are soft.   > Popsicles c. meats. When you're able to eat solid food. Full Liquid d. such as applesauce and melon > Canned or well cooked vegetables without seeds and skin > Dairy products such as cheese. or creamed Foods Not Allowed—coarse or whole grain breads. Purpose—after a post-op patient tolerates clear liquids.

citrus fruits. Foods Allowed—clear fluids. and high fiber foods G. salt. Low-Residue Diet Purpose—to reduce fiber for patients with Crohn’s disease. white bread. raw fruits and vegetables. Sodium Restricted Purpose—for patients with kidney. Bland Diet Purpose—to eliminate irritating foods to allow the stomach lining to heal (ulcer patients) Foods Allowed—milk. and meat in limited quantities Foods Not Allowed—canned prepared foods. cooked cereals. diarrhea. custards.E. coffee. most prepared . creamed or pureed soups. eggs. fats. tea. table salt. fried foods. highly seasoned foods. very hot or cold beverages F. cardiovascular disease or hypertension to control the retention of sodium and water and thus lower blood pressure Foods Allowed—natural foods without salt. refined cereals and white breads. milk. meats. peeled white potatoes Foods Not Allowed—cheeses. colon or rectal surgery. baked or broiled potatoes Foods Not Allowed—strongly flavored and highly seasoned foods. sugar. esophagitis. some milk. whole grains.

lamb. Gluten-Free Diet Purpose—eliminates gluten. Foods Allowed—rice. rye. egg yolks. eggs. corn. poultry without skin. cheese and ice cream J.seasonings not labeled low sodium H. meat. Lactose-Free Diet Purpose—to reduce or eliminate foods with lactose. vegetables. shrimp. These are used for patients with malabsorption syndromes such as celiac disease. cereals and grains Foods Not Allowed—foods containing lactose. pork . oats: many prepared foods such as creamed sauces or breaded foods (may contain thickeners and fillers) I. fruits. such as milk. for patients who cannot metabolize it Foods Allowed—most meats. barley. Low-Cholesterol Purpose—to reduce the intake of cholesterol in order to lower blood cholesterol levels Foods Allowed—fruits. a protein found in wheat products. fruits and vegetables. milk Foods Not Allowed—all wheat. skim milk Foods Not Allowed—organ meats. beef. vegetables. soy flour. lean meats and fish.

nuts beans. . eggs. asparagus. 1. Regular bowel movements and avoiding constipation and straining are most important to prevent diverticulitis. Eat a high-fiber diet to maintain good bowel hygiene. cereals. 3. Prevention Foods Not Allowed—organ meats. fruit. fruit juices. cereals and crackers. berries. and beans. oatmeal. among other foods. Drinking eight 8-ounce glasses of water a day. and cooked dried peas and beans. carrots. whole wheat. High-fiber foods include whole grain breads. 2. bran products. spinach. cottage cheese 3. dried peas. which is a precursor of uric acid. The American Dietetic Association recommends 20 to 35 grams of fiber a day. brown rice. poultry. lentils. in the diet. asparagus. spinach.K. vegetables. cabbage. squash. fish. It is used with patients who have gout or uric acid kidney stones. such as broccoli. Foods Allowed—most vegetables (except cauliflower). Low-Purine Diet Purpose—to reduce the amount of purine. peas.

Sign up to vote on this title
UsefulNot useful