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Therapeutic Diet Guidelines
- 1. June 2011 Patient Diet Guidelines: NPO Nothing by Mouth Regular Diet No Restrictions Carbohydrate Controlled Avoid Substitute Sugar Packets Sugar Substitute Regular Syrup Sugar-free Syrup Regular Jelly Sugar-free Jelly Regular Pudding/Jell-O Sugar-free Pudding/Jell-O Regular Desserts Half portion of dessert or sugar-free version *Each meal should have 4-5 carbohydrate servings. Examples of one carbohydrate serving: 1 slice of bread, 1 dinner roll, 1 piece of fruit, 1 milk carton, ½ cup potatoes, corn, or peas. No Added Salt (NAS) Avoid Substitute Salt Packets/ Table Salt Mrs. Dash Cardiac Avoid Substitute Hot dogs/Sausage/Bacon/Ham Whole Milk 2%, Skim Milk Cream Soups Low Salt Soup Tomato Juice Low Sodium Tomato Juice Pasta with Cream Sauces Pasta with Marinara Regular Salad Dressing Low-fat Dressing Salt Packets/Table Salt Mrs. Dash High Protein/Renal Avoid Substitute Potatoes Whipped/Mashed Potatoes Tomatoes/ Tomato Juice/Tomato Sauce Other Vegetable Oranges/Orange Juice Other fruits(no bananas)/ Apple Juice/ Cranberry Juice Bananas Other fruits (no oranges) Salt Packets/Table Salt Mrs. Dash
- 2. Enhanced Foods Foods to Add on Tray Enhanced Soup Enhanced Oatmeal Enhanced Hot Cereal Enhanced Pudding Enhanced Potatoes Mechanical Soft Avoid Substitute Fruits with seeds or skins (grapes, Any other canned fruit blueberries) Salad Other cooked vegetable Corn Other cooked vegetable Nuts/Seeds Pretzels/Chips/ Popcorn Crackers- Saltines, Grahams Regular Meat Ground Meat Potatoes with skin Potatoes without skin Pureed Avoid Substitute Regular Meat Pureed Meat Peanut Butter Fruits with seeds or skins (grapes, Applesauce, any pureed fruits strawberries, raspberries, blueberries) Regular Vegetables Any pureed vegetable Red skin potatoes/Baked potatoes with skin Mashed potatoes/ sweet potato with skin removed Cold or dry cereals Cream of wheat Oatmeal Pureed oatmeal Nuts/Seeds Nectar-Thick/Honey-Thick Liquids Avoid Substitute Normal-Consistency Beverages Appropriate Thickened Beverages: Milk, Juice, Water, Coffee, Tea Soup Appropriate Thickened Soup Ice cream ,sherbet, Jell-O Pudding or Frozen Nutritional Treat Ice
- 3. Fluid Restriction *See Beverage Worksheet in MAR or Chart in Dietary Section* Milk/Coffee/Tea: 8 ounces Juice container: 6 ounces Prune Juice: 4 ounces Avoid Substitute Jell-O Salad or baked dessert Ice cream, sherbet, popsicles Pudding or baked dessert Soup Vegetable Juice Whole vegetable Fruit Juice Whole fruit Clear Liquid Avoid Substitute Milk Apple/Cranberry/Grape Juice, Coffee without Creamer, Tea, Lemonade Cream Soups/Soups Broth Desserts Jell-O, Popsicles Full Liquid Avoid Substitute Regular Soups Pureed soups/ broth Oatmeal Cream of wheat, thinned with milk Desserts Pudding, Jell-O, Ice cream, Sherbet, Popsicles Milk products are allowed: All milk, creamer, milkshakes, hot chocolate, yogurt Right to Refuse: Patients may refuse to comply with their prescribed diet, however, please encourage patients to follow their diet order. If any patient refuses or is non-compliant with their diet, please let the dietitians, Theresa or Elizabeth know (ext. 2422). Those that are on mechanically altered diets (mechanical soft, pureed, thickened liquids) cannot be liberalized unless ordered by speech therapy or doctor. It is important that they receive the appropriate consistency of food for safety reasons. If the patient is refusing a mechanically altered diet, please contact speech therapy.