CONTENTS

S.NO. TOPICS PAGE NUMBERS

1 About KIMS Hospitals

2 Roles & Responsibilities of Dietician

3 Patient Counseling

4 Duties of an Intern

5 Hospital Diets

6 Kitchen Layout

7 KIMS Hospital patient Cyclic menu

8 Nutritional Value of Supplements

9 Case Study - 1

10 Case Study - 2

11 Case Study - 3

12 Case Study - 4
15 Case Study - 7

16 Case Study - 8

17 Case Study - 9

18 Case Study - 10

19 Abbreviations
 KIMS HOSPITALS

KIMS Hospitals is one of the largest corporate healthcare groups in AP and Telangana in
terms of number of patients treated and treatment offered, according to the CRISIL Report. It
provides multi-disciplinary integrated healthcare services, with a focus on primary secondary
& tertiary care in Tier 2-3 cities and primary, secondary, tertiary and quaternary
healthcare in Tier1 cities it operates 9 multi- specialty hospitals under the brand name ―KIMS
Hospitals‖ with an aggregate bed capacity of 3,064, including over 2,500 operational beds as
of December 31, 2020, which is 2.2 specialties mor‖ beds than the second largest provider in
AP and Telangana, according to the CRISIL report. KIMS offer a comprehensive range of
healthcare services across over 25 specialties and super specialties, including cardiac sciences
oncology, neuroscience, gastric sciences, orthopedics, organ transplantation, renal sciences
and mother &child care.

KIMS, KONDAPUR

KIMS Hospitals Kondapur is a Multispecialty hospital commissioned in 2014. The hospital at

Kondapur has 200 operational beds with over 15 specialties with NABH accreditation. It
largely caters to the IT belts of Kondapur, Hitech city, Madhapur and Gachibowli areas of
Hyderabad. In the last calendar year, they treated more than 1Lakh Out-patients and about
7500 In-patients of which about 4000 were admissions in Cardiology, Cardiothoracic surgery,
orthopedics, Neurosciences and Gastroenterology. This hospital is equipped with five
dedicated operation theatres, one catheterization laboratory, one CT and an MRI unit. The
hospital offers Emergency care, blood Bank and Pharmacy Services 24 x 7-365 days of the
year.
Location

#1-112/86, Survey No5/ EE, Beside Andhra Bank, Near RTA Office, Kondapur,
SerilingapallyMadal, Hyderabad- 500 084

T: 040-6750505

E: [email protected]

W: www.kimshospitals.in

INFRASTRUCTURE AND INFORMATION ABOUT FLOORS

BLOCK 1

Ground Floor

 Security
 Emergency admission
 Dialysis
 Discharge lounge
 Dept. of Physiotherapy
 ICU waiting room
  Biomedical Dept.
First Floor
 IP Billing & Discharge Lounge
 Outpatient dept.

Other Departments & Facilities:

 Orthopaedics
 Diabetes & Endocrinology
 Rheumatology
 Pulmonology
 Dermatology
 EEG
 ENMG
 Radiology
 MRI
 CT scan
 Mammography

Second Floor
 Out patient
 Urology consultant room
 General Surgery
 Cafe Coffee Day
 Medical Surgical Gastroenterology (Endoscopy, Colonoscopy)
 Nutrition and Dietetics Dept.
 Neurology
 Neurosurgery
 Psychiatry
 Haematology
 Kidney Transplant Clinic
 Cafeteria
 ENT Dept.
 Dental Dept.
 Ophthalmology Dept.
 Third Floor
 ICCU
 Cardio Dept. and Wards
 Catha Lab
 MRD Room
Fourth Floor

 MICU
 Laboratory
 Fifth Floor
 Pre-op
 Post-op
 Operation Theatres
 Transplant Unit
 Sixth Floor
 Blood Bank
 IP pharmacy
 Wards
 PICU
 4th nursing station

Block 2

Ground Floor

 OP Pharmacy
 KIMS Cuddles Outpatient Dept.
 Obstetrics & Gynaecology
 Paediatrics & Neonatology
 Fertility
 Foetal Medicine
First Floor
 Reception & OP Billing
 Outpatient Dept.
 Cardiology
 CT Surgery
 Internal Medicine
 Nephrology
 Urology
 Surgical Gastroenterology
 Plastic & Cosmetic Surgery
 Dressing Room
 X-Ray
 Ultrasound
 Sample Collection
 ECG
  TMT
 2D Echo
 PFT
 Uroflowmetry
Second Floor
 Room no. 201 to 220
Third Floor
 3rd Nursing Station
 Room no. 321 to 343
 Nursing Superintendent Office

