CHAPTER 8: DIETS TYPES

Question 1

What is considered a modified diet and when is it initiated?

Answer 1

NPO: nothing liquid or solid by mouth
o Often when a patient is coming in for surgery
o Coming in for illnesses

Question 2

When will we start a patient on a clear liquid diet?

Answer 2

After they come back from surgery and recover to prevent dehydration
o Then will be put on a full liquid
o Then Soft foods
o Then normal diet

Question 3

What are the indications that a patient needs to be on a clear liquid diet?

Answer 3

Liquid at room temp + no residue
o GI Disorders
o After Surgery

Question 4

What foods are considered a clear liquid diet?

Answer 4

o Water
o Tea
o Coffee
o Broth
o Clear juices 
o Gelatin
o Ginger Ale
o Carbonated beverages

Question 5

What are the indications that a patient needs to be on a full liquid diet?

Answer 5

Liquid at room temp with residue (may need protein or calcium supplementation)
o Help transition from clear liquid to a soft diet after surgery
o acute gastritis
o intolerance of solids

Question 6

What foods are considered a full liquid diet?

Answer 6

o All Clear Liquids (see above) o Milk
o Pudding
o Soup
o Ice cream
o Sherbet
o Fruit juice
o Vegetable juice

Question 7

What are the indications that a patient needs to be on a soft diet?

Answer 7

• Help transition from a full liquid to a regular diet, acute infxn, chewing issues or GI disorders
• ** bland, low fiber, lightly seasoned and easy to digest ***

Question 8

What foods are considered a soft diet?

Answer 8

o No raw fruits or vegetables
o No foods that cause gas (i.e. beans)
o No coarse bread or cereal
▪ Nothing with sharp edges or that is going to be rough on the throat or stomach

Question 9

What are the indications that a patient needs to be on a pureed diet?

Answer 9

o Oral or facial surgery
o Wired jaws
o Chewing/swallowing difficulty

Question 10

What foods are considered a pureed diet?

Answer 10

o Any food or liquids that are pureed to a liquid form
▪ So, if their jaw is wired shut, they need a straw (all liquid)
** foods all pureed separately to preserve flavor **

Question 11

What are the indications that a patient needs to be on a mechanical soft diet?

Answer 11

o Don’t have teeth/poorly fitted dentures
o Dysphagia
o Chewing difficulties
o Head/neck surgery

Question 12

What foods are considered a mechanical soft diet?

Answer 12

o Foods that require minimal chewing
o Ground meat
o Cooked vegetables (soft)
o Canned fruit

Question 13

What are the 3 levels of a dysphagia diet?

Answer 13

1) Pureed: foods all have a pudding-like texture
2) Mechanically altered: moist semi-solid food with a soft texture
3) Advanced: with is moist near normal texture foods (still aren’t going to have any hard sticky or crusty foods)

Question 14

What is the consistency of thin liquids?

Answer 14

water, they can have any kind of beverage

Question 15

What is the consistency of nectar thick liquids?

Answer 15

heavy syrup type of consistency (cream soup, thin milkshake); can drink through a straw

Question 16

What is the consistency of honey thick liquids?

Answer 16

pourable (you can eat it with a spoon), but you cannot drink through a straw (this will be yogurt); does not maintain shape when poured

Question 17

What is the consistency of spoon thick liquids?

Answer 17

really thick, thickened such that it maintains shape, and needs to be eaten with a spoon (custard, pudding)