PROGRESS
IVE D I
ET
LEVELS OF PROGRESSIVE DIET
LIQUID DIET
CLEAR (FULL REGULAR
SOFT DIET
LIQUID DIET LIQUID/BLENDE
D)
DIET
NPO OFF (AFTER 6-8
HOURS OF SURGERY)
DESCRIPTION
o Consists of food that are liquid at room temperature that are clear enough
to see through.
o used only for a short time because it does not provide enough nutrients
for good nutrition.
COMMON PURPOSE
o ordered for patients who have had surgery, acutely ill
patients, patients with fluid loss caused by vomiting or
diarrhea.
EXAMPLES OF FOODSALLOWED
o water , broth, coffee (Black ,without milk or cream),clear
juices .
DESCRIPTION
o includes all liquids included in the clear liquid diet, plus all
other liquids ( food that is liquid at room temperature)
COMMON PURPOSE
o ordered for patients who have had surgery, patients with stomach
aliments, persons unable to chew, swallow, or digest solid foods or as
a transition between a clear liquid diet and a soft diet.
EXAMPLES OF FOODSALLOWED
o strained soups, ice cream, all juices
o cooked cereal if it is soupy thin
KEY POINTS FOR PLANING FULL LIQUID DIET
This diet does not meet DRI for most nutrients.
Supplementation is required if patient is on full liquid diet >3 days.
You cannot eat solid foods when you are on full liquid diet.
This diet is easier to digest than solid food.
DESCRIPTION
o foods soft in consistency
o mildly flavored
COMMON PURPOSE
o used for patients who are unable to chew or swallow hard
or coarse foods.
EXAMPLES OF FOODSALLOWED
o soups fish chicken toast cooked fruit and
vegetables eggs ice cream
FOOD ALLOWED IN SOFT DIET
DESCRIPTION
o INCLUDES THE GREATEST VARIETY OF FOODS
COMMON PURPOSE
o to maintain or attain optimal nutrition status in patients
who do not require a special diet.
DESCRIPTION
o same food included in a soft diet except food is ground .
COMMON PURPOSE
o for patients with difficulty chewing or swallowing soft
food.
DESCRIPTION
o all found is strained or blenderized.
COMMON PURPOSE
o for patients who cannot chew or have difficulty
swallowing.
DESCRIPTION
o foods mild in flavor, omit spicy food, caffeine, and alcohol.
COMMON PURPOSE
o ordered if the organs of the digestive system
( intestines, stomach, or esophagus ) are irritated.
Used for persons with heart, liver, and kidney
diseases sodium causes the body to retain water
sodium restricted to 2 gm. daily
The doctor decides how many calories are allowed
the dietician develops a balanced plan dividing the
calories into meals and snacks
*** meals must be served on time ***
*** person must eat everything on tray ***
*** if food not eaten - tell the nurse ***
DYSPHAGIA - DIFFICULTY SWALLOWING
aspiration - breathing food, fluids, or an object into the
lungs some people have difficulty swallowing liquids
liquids must be “thickened”
o THICKENED LIQUID - consistency of baby food
oMEDIUM THICK - consistency of nectar (like
tomato juice)
o EXTRA THICK - consistency of honey
o YOGURT LIKE CONSISTENCY - thick, holds its
shape
o position the person in fowler’s position
o support the upper back, shoulders, and neck with a pillow
o observe for signs and symptoms of aspiration during
meals and snacks
o check the person’s mouth after meals to assure there is
no pocketing of foods
o maintain the person in a sitting position for 1 hour
after meals