Fourth Floor

 KIMS Cuddles
 Operation Theatres
 Room no. 421 to 435
 NICU
 Pre-op & Post-op Ward
 Labour Delivery Room

Fifth Floor

 Library
 Administrative Block
 Yoga Hall

Departments in the Hospital

Cardiac Sciences - The Institute of Cardiac Sciences at KIMS is one of the nation’s foremost
cardiac care centres and one of the top ten cardiac hospitals in Hyderabad. A renowned
pioneer in the field of minimally invasive bypass surgery and angioplasties, the Institute of
Cardiac Sciences has elevated the standard of cardiac care across the nation. With an
uncompromising team of distinguished cardiac specialists, the best cardiac surgeons in
Secunderabad as well as Hyderabad, and dedicated healthcare professionals, the Institute of
Cardiac Sciences has proudly changed the lives of many heart patients and advanced the field
of cardiac surgery. The department provides a full range of cutting-edge techniques and
procedures across an array of cardiac services. Patients turn to the Institute of Cardiac
Sciences for the most pioneering cardiac diagnostics, treatment, post-surgical outpatient care,
and cardiac prevention programs. Among the many procedures performed at the Institute of
Cardiac Sciences, the most significant are ground-breaking minimally Dialysis ,invasive
coronary bypass operations heart valve repair /replacements
angioplastics,cardiaccatherizations.as well as implantationo of cardiac assist devices

Gastroenterology &Hepatology - The Institute of Gastroenterology and Hepatology at

KIMS provides patients with state-of-the-art, advanced care in the prevention, diagnosis,
and treatment of diseases of the gastrointestinal system. There are many conditions that
affect the various organs of the digestive system - benign and malignant tumours,
inflammation, infection, hernias, ulcers, and various genetic and anatomical disorders.

How the condition is diagnosed and treated depends on the severity of the disease and the
organ affected. The expert gastroenterologists and hepatologists treat diseases of the
oesophagus, stomach, pancreas, biliary system, liver, colon, and rectum, including
complex conditions such as gastroesophageal reflux disease, Barrett’s oesophagus, cancer
of the oesophagus, pancreas, and colon, and inflammatory bowel disease, viral hepatitis,
fatty liver, alcoholic liver disease, cholestatic liver diseases, inherited liver diseases, and
liver cancer. In addition, they work closely with other departments.

Neurosciences - The KIMS Institute of Neurosciences is a comprehensive care and

research centre for children and adults with neurological disorders. The department treats
brain, spinal cord, and peripheral nerve disorders. Over 12 neurologists and
neurosurgeons and many more specialists are members of the Neurological Institute.
Equipped with the most advanced neuroimaging and monitoring technology available in
the world, the Neurological Institute is a hub of medical innovation. The specialists at the
Neurological Institute are organized into overlapping programs based on their areas of
expertise and research interests. It also has subspecialty centres that offer specialized care
for patients with

a range of neurologic diseases, including Alzheimer’s disease and related dementias,

Parkinson’s disease and other movement disorders, multiple sclerosis, stroke,
amyotrophic lateral sclerosis, neuromuscular diseases, epilepsy, and brain tumours.

Organ Transplantation - The mission of the Institute of Organ Transplant at KIMS is to

foster a multidisciplinary approach to the continual improvement of the clinical, scientific,
and social aspects of transplantation to improve the lives of patients with end-stage organ
failure. This department places a strong emphasis on the advancement of basic science
and clinically applied research. The transplant team has a tradition of caring for some of
the most medically compromised patients.

Paediatrics - KIMS Children's Hospital unites paediatric specialists and the specialized
services they offer under one roof to ensure area families have access to the care they
need and deserve. Plus, the paediatric specialties continue to expand and currently include
surgery, diabetes, endocrinology, urology, radiology, paediatric intensive care, emergency
medicine, ear, nose and throat, orthopaedics, neurology, neurosurgery, gastroenterology,
cardiology, neonatology, rehabilitation, infectious disease, psychiatry, and psychology.
These paediatric services also reach into our other facilities, where staff are skilled in
caring for children of all ages. At KIMS, the future health and potential of all children is
being shaped.

