Question

Read one of the assigned manual and provide a brief summary on what you learned and how you can implement it in your clinical practice with caring for patients.

American Dietetic Association (n.d.) High-calorie, High-protein nutrition therapy.  

American Dietetic Association (n.d.) GERD nutrition therapy.

American Dietetic Association (2007). Clear liquid diet.  

American Dietetic Association (n.d.). Nutrition therapy for Pureed diet.

Answer 1

2) Dietary Guidelines for GERD Diet

• The following table can help you choose foods that will reduce stomach reflux. Your individual tolerances may differ.

  Milk and milk products

• Foods that are generally considered safe: Fat-free, low-fat, and reduced-fat milk, low-fat buttermilk, low-fat or fat-free yogurt, soy milk, low-fat cottage cheese
• Possible trigger foods: Whole milk, chocolate milk, chocolate shakes or drinks, milkshakes, whole milk fat yogurt, whole milk fat (4%) cottage cheese, full-fat cheese

• Breads and cereals

• Foods that are generally considered safe: Plain (with or without whole grain flour) bread, cereals, rolls, and crackers, pancakes, waffles, muffins made with low-fat ingredients, bagels, corn tortillas
• Possible trigger foods: Breads and cereals prepared with high-fat ingredients such as croissants, biscuits, doughnuts, sweet rolls, muffins, granola, pizza, French toast

• Desserts

• Foods that are generally considered safe: Angel food cake, sponge cake, low-fat cookies, gelatin, fruit-based desserts, sherbet, fruit ice, reduced-fat ice cream, pudding or custard made with 1% or 2% low-fat milk, fat-free pudding
• Possible trigger foods: All other pies, cookies, and cakes, ice cream, any desserts containing chocolate frosting, whole milk pudding, pastries

• Fats

• Foods that are generally considered safe: Non-fat or fat-free dressing, mayo, powdered or liquid creamer, sour cream and cream cheese as desired. Low-fat or reduced- fat products, including lite butter and margarine (Limit to less than 8 tsp per day.)
• Possible trigger foods: Gravies, heavy cream, bacon, meat drippings, butter, margarine, vegetable oils, regular sour cream, cream cheeses, olives, avocados/guacamole, nut butters, vegetable oils (Limit to less than 4 tsp per day.)

• Fruits

• Foods that are generally considered safe: Fresh, frozen, and canned fruits as tolerated, juices (any except those listed as trigger foods)
• Possible trigger foods: Orange, lemon, lime, tangerine, pineapple, grapefruit

• Meats and meat substitutes

• Foods that are generally considered safe: Well-cooked lean meat, poultry (without skin), fish (fresh or water-packed), lean pork, shellfish, low-fat luncheon meats and cheeses, low-fat hot dogs, tofu, dried beans and peas (includes fat-free refried beans), eggs
• Possible trigger foods: Fried versions of meat, poultry, fish, or eggs; regular luncheon meats, hot dogs, sausages, refried beans, nuts

• Potatoes and potato substitutes

• Foods that are generally considered safe: Baked, boiled, and mashed potatoes without added fat, plain pasta, pasta with low-fat cream sauce, rice
• Possible trigger foods: French-fried potatoes, risotto, potato chips, pastas served with cream sauces and tomato-based sauces

• Soups

• Foods that are generally considered safe: Fat-free broths, homemade soups made with lean meat and vegetables (except tomatoes) and fat-free or low-fat milk
• Possible trigger foods: Regular cream- and tomato-based soups

• Sweets

• Foods that are generally considered safe: Sugar, honey, jam, jelly, molasses, maple syrup, hard candy, marshmallows
• Possible trigger foods: Coconut, cream-filled candies, nuts, chocolate, spearmint, peppermint

• Vegetables

• Foods that are generally considered safe: Plain fresh, frozen, and canned vegetables prepared without added fat
• Possible trigger foods: Fried or creamed vegetables, tomatoes and tomato products, onions, vegetable juices

• Miscellaneous

• Foods that are generally considered safe: Salt, oregano, sage, pepper, other spices and herbs (as tolerated), decaffeinated coffee, decaffeinated tea, non-mint tea
• Possible trigger foods: Spices and herbs in tomato-based sauces, chili and jalapeno peppers, vinegar, carbonated beverages, caffeinated or mint-flavored coffee and/or teas, alcoholic beverages
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