class7 mod diet menu Flashcards
types of mod?
diet texture/consistency, nutr. content, interval/frequency, disease states
texture mod for:
oral surgery, oral motor prob, impaired swallow, mouth sores, ill fitting dentures, poor dentition
goals for nutr mngmt?
prevent aspiration, provide adequate nutr, consider family wishes
dietitian role in nutr. mngmt?
risk screening, education, menu review, nutrition review
stages of texture mod diet?
1) pureed 2) minced 3) dental soft 4) regular
soft diet used for ?
patients with chewing probs related to dysphagia, mouth sores, poor dentition
what is soft diet?
soft form, requires more chewing ability, easy-to-cut meats, fruits, veg; exclude hard, crunchy, sticky, dry
minced diet used for?
dysphagia, severe mouth sores, dentition probs–offered as progression from pureed
what is minced diet?
particle size allow passage through 6mm mesh screen, prepped achieve moist/cohesive, no water separation, fork-mashable, ground/minced, exclude dry fooods
for minced, avoid:
cheese slices/cubes, peanut butter, sandwiches, rice, potato skins, cooked corn/peas/broccoli/cabbage/brussels/asparagus
pureed used for?
dysphagia, severe oral motor prob (jaw surgery, fracture)
what is pureed?
NO visible particles (<1mm), one homogenous colour, no water separate, line spread test <3cm, no chewing, cohesive pudding-like
pureed not allowed?
sticky, coarse textures
pureed should pass through screen ___ mesh
2mm
pureed, avoid?
oatmeal, nonpureed fried/scrambled/hardcooked eggs
modified bread includes moistened bread that can form ___ in mouth
bolus
what is mixed consistency?
foods made of two separate textures (fluid and solid)
why thickened fluids?
1) slow progress of food down throat (greater control) 2) keeps fluids from flowing down trachea instead of esophagus (pneumonia)
gen recommendations for thickened fluids:
no items that will melt, not thickened milk, not mixed texture if dysphagia, fruit must be drained
lvls of consistency>
pudding thick, honey thick, nectar thick
why pudding thick not recommended usuallly?
increased risk dehydration
why clear liquid diet?
easier to digest, gives enough nutrition for 3-4 days
why full fluid diet?
used short term as step between clear fluid and normal diet –used after surgery or difficulty chew/swallow solid
starch based challenges:
appearance change (cloudy), impart starchy taste, form lumps when mixing, complicated mixing instructions
full fluid allowed foods:
milk, cream of wheat, strained fruit/veg juice, pureed soups, puddings, ice cream, nutr supplements like boost, sugar/hard candies