Reproductive Sciences - The Institute for Reproductive Science at KIMS is one of the
nation's leading fertility centres, providing advanced infertility treatment in a caring and
responsive environment. Treatment is individually designed for each patient and may
include intrauterine insemination (IUI), in vitro fertilization (IVF), ICSI, blastocyst
transfer, preimplantation genetic diagnosis (PGD), egg or embryo cryopreservation, or
egg donation. Our fertility specialists are here to help you with any questions or concerns
regarding IUI, IVF, ICSI, PGD (preimplantation genetic diagnosis), CGH, egg donation,
sperm donation, gestational surrogacy, and anything associated with having a baby. Help
from the most advanced techniques in reproductive medicine has allowed millions of
infertile couples to build the families they desire.

Dental Science - The KIMS Department of Dentistry provides every phase of restorative
and cosmetic oral care. Faculty at KIMS consists of nationally recognized clinical
practitioners who oversee excellence in patient care. Divisions within the Department of
Dentistry include these specialties: Oral and maxillofacial surgery, dental anaesthesiology,
endodontics, and general dentistry. It has specialty clinics in paediatric dentistry,
periodontics, orthodontics, implantology, complex prosthodontics, dentistry under general
anaesthesia and intravenous sedation, and temporomandibular joint (TMJ) disorders. The
department plays an important role in several interdepartmental collaborations, including
the head and neck cancer reconstruction program (in conjunction with the Department of
Otolaryngology), the multidisciplinary cleft-palate team, and the oral pathology service.

Oncological Sciences - The department collaborates with other departments and divisions
at KIMS to provide patients with comprehensive cancer care. Adults with cancer of the
colon and rectum, breast, prostate, and lung comprise the largest number of patients seen
at the KIMS Oncology Department. It is also well-equipped to treat children and
teenagers as well as other types of cancers. Specialists at KIMS have extensive
experience in the diagnosis and treatment of every kind of cancer, including brain
tumours, head and neck

tumours, sarcomas, melanoma, kidney cancer, ovarian cancer, hepatoma, biliary cancers,
pancreatic cancer, and neuroendocrine cancers. Their expert team comprises clinical
oncologists, surgical oncologists, medical oncologists, gynaecological oncologists,
haemato-oncologists, histopathologists, and paediatric oncologists palliative care
specialist and radiation oncologist amongst others. At KIMS they take a four-step
approach to cancer: prevent, detect, treat and care. Our team is dedicated to developing
multidisciplinary and lifesaving treatments for people across India who are affected by
cancer."

Orthopaedic Sciences - The Institute of Orthopaedic Sciences at KIMS cares for all
injuries and diseases of the musculoskeletal system. In addition, the department provides
subspecialty clinics in the specific areas of major joint reconstruction, sports medicine,
paediatric orthopaedics, foot, hand, spine, trauma, oncology, reconstructive microsurgery,
and rehabilitation. Orthopaedic patients have termed KIMS as having the best orthopaedic
doctors in Hyderabad. KIMS Institute of Orthopaedic Sciences has perhaps the best
orthopaedic doctors in Hyderabad. A multidisciplinary approach, which links the
expertise of specialists in orthopaedic surgery, reconstructive plastic surgery, radiology,
physical therapy, occupational therapy, and orthopaedic nursing, ensures that each patient
receives the most appropriate and responsive treatment. KIMS is being touted as the best
orthopaedic hospital in Hyderabad.

Renal Sciences - The Institute of Renal Sciences provides acute and chronic Renal
Replacement Therapy in a variety of settings, including in-centre, satellite, and home-
based haemodialysis and peritoneal dialysis, to patients with renal failure. KIMS has been
at the forefront of the living Kidney Transplant program for many years and has some of
the best success rates in the country. We are also leading the way in home dialysis
treatment, offering patients the option of dialyzing at home with a dedicated team of staff
to support them. Their Paediatric transition service helps young people make the often-
difficult move from treatment at children’s facilities to adult facilities within KIMS. The
service has a superb regional and national reputation. Their Division of Renal (Kidney)
Medicine has been recognized as among the best kidney programs in India.

