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PROGRESSIVE BASIC HOSPITAL DIETS

(dari : Shackelton’s Nutrition Essentials and Diet therapy 5th ed)

CLEAR LIQUID DIET FULL LIQUID DIET SOFT DIET REGULAR, HOUSE,
GENERAL, OR FULL DIET
Characteristics Temporary diet of clear liquids Foods liquid at room Normal diet modified in Practically all foods.
without residue. temperature or liquefying at consistency to have limited Simple, easy-to digest foods,
Nonstimulating, non-gas- body temperature. fiber. simply prepared palatability
forming, non-irritating. Liquids and semisolid food; seasoned; to have a wide
400-500 kcal. easily digested variety of foods and various
methods of preparation.
Individual intolerance, food
habits, ethnic values, & food
preferences considered.

Adequacy Inadequate; deficient in protein, Can be adequate with careful Entirely adequate liberal Adequate and well balanced.
minerals, vitamins and kilo- planning; adequacy depends on diet.
calories. liquids used.
If used longer than 48 hours,
high protein, high calorie
supplements to be considered.

Use Acute illness and infections. Transition between clear liquid Between full liquid and light For uniformity and convenience
Postoperatively. and soft diets. or regular diet. in serving hospital patients.
Temporary food intolerance. Postoperatively. Between acute illness and Ambulatory patients.
To relieve thirst. Acute gastritis and infections. convalescence. Bed patients not requiring
Reduce colonic fecal matter. Febrile conditions. Acute infections. therapeutics diets.
One-to two-hour feeding Intolerance for solid food. Chewing difficulties.
intervals. Two-to four hour feeding Gastrointestinal disorders.
Prior to certain test. intervals. Three meals with / without
between meal feedings.
Foods Water, tea, coffee, coffee All liquids on clear liquid diet All liquids. All foods from the ‘basic four’
substitutes. plus : Fine and strain cereals.
Fat-free broth. All form of milk. Cooked tender or pureed
Carbonated beverages. Soup, strained. vegetables.
Synthetic fruit juices. Fruit and vegetable juices. Cooked fruit without skin
Ginger ale. Eggnogs. and seeds.
Plain gelatin. Plain ice cream and sherbets. Ripe bananas.
Sugar. Junket and plain gelatin dishes. Ground or tender meat, fish
No milk or fats. Soft custard. and poultry.
Orange juice may cause Cereal gruels. Eggs and mild cheeses.
distension. Pureed meat and meat Plain cakes and puddings.
Salt, plain hard candy, fruit ices, substitutes only; for use in soup Moderately seasoned foods.
all fruit juices without pulp. only. Enriched white, refined
Butter, cream, margarine, sugar, whole-wheat bread (no
honey, hard candy, syrup; salt, seeds)
pepper, cinnamon, nutmeg, and
flavorings; pureed vegetables
for use in soups only.

Modifications Liberal clear liquid diet includes Consistency for tube feedings: Low residue-no fiber or For a light or convalescence
fruit juices, egg white, whole food that will pass through tube tough connective tissue. diet, fried foods, rich pastries,
egg, thin gruels. easily. Traditional bland-no fat-rich foods, coarse
chemical, thermal, physical vegetables, possibly raw fruits
stimulants. and vegetables, and gas-
Cold soft-tonsillectomy. forming vegetables may be
Mechanical or ‘dental’ soft- omitted.
requiring no mastication-
diced, chopped, mashed
foods in place or pureed.
Light or convalescence diet-
intermediate between soft
and regular.

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