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Modified
Diet
Training
Presentation By: Stacy Kosmen
In-Service Presentation
Dental Soft
Mechanical Soft
Renal
No Added Sodium (NAS )
Low Sodium
Diets we will discuss…
Dental Vs. Mechanical Soft
Dental Soft
What’s the difference?
Foods are…Soft
Moist
Bite-sized piece meats
Nearly regular texture
Mechanical Soft
Foods are…Soft
Moist
¼” cubed & ground
meats
Simple to chew
Vs. Dental Soft MechanicalMilk Products(milk, plain & fruited yogurt, soft cheeses)
Soft Cooked Veggies (carrots,green
beans, broccoli, etc.)
Canned & Soft Fruits
(Canned pears/peaches, bananas, applesauce)
Cereals(oatmeal, cream of rice, corn flakes, rice crispies, chex & NO raisin bran or shredded wheat)
All Fish & Meatloaf
Bite-sized, chopped
meat
Chopped Hamburger
w/ bun
Chopped HamburgerNO bun
NO build your own sandwich
¼”, choppedmeat
Renal DietHere at Northwestern Lake Forest Hospital the
renal diet restricts:
Sodium
&
Potassium
Renal DietFoods High in
Sodium: Bacon
Salted Crackers
Canned veggies & foods (unless marked no added salt)
Processed Cheese
Full sodium canned
soups
Alternatives: Turkey bacon or
turkey sausage
Unsalted Crackers
Fresh veggies
Swiss, mozzarella, cottage
Reduced sodium soups
Renal DietFoods High in PotassiumFoods high in potassium (limit to 1 srv/day)
Bananas
Oranges
Tomatoes
Potatoes
Prunes
Alternatives to offer: apples, peaches, pears, applesauce, fresh fruit cup
Cantalope
Honeydew
Bananas
Apricots
Renal DietWhat does this mean for our menu?
No potatoes or foods containing potatoes (scrambled eggs & breakfast potato casserole, potato chips)
No oranges, orange juice, or orange muffins
No prune juice
No chicken tortilla or creamy tomato soup
No lasagna or any tomato or products containing tomato
NAS Vs. Low-Sodium Diet
NAS diet is limited to 3,000 – 4,000 mg of Sodium per day.
Low-sodium diet is limited to 2,000 mg of sodium per day.
What’s the difference?
No Added Sodium (NAS) Diet
Foods to exclude Ketchup (limit to 1 tbsp.
per day)
Salt packets
Salted Crackers
Potato Chips
Canned veggies & foods (unless marked no added salt)
Processed Cheese
Full sodium canned soups
Pickles
Alternatives
Mrs. Dash, seasoning packet, hot sauce, pepper
Non-salted Crackers
Fresh Potato
Fresh veggies or canned with no added sodium
Swiss or mozzarella, cottage
Reduced or NAS soups
Low Sodium DietFoods to Exclude:
Cured or Processed Meats (corned beef, ham, bacon, sausage, lunch meats, hot dogs)
Alternatives:
Fresh or frozen meats cooked without salt (chicken, turkey bacon or turkey sausage)
Low Sodium DietFoods to Exclude:
Processed cheeses (American, cheese spread)
Vegetables: canned, pickled, vegetable juice, potato salad, tomato sauce
Alternatives:
Swiss or mozzarella cheese
Vegetables: canned with no added salt, fresh, sauce with no added salt
ALL fruits & fruit juices allowed
Low Sodium DietFoods to Exclude:
Salt
Limit mustard or ketchup to 1 tsp/day
Snacks: salted popcorn, chips, pretzels, salted nuts, salted crackers, cheese cake
Canned Soups
Alternatives:
Season packet, Mrs. Dash, Tobasco sauce, onion or garlic powder
Snacks: unsalted popcorn or pretzels, unsalted nuts, crackers with out salted tops, ice cream, popsicles
Sodium reduced soups
Renal, Low Sodium, & NAS DietThings to Remember:
Daily Limits Vs. Meal Limits:◦ When the screen flashes red warning that
the sodium or potassium may go above what is recommended for the meal, check previous meals.
Renal Diet◦ Sodium: not to exceed 2,050 mg per day
total ◦ Potassium: not to exceed 2,050 mg per
day total
Never tell a patient no without offering an alternative
Jeopardy!!
Dental Soft
Mechanical Soft
RenalNAS
Low-Sodium
100 100 100 100
200 200 200 200
300 300 300 300
400 400 400 400
Bonus Question!500