Robotic Sciences - KIMS is among the first few hospitals to invest and gain
specialization in robot-assisted surgeries. They have been continuously upgrading the
technologies and have also pioneered the use and refinement of many surgical procedures.
For the last few years, their surgeons have been successfully performing robotic surgeries
in multiple specialty areas—colorectal, gynaecologic, urologic, ENT, and general
surgeries. Their robotic surgical systems, the da Vinci Si and the latest da Vinci Xi, offer
improved safety and effectiveness for the patient and superior control and predictability
for the doctor. KIMS' years of experience and access to the most intelligent robotic
technology available enable surgeons to conduct robotic procedures on complicated
conditions. The precise power of robotics combined with our medical experience ensures
the best possible outcomes for every patient.

Robotic surgeries at KIMS include:

Oncology

 Radical Neck dissection

  Trans axial scar less thyroidectomy
 Cancer of Esophagus
 Cancer of the stomach
 Cancer of the colon & rectum
 Radical hysterectomy for cancer
Gynecology
 Hysterectomy
 Myomectomy
 Endometriosis
 Tubal Recanalization
 Sacral Colpopexy

Urology

 Prostate Cancer
 Urinary Bladder Cancer
 Kidney Cancer
 Kidney Sparing Surgeries for Kidney Cancer
 Surgeries for Kidney
 Diseases of Ureter
 Pyeloplasty
Gastroenterology
 Bariatric Surgery
 Colorectal Surgery

ENT

 Vocal cord tumors

 Laryngeal tumors
ROLES AND RESPONSIBILITIES OF DIETITIAN

Dietetics has been defined as the science and art of feeding individuals based on the
principles of nutrition. It can also be said to be the "science and art of human nutritional
care." Dietetics is a study of using the principles of nutrition in planning suitable diets in
health and disease. In other words, diet therapy and its application in patient-related settings
is a major focus of dietetics. Dietetics optimizes the nutrition of populations and individuals.
Dietetics therefore requires interdisciplinary approaches since nutrition and diet counselling
is not only science, it is an art.

Clinical Dietetics is the application of dietetics in a hospital or healthcare institutional setting.

Clinical dietetics focuses on an individual, nutritional support, and symptom management.
Medical Nutrition Therapy (MNT) is defined as the assessment of the nutritional status of a
client followed by nutrition therapy ranging from diet modification to specialized nutritional
support such as the administration of enteral and parenteral nutrition and monitoring to
evaluate the patient.

Role & Responsibilities of Dietician - Asian Society of Parenteral and Enteral Nutrition
(ASPEN) states that [the dietitian's role in nutrition care has been to recommend an adequate
source and amount of balanced nutrients according to pre-established standards of care.

Dietitians are engaged in a variety of positions and in several work settings. They are
involved in food service and in patient care within hospitals or outpatients, in food service for
students, in the hotel industry, in employee cafeterias (industrial canteens), food and
pharmaceutical companies, as well as in community and public health services/departments.
Some are also in private practice and may be self-employed.
Roles and responsibilities of a dietitian include-

