GROUP 9

GROUP MEMBERS
 SUMAN YADAV
 SWATI SHARMA
 TANYA MAHESHWAR
 TANU PANDEY
 UDAY SINGH
 VARSHA GAUTAM
 VIKAS GUPTA
 VIKAS YADAV
 VINEET KUMAR
 THERAPEUTIC DIET
A therapeutic diet is a meal plan that controls the
intake of certain foods or nutrients.
It is part of the treatment of a mental,
medical condition & are normally provided
by a physician and planned by a dietician.
Therapeutic diet is usually a modification of
a regular diet.
It is modified to fit the nutrition needs of a
particular person.
Therapeutic diets are modified for :
Nutrients

Food allergies

Food intolerance
MAIN PURPOSE OF THERAPEUTIC
DIET
 To maintain good nutritional status .
 To correct deficiencies which have
occurred.
 To provide rest to the body or to certain
part of body for metabolism of nutrients.
 To bring about change in weight wherever
necessary.

 Education of the patient regarding the

need of adherence to prescribed diet
THERAPEUTIC DIET TYPES
 Regular diet
 Liquid diet
 Diabetic diet
 Calorie controlled diet
 Low cholesterol diet
 Sodium restricted diet
 Protein diet
 Fat restricted diet
 DIABETES
OVERVIEW

DIABETES- What is it ?
Complications/ risks
Prevention – a new lifestyle
Diet
 Diabetes
 Diabetes is a disease that occurs when
your blood glucose, also called blood
sugar, is too high.
 Having too much glucose in blood can
cause health problems.
 Diabetes has no cure, you can take
steps to manage your diabetes and stay
healthy.
DIABETES COMPLICATIONS
 Main culprit- DECREASED BLOOD FLOW.
 HIGH blood sugar concentrations affect the inside
layer of your blood vessels.
 MICROANGIOPATHY= damage to small blood vessels,
affects eyes kidneys, nerve endings.
 ARTHROSCLEROSIS= clogging of the blood vessels
 Diabetic foot/ foot ulcers
combination of nerve damage and damaged blood
supply, thus poor healing.
SIGNS AND SYMPTOMS
 DIFFICULTY IN BREATHING
 DIZZINESS WHEN UP TO STANDING
 RAPID WEIGHT LOSS
 INCREASED DROWSINESS AND
CONFUSION
Diet chart for diabetic patient
Early morning :1 cup of tea + 2 Marie biscuits

Breakfast : Oats/Muesli/Wheat flakes + ½ cup non-

fat milk
OR
2 Phulka (no oil) + sabji/ 2 Methi paratha (no oil) + 1
bowl of low-fat yogurt
Lunch : 1 bowl of salad + 2 phulkas (no oil) + 1 bowl of
sabji + 1 bowl of dal

Evening : 1 cup of Green tea + 2 biscuits

Dinner
1 phulka (no oil) + 1 bowl of sabji + 1 bowl of dal
 RENAL CALCULI
 It is a stone in kidney also called as
kidney stone.

 Kidney stones are hard deposits of minerals and acid

salts that’s tick together.
 They can be painful in passing from urinary tract.
 Symptoms
 Severe pain in the side and back, below the ribs.
 Pain that radiates to the lower abdomen and groin.
 Pain in urination.
 Pink red or brownish urine.
 Foul smelling urine.
 Persistent need to urinate.
 fever and chills
What to consume and avoid in kidney
stone
 VEGETABLES
TO CONSUME TO AVOID
Broccoli Spinach
Cucumbers Peas
Asparagus Beans
Cauliflower Beet
Onions Summer squash
Mushrooms
Okra
  FRUITS
TO CONSUME TO AVOID
Watermelon Blue berries
Plums Strawberries
Apples Raspberries
Lemons Nut like cashew
Peaches almonds and
Banana peanuts
  GRAIN
TO CONSUME TO AVOID
Moong dal Kidney beans
Bengal gram Soya beans
Corn
Brown rice
DIET FOR RENAL CALCULI
BREAKFAST LUNCH DINNER

