2024 Diet and Nutrition Care Manual – Simplified Edition

Chapters include:

1. Regular Diet and Alterations: liberalized/individualized diet for older adults, altered portion sizes, nutrition supplementation, finger food diet, food intolerance/allergy diet, low lactose, gluten free diet, vegetarian diets, kosher diet, full liquid diet, and clear liquid diet.
2. Dysphagia: International Dysphagia Diet Standardisation Initiative (IDDSI), IDDSI Level 6: Soft and Bite-Sized, IDDSI Level 5: Minced and Moist, IDDSI Level 4: Pureed Diet, IDDSI Level 3: Liquidised, guidelines for serving thickened liquids.
3. Weight Management: practice guidelines for adults, obesity in older adults, medications for treatment of obesity, FDA approved devices and surgical treatment of obesity, MNT, calorie restricted diet, calorie specific diets.
4. Cardiovascular Health:  hypertension, heart failure, recent cardiovascular disease guidelines, eating patters for prevention/treatment, MNT for CVD, older adults and lifestyle changes to prevent/treat CVD, diets and sample menu patterns for CV health, healthy eating patterns including DASH, Mediterranean style diet, 2 gram sodium diets.
5. Diabetes: diagnosis, preventing complications, goals of MNT, menu planning, physical activity, approaches for older adults, blood glucose monitoring, hypo/hyperglycemia, medications, carbohydrate counting, consistent carbohydrate diet and consistency-altered versions, clear liquid for diabetes, food choice values, and meal replacements.
6. Gastrointestinal Conditions: the gut microbiome, common GI symptoms: possible causes and treatments, common GI symptoms conditions, constipation, diarrhea, cramps, heartburn, bloating, nausea, vomiting, low FODMAPS, high fiber, low fiber diets.
7. Kidney Disease: 5 stages of CKD, KDOQI 2020 Clinical Practice Guideline, urine albumin laboratory result interpretation, MNT for kidney disease, estimating nutrient needs, nutrition and fluid restriction guidelines, lowering potassium, potassium levels in foods, hyperphosphatemia, high phosphorous foods, lower phosphorus foods substitutions, menu planning tips, diets and nutrition information for each stage of CKD including dialysis diets, liberalized renal diet, and diabetes and kidney disease.
8. Specific Diseases: Alzheimer’s/dementia, hepatic disease, HIV/AIDS, osteoporosis, PKU, pulmonary disease.
9. Specific Conditions: anemia, dehydration, failure to thrive, malnutrition, palliative care, pressure injuries, sarcopenia, unintended weight loss.
10. Cancer Treatment: staging, medical treatment, MNT for nutrition impact symptoms, MNT for cancer treatment, palliative care, special considerations during cancer treatments, monitoring and evaluation, nutrition and cancer survivorship, controversies in prevention, treatment and survivorship.
11. Nutrition Support: guidelines for enteral feeding, contraindications, enteral nutrition in older adults, role of the RDN and NDTR, basic guidelines, nutrition calculating adequate flushes, selecting enteral formulas, blenderized tube feeding, methods used to deliver EN, determining feeding schedules, choosing disease specific formulas, administration of feeding, refeeding syndrome, using feeding tubes to deliver medications, drug-nutrient interactions, transitioning to oral foods, complications, end of life nutrition, discontinuing enteral feeding.
12. Appendix: recommended dietary patterns for good health, menu checklist, foods and equivalents, nutrition screening and assessment tools, nutrition focused physical exam, height/weight tables, adjusting weights for people with amputations, nutrient needs calculations, equations for calories/protein/fluids, commercial products for supplemental nutrition.

Click on “Product Samples” above for the full Table of Contents.

Author/Editor: 
Becky Dorner, RDN, LD, FAND is widely-known as one of the nation’s leading experts on nutrition, aging, and long term health care. An extensively published author and experienced speaker, Becky is Founder/President of Becky Dorner & Associates, Inc., which provides a broad library of credible continuing education (CE) programs and nutrition resources. She was also Founder/President of Nutrition Consulting Services, Inc., whose dedicated team of RDNs/NDTRs served health care facilities in Ohio from 1983-2020.

Becky has published more than 300 health care articles, manuals, and CE programs; presented and/or hosted more than 650 CE programs for national, international, and state professional meetings in 5 countries and 50 states. Her free email magazine keeps 30,000 health care professionals up to date on the latest news in the field. An active leader, she has held more than 20 board positions on national and state professional associations including the Academy of Nutrition and Dietetics (Academy) and the National Pressure Injury Advisory Panel. Honors include: Academy Medallion Award, Fellow of the Academy of Nutrition and Dietetics, and the Academy Award of Excellence in Business and Consultation.

Contributing Editor: 
Liz Friedrich, MPH, RD, CSG, LDN, FAND, NWCC is a registered dietitian and president of Friedrich Nutrition Consulting in Salisbury, NC. The company provides a variety of nutrition consulting services with a focus on gerontological nutrition.

Liz is Board Certified as a Specialist in Gerontological Nutrition and is Nutrition Wound Care Certified. She has authored and co-authored numerous articles in journals and magazines and textbook chapters and has served as an evidence analyst for the Academy of Nutrition and Dietetics (Academy) Evidence Analysis Library. She is an accomplished speaker on topics related to both older adults and wound healing. Liz has held numerous national and state positions for the Academy, Nutrition Entrepreneurs Dietetic Practice Group, and the North Carolina Academy of Nutrition and Dietetics. She is the recipient of two NCDA awards, the Recognized Young Dietitian of the Year and the Member of the Year.

Reviewers/Contributors:
We would like to thank all of the professionals who dedicated their time and expertise to current and past editions of this manual (see the manual for a full list). We hope that the individual residents, patients, and/or clients that you work with will benefit as a result of their hard work.

Revisions include:

• New American Diabetes Association Guidelines
• New Academy Evidence Analysis Library (EAL) adult weight management systematic review
• Addition of the Global Leadership Initiative on Malnutrition (GLIM)
• New chapter on Cancer Prevention and Treatment
• New KDOQI guidelines
• Most recent updates from the National Pressure Injury Advisory Panel (NPIAP)
• Revisions and comprehensive information on each disease state/condition
• Revised sample menus for all diets
• Revised International Dysphagia Diet Standardisation Initiative or IDDSI information (the 2019 chapter on Consistency Alterations is available to those who have not yet transitioned)
• 2020-2025 Dietary Guidelines for Americans and MyPlate (with updates to diet guidelines)
• Updates as needed to all sections to ensure the manual is compatible with the current standards of care, and more!

This manual is updated and re-released every 2-3 years to include the most recent evidence based research and national and international guideline releases related to nutrition care.