Академический Документы
Профессиональный Документы
Культура Документы
+
ALS +
GOOD
NUTRITION
page
two
swallowing
problems
page
three
specific
nutritional
concerns energy
page
four
protein,
hydration,
safety, and
constipation
page
five
feeding tubes
and
alternative
sources of
protein
1
2
3
Lorem Ipsum
Issue | Date
good food
good life
Swallowing problems in ALS affect good nutrition
Patients with ALS are faced with
nutrition:
1
2
Lorem Ipsum
Issue | Date
Specific nutritional
concerns
Energy or calories: Calories are
the measure of food energy that
fuels the body. Even when activity
level is low, ALS patients usually
sandwiches
on vegetables or in gravies
(continued)
Dolor Sit Amet
4
3
5
Lorem Ipsum
Protein: Protein is important
for building and repairing all
body tissues. The best sources
of protein include dairy
products, meat, fish, poultry,
eggs, and dried beans and
peas. Protein is used best by
our bodies when it is provided
in small quantities. To add
protein to your diet, consider
the following:
-add milk powder instead of
regular milk in recipes
-use fortified milk for cooking
and drinking
-use milk or half-and-half
instead of water when making
soups or cereals
-add diced meat to soups and
casseroles
-add cheese to sauces and
vegetables
-put cheese, butter, or peanut
butter on bread
-choose desserts that contain
eggs (angel food cake, egg
custard, bread pudding)
-add peanut butter to sauces,
on crackers, or on vegetables
Issue | Date
Hydration: Two-thirds of
the human body is made up
of fluids. Therefore, it is
essential to consume
enough fluids daily to
maintain a natural moisture
balance in your body. For
most people, this means
drinking 8-10 glasses of
fluids a day. People who
consume a lot of caffeine
may need to take in extra
fluid since caffeine causes
the body to lose fluid. One
common problem
associated with insufficient
fluid intake is constipation. If
you are having difficulty
coughing up or swallowing
secretions and you are
drinking plenty of liquids,
you may want to modify the
kinds of liquids you are
drinking. Milk products may
thicken secretions and
should be minimized.
Excessive caffeine can
cause dry mouth and should
be avoided. To increase
fluid intake, consider the
following:
-fluid doesnt just mean
water (dont forget about
milk, juices, sauces, and
gelatins!)
-if thin liquids are difficult to
swallow, thicken them
naturally with fruit
Donec ac arcu.
7
6
Lorem Ipsum
Issue | Date
ALTERNATIVE
SOURCES OF
NUTRITION
Sometimes eating meals
just isnt enough. Weight
loss may continue at an
undesirable rate, or the
time required to eat meals
may increase until it takes
up most of the day. At this
point, it might be wise to
consider using
supplemental forms of
nutrition. These are
specially created formulas
which concentrate calories,
protein, and most vitamins
into a relatively small
volume. When swallowing
is still intact, oral
supplements are
recommended. As safety
becomes more of an issue,
supplements may be taken
primarily by tube. Those
supplements designed as
primarily for oral use taste
better. Those designated
for tube feeding use may
also be used orally
especially for patients
desiring a product, which
is less sweet.