Grape fruit juice 1 cup White meat chicken Baked haddock

Skim milk 1 cup Wheat bread 2 slices White rice ½ cup

Cereal ¾ cup Iceberg lettuce soup 1 cup Peas ½ cup

Scrambled egg 1 Oil/ vinegar dressing 1 Dinner roll 1

tbsp
White coasts 2 slices Sugar cookie Apple

Coffee 1 cup

Water 1 cup
This diet provides
 Calories -1805
 Fat- 51g
 Protein- 81g
 Carbohydrates-261g
 Sodium- 1821mg
 Pottassium-692g
 JAUNDICE
 Jaundice is a yellowish pigmentation of the skin of
body and whites of the eyes, due to high bilirubin
levels.

 It is commonly associated with itchiness.

 The feces may be pale & urines dark.
 when the level of bilirubin becomes more than 2.3
mg/dl , it results in jaundice.
COMPLICATIONS
 Anemia
 Infections
 Abdominal bloating
 Swelling of legs
 Liver failure
 Kidney failure
 Constipation
 Stomach pain
 Diarrhea
DIET PLAN FOR JAUNDICE PATIENT
 Breakfast: One fresh juicy fruit such as apple,
pear, mango, papaya, or some grapes, or berries.
One cup wheat broken wheat or one slice of whole
meal bread with a little butter.
 Mid-morning: Orange or pear juice.
 Lunch: Raw vegetable salad, two small wheat tortilla
of whole wheat flour, a steamed leafy vegetable such
a. Spinach, fenugreek or carrot and a glass of
buttermilk.
 Mid-afternoon: Coconut water or apple juice.
 Dinner: One cup strained vegetable soup, two wheat
tortilla of whole meal, baked potato and one other
leafy vegetable like fenugreek seeds, spinach, etc.
 Before retiring: A glass of hot skimmed milk with
honey if desired
 HYPERTENSION

 Hypertension is defined as a systolic

blood pressure greater than 140 mm hg
and diastolic blood pressure greater
than 90 mm hg.
Complications
 Damage of arteries
 Heart failure

 Damage of blood vessels in kidney and eyes

 Insufficient sleep and sleep apnea
Nutritional therapy in hypertension
 Sodium restriction

 Diet should be rich in vegetables, fruits

and non fat dairy products
 Calorie restriction if overweight
What we should avoid in
hypertension
 Food with sodium as preservative such as tomato
ketchup.

 Processed cheese, salted butter shell fishes such as

shrimps, crabs.
 baking soda, baking powder and anything containing
these of it.

 Restrict fried and fatty food.

 TUBERCULOSIS
 It is a chronic infectious disease.
 Major cause of death.
 It is caused by bacteria called Mycobacterium
tuberculosis.

 Mostly affect lungs leading to pulmonary

tuberculosis.
Signs and symptoms of active TB
 Coughing that lasts three or more week
 Coughing up blood
 Weightless
 Fatigue
 Fever
 Chills

“ According to WHO being undernourished or

poorly nourished itself is at a risk factor for
developing TB
WHO state that patient who have
TB have low circulating
concentration of micronutrients
such as vitamin A, D, E and
minerals like iron, zinc, selenium so
under nutrition cause lowers
immunity.
Complications

 Spinal pain
 Joint damage
 Swelling of the membrane that covers your brain (
meningitis)
 Liver or kidney problems
 Heart disorders
 Lung problems
Diet plan for TB patient
MEAL MENU AMOUNT

Early morning tea 1 cup

breakfast Paushtic chapatis (besan 2

spinach cabbage onion
wheat flour and oil)
Curd 95 g

tea 1 cup

Mid morning Sprouted mung chat 1 bowl

lunch Spinach and potato 1 bowl

vegetable
Chapattis 2 to 3

Peanut chikki 1
Evening tea tea 1 cup

vegetableUpma 1 bowl

dinner Sambhar ( with brinjal 1 bowl

and bottle gourd)
Carrot raita 1 bowl

Rice/chapatis 1.5 bowl/2 to 33

guava 1
Nurse's responsibility