 The dietitian presents a nutritional assessment of the patient that may include
information specific to ideal body weight, history of weight loss, pertinent laboratory
values, and anthropometric measurements.
 The dietitian presents the patient's history, which may include the presence or history
of emesis (vomiting), diarrhoea, fat malabsorption, and food allergy and/or lactose
intolerance.
 A few of the responsibilities include planning menus, purchasing and ordering
food/equipment within budget, recruitment, education, and evaluation of staff,
observing and practicing all safety and sanitation rules strictly.
 Dietitians have direct contact with the public and other health professionals.
Nutritionists and dietitians deal with people to inform and guide them about the diet
they should take to improve their general health, to avoid certain diseases, or to keep
existing ailments in control. People suffering from certain diseases need to take extra
care of their eating habits and the kinds of food they eat.
 The major role of dietitians is to assist people in planning their meals depending upon
their age, sickness, or work routine. Dietitians counsel individuals and groups,
organize the food service systems in hospitals, schools, hotels, etc.
 Administrative dietitians play a major role in large-scale meal planning and
monitoring the food preparation process by applying the principles of nutrition and
sound management in hospitals, schools, canteens, etc. They take up the entire
responsibility of their department and actively participate in planning, purchasing,
preparation, distribution, and service of meals.
 Dietitians who are the directors of dietetic departments also decide on departmental
policy, coordinate dietetic services with the activities of other departments, and are
responsible for the dietetic department,and are responsible for dietetic department
budget.
 Clinical dietitians, sometimes called therapeutic dietitians, are associated with
healthcare institutes, hospitals, and nursing homes. Depending on the nutritional
needs of the patients based on individual nutritional assessment, they prepare diet
charts and monitor the results of diet therapy. They assess a patient's nutritional needs,
develop and implement nutrition care plans, evaluate and report the results. Clinical
dietitians confer with doctors and other members of the healthcare team about the
patient’s nutritional care, instruct patients and their families on the requirements and
importance of their diets, and suggest ways to maintain these diets at home.
 Community dietitians or nutritionists may counsel individuals and groups on sound
nutrition practices to prevent disease, maintain health, and rehabilitate persons
recovering from illness. They may engage in teaching and research with a community
health focus. This work covers areas such as special diets, meal planning and
preparation, food budgeting, and purchasing.
 Dietitians undertake the practical application of nutrition with both individuals and
population groups to promote the well-being of individuals and communities and to
prevent nutrition-related problems. They are also involved in the diagnosis and dietary
Treatment of disease. Dietitians work with people who have special dietary needs,
inform the general public about nutrition, give unbiased advice, evaluate and improve
treatments, and educate clients, doctors, nurses, health professionals, and community
groups.

PATIENT COUNSELING

Counselling skills are a necessity for dietitians to build trust and rapport with their
patients, to comply with nutrition therapies and to improve their dietary behaviours.
Counselling skills include both verbal and non-verbal communication. Verbal
communication includes actively listening to patients, using clear language and
limiting the use of nutrition/medical jargon, expressing compassion, empathy, and
understanding, and being able to communicate cross-culturally. Non-verbal
communication involves using body language, physical gestures, eye contact, and
facial expressions. If verbal and non-verbal communication are lacking or absent, the
patient may not be motivated to comply with nutrition therapies and change their
dietary behaviours.

Compliance among patients to comply with nutrition therapies and ultimately change
a patient's dietary behaviours is a critical endeavour, which can be fruitful only with
good communication skills.
 Effective attending allows clients to share their world with the dietitian and also puts
them in a position to listen carefully to what their clients are saying. Adopting a
bodily posture and eye contact that indicates involvement with clients helps the client
to speak openly. Try creating a relaxed or natural environment with the client and
listen carefully to what their clients are saying or not saying.

Listening refers to the ability of dietitians to capture and understand the messages
clients

communicate as they tell their stories, whether those messages are transmitted
verbally or nonverbally. Active listening involves the following skills:

 It is very important to listen and understand the client’s verbal messages.

 The dietitian has to listen to the mix of experiences, behaviour, and feelings the client
uses to describe his or her problems associated with diet and health.
 Also ―hear‖ what the client is not saying (nonverbal messages).
 Dietitians should learn how to listen to and read nonverbal messages such as bodily
behaviour, facial expressions, voice-related behaviour, observable physiological
responses, general appearance, and physical appearance.
 They also need to learn how to ―read‖ these messages without distorting or over-
interpreting them.
 The dietitian should listen to the whole person in the context of his or her social
settings.
 Empathic listening involves attending, observing, and listening in such a way that
they develop an understanding of the client’s food habits and their eating patterns.
 Basic empathy involves listening to clients, understanding them and their concerns to
the best possible level, and communicating this understanding to them in such a way
that they might understand themselves more fully and act as guided by the nutritionist.
 A diet counsellor must temporarily forget about his or her own frame of reference and
try to see the client’s world and the way the client sees him or herself. This will help
formulate best possible and individualized dietary guidelines to the client.

DUTIES OF AN INTERN
 Dietetic interns must be well-organized, self-directed, disciplined, motivated, and
critical thinkers.
 Interns must attend all internship classes.
 Interns must maintain an internship time log, recording the number of hours spent on
internship activities each week.
 Interns must submit all activities as indicated and on time.
 Interns must act responsibly, maturely, and professionally always, including
appearance, dress, and cleanliness. The intern’s professional behaviour should be
consistent with the guidelines for Professional Conduct.
Hospital Diets
RT Feeds

These are prescribed for patients who cannot obtain nutrition by swallowing.

