Therapeutic Diet - Types

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TYPES OF THERAPEUTIC DIET

SNo DIET PURPOSE INDICATIONS FOODS ALLOWED FOODS NOT ALLOWED CALORIE SAMPLE
MENU
1 Relieve thirst and  Post-surgically carbonated beverages; Milk and milk products,
Clear- Liquid
help maintain fluid  following acute coffee (caffeinated and fruit juices with pulp, and
Diet balance. vomiting or diarrhea. decaff.); tea; fruit-flavored fruit.
drinks; strained fruit juices;
clear, flavored gelatins;
broth, consomme; sugar;
popsicles; commercially
prepared clear liquids; and
hard candy.

2 Provide an  Acute infection with clear liquids, milk drinks, nuts, seeds, coconut, fruit,
Full- Liquid
adequately fever, GI upsets cooked cereals, custards, ice jam, and marmalade
Diet nutritious diet for cream, sherbets, eggnog, all
patients who cannot  after surgery as a strained fruit juices,
chew or who are too progression from clear creamed vegetable soups,
ill to do so. liquids. puddings, mashed potatoes,
instant breakfast drinks,
yogurt, mild cheese sauce or
pureed meat, and seasoning.

3 Provide  patient with no teeth very tender minced, coarse whole-grain


Soft Diet   
adequate or ill-fitting dentures ground, baked broiled, cereals and bread;
nutrition for roasted, stewed, or nuts; raisins; coconut;
those who have  transition from full- creamed beef, lamb, fruits with small seeds;
troubled liquid to general diet veal, liver, poultry, or fried foods; high fat
chewing. fish; crisp bacon or gravies or sauces;
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TYPES OF THERAPEUTIC DIET

sweet bread; cooked spicy salad dressings;


 for those who cannot vegetables; pasta; all pickled meat, fish, or
tolerate highly fruit juices; soft raw poultry; strong
seasoned, fried or raw fruits; soft bread and cheeses; brown or wild
foods following acute cereals; all desserts that rice; raw vegetables,
infections or are soft; and cheeses as well as lima beans
gastrointestinal and corn; spices such
disturbances such as as horseradish,
gastric ulcer or mustard, and catsup;
cholelithiasis. and popcorn.

4 Reduce sodium  Heart failure Mildly restrictive 2 g Table salt; all commercial
Sodium-
content in the tissue  hypertension, sodium diet to extremely soups, including bouillon;
Restricted and promote  renal disease, restricted 200 mg sodium gravy, catsup, mustard,
Diet excretion of water.  cirrhosis, diet. meat sauces, and soy
 toxemia of pregnancy sauce; buttermilk, ice
 cortisone therapy. cream, and sherbet; sodas;
beet greens, carrots, celery,
chard, sauerkraut, and
spinach; all canned
vegetables; frozen peas;

All baked products


containing salt, baking
powder, or baking soda;
potato chips and popcorn;
fresh or canned shellfish;
all cheeses; smoked or
commercially prepared
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TYPES OF THERAPEUTIC DIET

meats; salted butter or


margarine; bacon, olives;
and commercially prepared
salad dressings.
5 Control protein,  Acute and chronic  High-biological proteins  Cereals, bread,
Renal Diet 
potassium, renal failure, such as meat, fowl, fish, macaroni, noodles,
sodium, and  hemodialysis. cheese, and dairy spaghetti, avocados,
fluid levels in products range between kidney beans, potato
the body. 20 and 60 mg/day. chips, raw fruit, yams,
 Potassium is usually soybeans, nuts,
limited to 1500 mg/day. gingerbread, apricots,
 Vegetables such as bananas, figs,
cabbage, cucumber, and grapefruit, oranges,
peas are lowest in percolated coffee,
potassium. Coca-Cola, orange
 Sodium is restricted to crush, sport drinks,
500 mg/day. and breakfast drinks
 Fluid intake is restricted such as Tang or
to the daily volume plus Awake
500 mL, which
represents insensible
water loss.
 Fluid intake measures
water in fruit,
vegetables, milk and
meat.
6 To correct large  Burns, General diet with added Restrictions depend on
High- Protein,
protein losses and  hepatitis, cirrhosis, protein. modifications added to the
High- raises the level of  pregnancy, diet. The modifications are
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TYPES OF THERAPEUTIC DIET

