Modified Diet Training InService Presentation By Stacy Kosmen

Modified Diet Training In-Service Presentation By: Stacy Kosmen

Diets we will discuss… �Dental Soft �Mechanical Soft �Renal �No Added Sodium (NAS ) �Low Sodium

Dental Vs. Mechanical Soft What’s the difference? Dental Soft Foods are… Mechanical Soft Foods are… � Soft � Moist � � Bite-sized piece meats Nearly regular texture � � ¼” cubed & ground meats Simple to chew

Dental Soft Vs. Milk Products Mechanical (milk, plain & fruited yogurt, soft cheeses) Cereals burger Chopped Ham w/ bu n (oatmeal, cream of rice, corn Chopped Hamb flakes, rice crispies, chex & NO bu urger n NO raisin bran or shredded wheat) Soft Cooked Veggies (carrots, green beans, broccoli, etc. ) d (Canned pears/peaches, pe hop , c d e iz s t e Bit mea Canned & Soft Fruits bananas, applesauce) All Fish & Meatloaf ¼”, cho pped meat NO build y our own sandwich

Renal Diet Here at Northwestern Lake Forest Hospital the renal diet restricts: Sodium & Potassium

Renal Diet Alternatives: Foods High in Sodium: Bacon Turkey bacon or turkey sausage Salted Crackers Unsalted Crackers Canned veggies & foods (unless marked no added salt) Fresh veggies Processed Cheese Swiss, mozzarella, cottage Full sodium canned soups Reduced sodium soups

Renal Diet Foods High in Potassium high in potassium (limit to 1 srv/day) Bananas Cantalope Oranges Honeydew Tomatoes Bananas Potatoes Apricots Prunes Alternatives to offer: apples, peaches, pears, applesauce, fresh fruit cup

Renal Diet What does this mean for our menu? No potatoes or foods containing potatoes (scrambled eggs & breakfast potato casserole, potato chips) No oranges, orange juice, or orange muffins No prune juice No chicken tortilla or creamy tomato soup No lasagna or any tomato or products containing tomato

NAS Vs. Low-Sodium Diet What’s the difference? NAS diet is limited to 3, 000 – 4, 000 mg of Sodium per day. Low-sodium diet is limited to 2, 000 mg of sodium per day.

No Added Sodium (NAS) Diet Foods to exclude Ketchup (limit to 1 tbsp. per day) Alternatives Mrs. Dash, seasoning packet, hot sauce, pepper Salt packets Salted Crackers Non-salted Crackers Potato Chips Fresh Potato Canned veggies & foods (unless marked no added salt) Fresh veggies or canned with no added sodium Processed Cheese Swiss or mozzarella, cottage Full sodium canned soups Reduced or NAS soups Pickles

Low Sodium Diet Foods to Exclude: Alternatives: Cured Fresh or Processed Meats (corned beef, ham, bacon, sausage, lunch meats, hot dogs) or frozen meats cooked without salt (chicken, turkey bacon or turkey sausage)

Low Sodium Diet Foods to Exclude: Alternatives: Processed Swiss Vegetables: cheeses (American, cheese spread) canned, pickled, vegetable juice, potato salad, tomato sauce or mozzarella cheese canned with no added salt, fresh, sauce with no added salt ALL fruits & fruit juices allowed

Low Sodium Diet Foods to Exclude: Alternatives: Salt Season Limit mustard or ketchup to 1 tsp/day Snacks: salted popcorn, chips, pretzels, salted nuts, salted crackers, cheese cake Canned Soups packet, Mrs. Dash, Tobasco sauce, onion or garlic powder Snacks: unsalted popcorn or pretzels, unsalted nuts, crackers with out salted tops, ice cream, popsicles Sodium reduced soups

Renal, Low Sodium, & NAS Diet Things to Remember: Daily Limits Vs. Meal Limits: ◦ When the screen flashes red warning that the sodium or potassium may go above what is recommended for the meal, check previous meals. Renal Diet ◦ Sodium: not to exceed 2, 050 mg per day total ◦ Potassium: not to exceed 2, 050 mg per day total Never tell a patient no without offering an alternative

Jeopardy!!

Dental Soft Mechanical Soft Renal NAS Low-Sodium 100 100 200 200 300 300 400 400 Bonus Question! 500