Milk With Nutritional

06:00 AM
Supplement

Clear veg soup With Nutritional

08:00 AM
Supplement

Soya milk With Nutritional

10:00 AM
Supplement

Dhal water With Nutritional

12:00 PM
Supplement

02:00 PM Barley water With Nutritional

Sago water With Nutritional

04:00 PM
Supplement

Strained Fruit Juice with

06:00 PM
Nutritional Supplement

Coconut water With Nutritional

08:00 PM
Supplement
 Milk With Nutritional
10:00 PM
Supplement

Clear Liquids Diet

06:00 AM Clear Barley water

08:00 AM Coconut water

10:00 AM Clear veg soup

12:00 PM Clear sago water

02:00 PM Clear dhal water

04:00 PM Strained fruit juice

06:00 PM Clear barley water

08:00 PM Clear sago water

10:00 PM Coconut water

Full Fluid Diet

06:00 AM Milk

08:00 AM Egg nog

 10:00 AM Fruit juice

12:00 PM Tomato soup

02:00 PM Soya milk

04:00 PM Coconut water

06:00 PM Mixed veg soup

08:00 PM Mixed dal soup

10:00 PM Milk

Semi Solid Diet

06:00 AM Tea/coffee/milk – 1 cup

Oats Porridge 1 bowl, Blenderised Brown

08:30 AM Bread slices mixed with milk, Semisolid Upma
+ chutney+ sambar

Rava porridge/Ragi porridge/Mixed veg or dal

10:00 AM
soup

Double cooked rice /Doubled cooked khichdi,

01:00 PM
dhal 1 cup, veg curry 2 types, curd 1 cup

03:00 PM Tea/coffee
 Semisolid upma/Semisolid Daliyaupma
07:30 PM /Double cooked khichdi, dhal, veg curry 2
types, curd, sambar

09:00 PM Buttermilk/ Milk 1 glass

SOFT DIET

TIMINGS MENU

06:30:00 AM Tea/coffee/milk – 1 cup

08:30:00 AM Idly/Upma + chutney + sambar

Tea/coffee/milk/veg soup/porridges/fruit
09:00:00 AM
juices

Soft khichdi and curd rice 2 cups, dhal 1

01:00:00 PM
cup, veg curry 2 types, curd 1 cup

03:00:00 PM Tea/coffee/milk

Soft khichdi and curd rice 2 cups, dhal 1

07:00:00 PM
cup, veg curry 2 types, curd 1 cup

09:00:00 PM Milk 1 glass

DIABETIC SOFT DIET

TIMINGS MENU

06:30:00 AM Tea/coffee/milk – 1 cup

08:30:00 AM Idly/Upma with chutney and sambar

09:00:00 AM Tea/coffee/milk/fruit juices/porridges

Curd rice/khichdi 2 cups, dhal 1 cup, veg curry 1

01:00:00 PM
cup, curd 1 cup, veg. salad 1 cup

03:00:00 PM Tea/coffee/milk

Daliya/Upma 2 cups, dhal 1 cup, 2 veg curries,

07:00:00 PM
curd 1 cup, veg. salad 1 cup

09:00:00 PM Milk 1 glass

NORMAL DIET

TIMINGS MENU

06:30:00 AM Tea/coffee/milk

Idly/Upma with chutney and

07:30:00 AM
sambar/Poha/Uthappam
 09:00:00 AM Tea/coffee/milk/fruit juices/porridges

