PROGRESSIVE BASIC HOSPITAL DIETS

(dari : Shackeltons 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

without residue.
Nonstimulating, non-gasforming, non-irritating.
400-500 kcal.

Foods liquid at room

temperature or liquefying at
body temperature.

Normal diet modified in

consistency to have limited
fiber.
Liquids and semisolid food;
easily digested

Practically all foods.

Simple, easy-to digest foods,
simply prepared palatability
seasoned; to have a wide
variety of foods and various
methods of preparation.
Individual intolerance, food
habits, ethnic values, & food
preferences considered.

Adequacy

Inadequate; deficient in protein,

minerals, vitamins and kilocalories.

Can be adequate with careful

planning; adequacy depends on
liquids used.
If used longer than 48 hours,
high protein, high calorie
supplements to be considered.

Entirely adequate liberal

diet.

Adequate and well balanced.

Use

Acute illness and infections.

Postoperatively.
Temporary food intolerance.
To relieve thirst.
Reduce colonic fecal matter.
One-to two-hour feeding
intervals.
Prior to certain test.

Transition between clear liquid

and soft diets.
Postoperatively.
Acute gastritis and infections.
Febrile conditions.
Intolerance for solid food.
Two-to four hour feeding
intervals.

Between full liquid and light

or regular diet.
Between acute illness and
convalescence.
Acute infections.
Chewing difficulties.
Gastrointestinal disorders.
Three meals with / without
between meal feedings.

For uniformity and convenience

in serving hospital patients.
Ambulatory patients.
Bed patients not requiring
therapeutics diets.

Foods

Water, tea, coffee, coffee

substitutes.
Fat-free broth.
Carbonated beverages.
Synthetic fruit juices.
Ginger ale.
Plain gelatin.
Sugar.
No milk or fats.
Orange juice may cause
distension.
Salt, plain hard candy, fruit ices,
all fruit juices without pulp.

All liquids on clear liquid diet

plus :
All form of milk.
Soup, strained.
Fruit and vegetable juices.
Eggnogs.
Plain ice cream and sherbets.
Junket and plain gelatin dishes.
Soft custard.
Cereal gruels.
Pureed meat and meat
substitutes only; for use in soup
only.
Butter, cream, margarine, sugar,
honey, hard candy, syrup; salt,
pepper, cinnamon, nutmeg, and
flavorings; pureed vegetables
for use in soups only.

All liquids.
Fine and strain cereals.
Cooked tender or pureed
vegetables.
Cooked fruit without skin
and seeds.
Ripe bananas.
Ground or tender meat, fish
and poultry.
Eggs and mild cheeses.
Plain cakes and puddings.
Moderately seasoned foods.
Enriched white, refined
whole-wheat bread (no
seeds)

All foods from the basic four

Modifications

Liberal clear liquid diet includes

fruit juices, egg white, whole
egg, thin gruels.

Consistency for tube feedings:

food that will pass through tube
easily.

Low residue-no fiber or

tough connective tissue.
Traditional bland-no
chemical, thermal, physical
stimulants.
Cold soft-tonsillectomy.
Mechanical or dental softrequiring no masticationdiced, chopped, mashed
foods in place or pureed.
Light or convalescence dietintermediate between soft
and regular.

For a light or convalescence

diet, fried foods, rich pastries,
fat-rich foods, coarse
vegetables, possibly raw fruits
and vegetables, and gasforming vegetables may be
omitted.