Carbohydrate blood albumin. May  hyperthyroidism, determined by the patient’s


be modified to  mononucleosis, condition.
Diet include lowfat, low-  protein deficiency due
sodium, and low- to poor eating habits,
cholesterol diets.  geriatric patient with
poor intake;
 nephritis, nephrosis

 liver and gall bladder


disorder.
7 Designed to reduce  High uric acid High uric acid retention, uric Cheese containing spices
Purine-
intake of uric acid- retention, acid renal stones, and gout. or nuts, fried eggs, meat,
Restricted producing foods.  uric acid renal stones, Limited quantities of meat, liver, seafood, lentils, dried
Diet  gout. fish, and seafood allowed. peas and beans, broth,
bouillon, gravies, oatmeal
and whole wheat, pasta,
noodles, and alcoholic
beverages
8 Provision of a diet  Gastritis, Varied to meet individual Fried foods, including
Bland Diet
low in fiber,  hyperchlorhydria needs and food tolerances. eggs, meat, fish, and sea
roughage, (excess hydrochloric food; cheese with added
mechanical irritants, acid), nuts or spices;
and chemical  functional GI commercially prepared
stimulants. disorders, luncheon meats; cured
 gastric atony, meats such as ham; gravies
 diarhhea, 9pp and sauces; raw
 spastic constipation, vegetables;
 biliary indigestion
potato skins; fruit juices
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TYPES OF THERAPEUTIC DIET

with pulp; figs; raisins;


fresh fruits; whole wheats;
rye bread; bran cereals;
rich pastries; pies;
chocolate; jams with seeds;
nuts; seasoned dressings;
caffeinated coffee; strong
tea; cocoa; alcoholic and
carbonated beverages; and
pepper.
9 Reduce  Hyperlipedimia, Nonfat milk; low- Remember to avoid the
Low-Fat,
hyperlipedimia,  atherosclerosis, carbohydrate, low-fat five C’s of cholesterol-
Cholesterol- provide dietary  pancreatitis, vegetables; most fruits; cookies, cream, cake,
Restricted treatment for  cystic fibrosis, breads; pastas; cornmeal; coconut, chocolate; whole
Diet malabsorption  sprue (disease of lean meats; unsaturated fats milk and whole-milk or
syndromes and intestinal tract cream products, avocados,
patients having characterized by olives, commercially
acute intolerance for malabsorption) prepared baked goods such
fats.  gastrectomy, as donuts and muffins,
 massive resection of poultry skin, highly
small intestine marbled meats,
 cholecystitis Butter, ordinary
margarines, olive oil, lard,
pudding made with whole
milk, ice cream, candies
with chocolate, cream,
sauces, gravies and
commercially fried foods.

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TYPES OF THERAPEUTIC DIET

10 Maintain blood Diabetes mellitus Choose foods with low Concentrated sweets or
Diabetic Diet
glucose as near as glycemic index compose of: regular soft drinks.
normal as possible; 1. 45-55% carbohydrates
prevent or delay 2. 30-35% fats
onset of diabetic 3. 10-25% protein
complications.  Coffee, tea, broth,
spices and flavoring can
be used as desired.
 Exchange groups
include: milk, vegetable,
fruits, starch/bread,
meat (divided in lean,
medium fat, and high
fat), and fat exchanges.
 The number of
exchanges allowed from
each group is dependent
on the total number of
calories allowed.
 Non-nutritive
sweeteners (sorbitol) in
moderation with
controlled, normal
weight diabetics.
12 Soften the stool  diabetes,  recommended intake
High- Fiber 
 Exercise  hyperlipedemia, about 6 g crude fiber
Diet digestive tract  constipation, daily
muscles  diverticulitis,  All bran cereal
 Speed passage  anticarcinogenics  Watermelon, prunes,
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TYPES OF THERAPEUTIC DIET

of food through dried peaches, apple


digestive tract with skin; parsnip, peas,
to prevent Brussels sprout,
exposure to sunflower seeds.
cancer causing
agents in food
 Lower blood
lipids
 Prevent sharp
rise in glucose
after eating.
13 Reduce stool bulk  Bowel inflammation Eggs; ground or well-
Low Residue
and slow transit during acute cooked tender meat, fish,
Diet time diverticulitis, or poultry; milk, cheeses;
ulcerative colitis, strained fruit juice (except
 preparation for bowel prune): cooked or canned
surgery apples, apricots, peaches,
 esophageal and pears; ripe banana; strained
intestinal stenosis. vegetable juice: canned,
cooked, or strained
asparagus, beets, green
beans, pumpkin, squash,
spinach; white bread;
refined cereals (Cream of
Wheat)

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