Feeding Modalities

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Feeding Modalities
Number One, Most Important, Extremely Critical
Practice Concept If the gut
works, use it!
Routine Hospital Diets General or House
Regular foods served by choice or offered as
a set menu. Soft One or more diets that
include tender cuts of meat, cooked veg
fruits with skins/seeds. (may include pureed
diets)
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Feeding Modalities
Soft diets may include the bland diet since
these are usually low in fiber
(residue). Typically they do not include
fried foods, spices, so-called gas-forming
vegetables (Cruciferae) or onions and
corn. One variation is the mechanical soft
diet which lies between the pureed and soft
diets in consistency.
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Liquid Diets
Can be available in many forms clear vs. full
are common Clear Coffee, tea,
carbonated beverages Clear fruit
juices Gelatin, popsicles, hard candy Broth,
boullions Problem Low nutrient
density High CHO, Low protein, Low fat At
most, provide 900 kcal/ day. gt3 days at
nutritional risk
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Liquid Diets
Full Liquid Diets can include Strained creamed
soups Strained cereals Spray-dried eggs in
liquids Vegetable juices Sherbet, ice creams,
etc. All fruit juices Milk products, smooth
yogurts Mild seasonings Butter, margarine,
etc. Must individualize based on pt
tolerances Can be low in niacin, folate,
iron Another variant Cold, semiliquid after
throat surgery No acidic juices, hot beverages,
chocolates
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Increasing Nutrient Density
Eat more often Enhance nutrient
density Encourage eating Increase
number and at mealtime size of servings
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To Test Your Understanding
5. A. Protein source for depleted, anorexic
pt. Why? B. What other component is
important to this supplement?
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6. Pt supplemented with 240 ml of 3 different
formulas Sustacal, Meritene, and Delmark
Milkshake. What do these products contribute
(pro, kcal) to pts diet?