Phulka 2, rice 2 cups, dhal 1 cup, veg curry 2

01:00:00 PM
types, curd 1 cup

03:00:00 PM Tea/coffee/milk + 3 biscuits

Phulka 2, rice 2 cups, dhal 1 cup, 2 veg curries,

07:00:00 PM
curd 1 cup

09:00:00 PM Milk 1 glass

DIABETIC NORMAL DIET

TIMINGS MENU

06:30:00 AM Tea/coffee/milk – 1 cup

07:30:00 AM Idly/Upma 2 bowls with chutney and sambar

09:00:00 AM Tea/coffee/milk/fruit juices – 1 cup

Phulka 2, rice 1 cup, dhal 1 cup, veg curries 2 types,

01:00:00 PM
curd 1 cup, veg. salad 1 cup

03:00:00 PM Tea/coffee/milk + 3 biscuits

Phulka 2, rice 1 cup, dhal 1 cup, veg curries 2 types,

07:00:00 PM
curd 1 cup

09:00:00 PM Milk 1 glass

PATIENT CYCLIC MENU

Day Early Breakfast Mid- Lunch Evening Dinner Night

Morning Morning

Sunday Milk/tea/cof Idly, Fruit salad/ Plain Tea/ Plain rice, Milk/
fee rice, Pulka,
Upma, mixed Pulka, coffee, Sambar, butter
Sambar, vegetable Rasam, Marie Tindly milk
Chutney soup/ Bottle gold curry,
gourd Biscuits Carrot
butter milk/ dal, Soya poriyal,
chunks Curd
coconut curry,
water Beetroot
porial,
Curd

Monday Milk/tea/cof Idly, Fruit Plain Tea Plain rice, Milk/

fee Pongal, salad/oats rice, Pulka,
Sambar, porridge/bu Pulka, /Coffee, Sambar, butter
Chutney tter milk/ Tomato Marie Cabbage milk
rasam, gold curry,
coconut Palak dal, Biscuits Plantain
water Chole curry,
masala, Curd
Brinjal
curry,
Curd

Tuesday Milk/tea/cof Idly, Fruit salad Plain Tea/ Plain rice, Milk/
fee Tomato rice, Pulka,
bath, /Sweet corn Phulka, coffee, Sambar, butter
Sambar, soup/ Coriander Marie Beet root milk
Chutney Rasam, gold poriyal,
butter milk/ Ridge Biscuits Bitter
gourd gourd
coconut dal, curry,
water Rajmah Curd
masala,
Bhendi
dry, Curd
Wednesday Milk/tea/cof Idly, Fruit Plain Tea/ Plain rice, Milk/Bu
fee Mixed salad/ragi rice, Pulka, tter milk
veg malt/ Pulka, coffee, Sambar,
upma, Rasam, Marie Bitter
Sambar, Butter milk/ Tomato gold gourd
Chutney dal, Biscuits curry,
coconut Cowpeas Curd
water curry,
Broad
beans
dry, Curd

Thursday Milk/tea/cof Idly, Fruit salad, Plain Tea/ Plain rice, Milk/but
fee Samiyaup rava rice, Pulka, ter milk
ma, porridge/bu Pulka, coffee, Sambar,
Chutney tter Tomato Marie Brinjal
rasam, gold dry,
Biscuits

milk/cocon Methi Cucumber

ut water dal, curry,
Green Curd
peas
curry,
Tomato
capsicum
dry curry,
Curd

Friday Milk/tea/cof Idly, Fruit Plain Tea/ Plain rice, Milk/bu

fee Pongal, salad/oats rice, Pulka, tter milk
Sambar, porridge/bu Pulka, coffee, Sambar,
Chutney tter Coriander Marie Mix veg
milk/cocon rasam, gold dry curry,
ut water Moong Biscuits Soya
dal curry, chunks
Bottle dry curry,
gourd Curd
dry, Curd

Saturday Milk/tea/cof Idly, Fruit salad/ Plain Tea Plain rice, Milk/bu
fee Tomato rice, Pulka, tter milk
bath, sweet corn Pulka, /Coffee, Sambar,
Sambar, soup Rasam, Marie Bhendi
porridge/bu gold
 Chutney tter milk/ Amaranth Biscuits dry, Ridge
dal, gourd
coconut Paneer curry,
water masala, Tomato
Veg chutney,
pulao, Curd
Curd

NUTRITIONAL VALUE OF SUPPLEMENTS

Product Pric 1 Calori Protei Fat CHO Fibe Na Dilution

Name e scoo e (Cal) n (gm) (gm (gm) r (mg)
p ) (gm)

Albumin 130 15.0 60.0 6.0 2.25 3.75 n/a n/a 63gm+80ml
Care 9 0 water
Adv

Aptamil 705 5.20 25.9 0.67 1.37 2.8 0.23 17.1 10.4gm+60ml
Preterm GOS 6 water
0.02

