DieteticsHealth Technologies II

Mr. Kestner

Careers in Dietetics

Dietetic Aide…Dietetic Aide… Certified Dietary Manager…Certified Dietary Manager… Dietetic TechnicianDietetic Technician

Collects dietary information from patientsCollects dietary information from patients Performs basic diet counselingPerforms basic diet counseling Teaches nutrition classesTeaches nutrition classes

Registered DieticianRegistered Dietician Assesses nutritional status of patientsAssesses nutritional status of patients Develops specialized nutritional care plansDevelops specialized nutritional care plans Educates about nutrition and therapeutic Educates about nutrition and therapeutic

dietsdiets Manages food service operationsManages food service operations

Procedures in Dietetics

Assisting the client to eatAssisting the client to eat

Therapeutic dietsTherapeutic diets

Taking a diet historyTaking a diet history

Assisting the Client to Eat

Who needs assistance? Who needs assistance? Sick, weak & injured clientsSick, weak & injured clients Clients who are visually impairedClients who are visually impaired Those with handicapsThose with handicaps

May become frustrated – be patientMay become frustrated – be patient Preparation:Preparation:

Position the client for eatingPosition the client for eating FeedingFeeding Hand-Over-HandHand-Over-Hand

Assisting the client to eat

Positioning the client to eat Positioning the client to eat (Feeding)(Feeding) Correct position to prevent choking Correct position to prevent choking

and aspirationand aspiration Choking – food lodged in airwayChoking – food lodged in airway Aspiration – food/liquid advances beyond Aspiration – food/liquid advances beyond

vocal cords and enters lungsvocal cords and enters lungs TransferTransfer Position as close to upright as possiblePosition as close to upright as possible Do not allow head to fall backDo not allow head to fall back

Therapeutic Diets

Low-fat, low-cholesterol dietLow-fat, low-cholesterol diet High levels of cholesterol in bloodHigh levels of cholesterol in blood Reduce chances of heart attack and Reduce chances of heart attack and

strokestroke Limit fatty meats, fried foods, whole Limit fatty meats, fried foods, whole

dairy products, eggs, and high-fat dairy products, eggs, and high-fat dessertsdesserts

Substitute with lean meats, skinless Substitute with lean meats, skinless poultry, baked or broiled seafood, low-poultry, baked or broiled seafood, low-fat/fat-free dairy products, egg fat/fat-free dairy products, egg substitutes and lower-fat dessert itemssubstitutes and lower-fat dessert items

Therapeutic Diets

Low-sodium dietLow-sodium diet Recommended for hypertensionRecommended for hypertension Cut back on use of salt shakerCut back on use of salt shaker Season foods with herbs and spicesSeason foods with herbs and spices Avoid prepared foods such as canned Avoid prepared foods such as canned

foods, noodle mixes, frozen meals and foods, noodle mixes, frozen meals and snack foodssnack foods

Look for lower-sodium versions of Look for lower-sodium versions of thesethese

Include fruits and vegetables in dietInclude fruits and vegetables in diet

Therapeutic Diets

Diabetic DietDiabetic Diet Important for people with diabetesImportant for people with diabetes Involves eating regular meals and Involves eating regular meals and

snacks, making careful food choices, snacks, making careful food choices, and being physically activeand being physically active

Overweight people may benefit from Overweight people may benefit from weight lossweight loss

Registered dietician works closely Registered dietician works closely with a person with diabeteswith a person with diabetes

Therapeutic Diets

High-fiber dietHigh-fiber diet Used to treat certain digestive Used to treat certain digestive

problems like constipationproblems like constipation Recommended as a preventive Recommended as a preventive

measure to reduce risk of some measure to reduce risk of some forms of cancerforms of cancer

Choose foods that are good sources Choose foods that are good sources of fiber including fruits, vegetables, of fiber including fruits, vegetables, legumes, whole grain breads & legumes, whole grain breads & cereals, nuts, seedscereals, nuts, seeds

Therapeutic Diets

Calcium-rich dietCalcium-rich diet Recommended as a preventive Recommended as a preventive

measure and as part of treatment for measure and as part of treatment for osteoporosisosteoporosis

Includes a variety of foods high in Includes a variety of foods high in calcium such as milk, yogurt, cheese, calcium such as milk, yogurt, cheese, salmon, broccoli and pinto beanssalmon, broccoli and pinto beans

Foods that are calcium-fortified such Foods that are calcium-fortified such as soy beverages, juices, breads and as soy beverages, juices, breads and cereals are also goodcereals are also good

Therapeutic Diets

Modified-consistency dietsModified-consistency diets Used for people with chewing or swallowing Used for people with chewing or swallowing

problemsproblems PureedPureed ChoppedChopped mashedmashed

Appropriate consistency is determined by Appropriate consistency is determined by condition of teeth and the ability to swallow condition of teeth and the ability to swallow with risk of choking or aspirationwith risk of choking or aspiration

Foods containing nuts, seeds, coconut and Foods containing nuts, seeds, coconut and most raw fruits and vegetables are most raw fruits and vegetables are excludedexcluded

Therapeutic Diets

Liquid dietLiquid diet Used before and after surgery or heart Used before and after surgery or heart

attack, has a digestive problem, and attack, has a digestive problem, and before certain diagnostic testsbefore certain diagnostic tests

Most common type of diet is clear liquidMost common type of diet is clear liquid BrothBroth TeaTea WaterWater Jell-OJell-O Clear soft drinksClear soft drinks

Taking a Diet History

Food choices are influenced by many factors, Food choices are influenced by many factors, such as a client’s:such as a client’s: Food likes and dislikesFood likes and dislikes Daily scheduleDaily schedule Social or cultural influencesSocial or cultural influences Living conditionsLiving conditions

Taking a diet history involves asking questions Taking a diet history involves asking questions focusing on:focusing on: Meal patterns and food preferencesMeal patterns and food preferences Mealtime hoursMealtime hours Portion sizesPortion sizes Restricted or avoided food itemsRestricted or avoided food items Food availabilityFood availability

Summary

Careers in dieteticsCareers in dietetics Dietetic technicianDietetic technician Registered dieticianRegistered dietician

Procedures in dieteticsProcedures in dietetics Assisting a client to eatAssisting a client to eat Various therapeutic dietsVarious therapeutic diets Taking a diet historyTaking a diet history