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Medical Orders

Module 5

Why is good nutrition important? (1) it is necessary for optimal health (2) essential to treatment and recovery from illness or injury
House Diet - Standard Diet (1) basic well balanced diet (2) no restriction on what client can eat
House Diet - Soft (1) involves little to no chewing (2) for clients who have problems chewing or digesting - includes: liquids, pureed foods, strained cereals/puddings
House Diet - Full Fluids (1) ordered for per & post op clients (2) clients with stomach problems & those who cannot tolerate/chew solid food - includes: strained soups, milk products, fruit & veg juices
House Diet - Clear Fluids (1) usually fluids you can see through (2) minimizes residue and easier to digest - includes: soups, juices, ginger ale, coffee, tea
What are therapeutic diets? it is related to clients condition and treatment and may restrict specific items - therapeutic diets can be short term, long term, or forever
Therapeutic Diet - Cardiac (1) usually ordered for clients who are admitted with or have had previous heart disease (2) low in fat & cholesterol (3) may restrict sodium and calories
Therapeutic Diet - No Added Salt (NAS) (1) for clients who have fluid retention, heart failure, high blood pressure, kidney disease (2) avoids processed cheese, cured meats and sports drinks
Therapeutic Diet - Diabetic Diet (1) has prescribed number of calories, with certain proportions of fats, carbs and proteins (2) avoids foods with high sugar or fat
Therapeutic Diet - Gluten free (1) for clients who have been diagnosed with Celiac Disease (2) all gluten is removed from diet such as wheat, rye barley, oats
Therapeutic Diet - High Fibre (1)for clients who have sluggish bowels or constipation (2) stimulates peristalsis and bowel movement - includes - meat, potatoes, veggies, fruit, whole grains and bran
Therapeutic Diet - High Protein (1) for clients who need to gain weight or repair tissue - includes: meat, fish, milk, eggs, legumes and nuts
Therapeutic Diet - High Calorie (1) for clients who have excessive weight loss - includes: butter, ice cream and fried foods, may include supplements
Therapeutic Diet - Low Residual / Surgical Soft (1) for clients who have had GI surgery - includes: cheese, yogurt, eggs, plain pasta, boiled chicken & fish
Therapeutic Diet - Pureed Diet (1) for clients who cannot chew (2) ground to soft texture
Therapeutic Diet - Minced Diet (1) for clients who can only swallow a little bit, but no large chunks (2) food is ground to fine texture
Therapeutic Diet - Bland Diet (1) for clients with long term or chronic gastritis, peptic ulcer (2) clients are to avoid highly spicy or fried foods
Therapeutic Diet - Ice Chips or Sips only (1) first part of progressive diet (2) for someone who just had major surgery (3) clients may have a few ice chips to suck or sips occationally
Therapeutic Diet - Progressive introduces foods in stages as the client can tolerate them. CF-FF-Soft-DAT
Therapeutic Diet - Transitional alternative to progressive diet, and certain foods are omitted only instead of starting with CF
What are the signs of low blood sugar? irritability, confusion, shaking, sweating
What is the role of an HUC when ordering tests or procedures that require change of diet? ie: fasting (1) HUC is expected to know what test require involve diet restrictions (2) ensure clients diet has been appropriately altered and nurses and dietary department are aware
What blood tests require fasting and for how long? Test include Fasting blood sugar, cholesterol and triglycerides. They require 8-12 hours of fasting
Created by: KariTansowny