FOS

Celevida 690 25.0 85.7 7.0 2.7 6.0 4.5 n/a 25gm+200ml
0 water

Enfamil 715 8.00 44.0 0.8 2.32 4.48 n/a 11.0 According to
A+ 4 age

Ensure 690 8.00 34.5 1.6 1.16 4.78 0.41 25.9 6

Diabetes scoops+200m
l water

Fresubin 725 12.5 27.25 1.26 1.25 2.75 0.45 22.5 50gm+170ml
DM 0 cold water
Fresubin 849 7.00 35.21 1.5 1.75 3.36 0.10 9.8 42gm+60ml
HP lukewarm
water

Fresubin 596 12.5 54.25 2.06 1.83 7.37 0.45 44.0 50gm+175ml
With 0 FOS cold water
FOS

Insta 865 25.0 107.0 8.0 3.5 10.8 n/a 25.0 50gm+150ml
Recover 0 water

Kabi Pro 925 12.0 43.2 5.04 0.6 4.9 0.6 27.6 24gm+200ml
0 water

Lactoge 350 30.0 146.1 3.21 6.9 17.7 n/a 51.0 138gm+900m
n 0 9 l water

Lamino 890 10.0 37.4 6.0 0.6 2.0 n/a 14.0 30gm+200ml
GI Plus 0 water

Nephro 955 8.90 44.5 1.9 2.2 3.8 0.40 13.2 10 scoops in
HP 1L water

Nestle 749 8.30 38.0 1.8 n/a 4.2 0.41 18.6 50+190ml
Resourc water
e
Diabetic

Nestle 895 8.30 30.8 3.7 0.23 3.4 0.4 17.4 50gm+150ml
Resourc cold water
e HP

Nestle 700 8.30 36.2 1.66 1.28 4.68 0.33 11.6 50+190ml
Resourc water
e Opti
Product Price 1 Calorie Protein Fat CHO Fiber Na Dilution
Name scoop (Cal) (gm) (gm) (gm) (gm) (mg)

Nestle 699 8.30 38.6 0.9 1.66 4.89 0.3 20.7 50+100ml
Resource preboiled
Renal water

Nestum 140 6.25 23.0 0.37 0.02 5.34 0.02 n/a 25gm+162ml
water

Peptamen 1399 25.00 205.0 8.5 7.5 26.0 n/a 36.0 83gm+195ml
water

Peptamen 1249 8.00 37.04 1.03 1.32 52.6 n/a 22.04 83gm+195ml
Jr water

Pre NAN 540 5.30 26.1 0.6 1.31 2.9 n/a 11.6 According to
age

Prenan 2800 1.00 4.0 0.3 0.2 0.4 n/a 7.3 1gm+25ml
Human breastmilk
Milk
Fortifier

Prohance 650 8.30 37.6 1.67 1.59 3.8 0.67 26.5 50gm+175ml
D water

Prohance 977 8.30 30.7 3.7 0.58 2.3 0.5 n/a 25gm+150ml
HP water

Protein X 380 15.00 51.7 5.1 0.1 7.9 n/a n/a 30gm+200ml
milk

Protinaece 254 68.00 247.0 20.0 6.7 26.5 n/a 126.0 1

98 bottle+180ml
water
Prototal 680 15.00 56.7 7.2 0.37 6.1 0.25 37.5 30gm+200ml
Whey lukewarm
milk/water

Protrend 598 15.00 60.5 2.7 0.9 10.5 n/a 27.15 30gm+200ml
lukewarm
milk/water

Provotin 810 8.00 39.02 2.4 2.05 2.9 n/a 12.8 32gm+65ml
HP water

Provotin 720 7.00 25.1 0.7 1.8 3.75 n/a 9.5 35gm in
LP 65ml water

Pulmo 273 15.00 75.0 3.15 3.7 n/a 0.45 46.5 30+50ml
Care water

Reno Pro 300 25.00 121.5 10.25 5.5 7.75 n/a 28.0 25gms+40ml
Dialysis water

Semital 765 30.00 140.4 6.3 4.8 18.0 1.2 37.5 30gm+150ml
water

SimilacIso 530 8.70 43.15 1.15 2.35 4.35 n/a 16.97 131.5gm+1L
mil water