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.

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