2024 Diet and Nutrition Care Manual – Comprehensive Nutrition Care Guide

Chapters include:

1. Regular Diet and Alterations: Liberalized/individualized diet for older adults, altered portion sizes, nutrition supplementation, finger food diet, food intolerance/allergy, 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, Level 5: Minced and Moist, Level 4: Pureed/Extremely Thick, Level 3: Liquidised/Moderately Thick, Level 2: Mildly Thick, Level 1: Slightly Thick, guidelines for serving thickened liquids, and positioning tips.
3. Weight Management: practice guidelines, strategies, recommended diet patterns, obesity in older adults, FDA approved devices and surgical treatment of obesity, medications, medical nutrition therapy, Calorie Restricted, and Calorie Specific diets.
4. Cardiovascular Health: Hypertension, recent cardiovascular disease guidelines, lifestyle recommendations, medical nutrition therapy, older adults and diet and lifestyle changes, healthy eating patterns including DASH, Mediterranean, and 2 gram sodium diet.
5. Diabetes: Gestational diabetes, preventing complications, goals of MNT, menu planning, total diet and lifestyle approach, physical activity, nutrition care for those requiring insulin, diabetes technology, continuous glucose monitoring, enteral nutrition blood glucose monitoring, hypo/hyperglycemia, medications/insulins, Carbohydrate Counting, Consistent Carbohydrate Diet and consistency-altered versions, Clear Liquid Diet for diabetes, food choice values, and meal replacements.
6. Gastrointestinal Conditions: The gut microbiome, GI symptoms/conditions, intestinal ostomies, constipation, diarrhea, cramps, heartburn, bloating, nausea, vomiting, Low FODMAPS diet, High Fiber diet, and Low Fiber Diet.
7. Kidney Disease: 5 stages of CKD, KDOQI 2020 Clinical Practice Guideline, MNT for kidney disease, estimating nutritional needs, nutrition and fluid restriction guidelines, lowering potassium, potassium levels in foods, hyperphosphatemia, high phosphorous foods, menu planning tips, diets and nutrition information for each stage of CKD including Liberalized Renal Diet, Renal Dialysis Diet, and Liberalized Renal Diet for Diabetes, and oral, enteral and parenteral nutrition supplementation.
8. Specific Diseases: Alzheimer’s/dementia, hepatic disease, HIV/AIDS, osteoporosis, PKU, and pulmonary disease.
9. Specific Conditions: Anemia, dehydration, failure to thrive, gout, malnutrition, palliative care, pressure injuries, sarcopenia, and unintended weight loss.
10. Cancer Prevention and Treatment: Staging, risk factors, screening, key symptoms, cancer prevention – nutrition and lifestyle recommendations, medical treatment, MNT for nutrition impact symptoms, MNT for cancer treatment, nutrition screening, nutrition assessment, estimating nutritional needs, nutrition interventions, physical activity, nutrition support, palliative care, special considerations, monitoring and evaluation, nutrition and cancer survivorship, controversies in prevention, treatment and survivorship.
11. Nutrition Support: Guidelines for enteral feeding, documentation, medication administration, calculating adequate flushes, selecting enteral formulas, disease specific formulas, determining feeding schedules, calculating volume and administration of feeding, refeeding syndrome, transitioning to oral foods, complications, end of life nutrition, discontinuing enteral feeding; parenteral nutrition, indications, potential complications, comprehensive nutrition assessment, nutrient requirements, macronutrients, vitamin/trace element requirements, electrolyte guidelines, delivery of PN, documentation/monitoring for PN, discontinuing PN, and calculation charts.
12. Pregnancy and Lactation: Nutrient needs, prenatal vitamin/mineral supplements, key nutrients needed, herbal and botanical supplements, fortified foods, multiple gestations, pre-gravid obesity, GI issues, weight gain guidelines, environmental/dietary issues, losing weight after delivery, lactation, medical conditions/allergies, gestational diabetes, hypertension, best sources of vitamins/minerals, vegetarian nutrition, and food safety during pregnancy/lactation.
13. Pediatric Nutrition: Breastfeeding, formula feeding, solid foods, foods to avoid in first few months, normal growth in the first year, feeding guide, children/adolescents estimated calorie needs by age, nutrition for toddlers, preschoolers, school aged children and adolescents, food allergies, vegetarian diets, disordered eating, obesity, BMI, health risks of obesity, diabetes, and physical activity.
14. Appendix: Recommended dietary patterns for good health, menu checklist, foods and equivalents, food sources of specific nutrients, calcium, vitamin D, dietary herbs/supplements, food safety, physical activity, nutrition screening and assessment, nutrition focused physical exam, adjusting weights for amputees, unintended weight loss, BMI, nutrient needs calculations, equations for calories/protein/fluids, nutritional needs during stress, sample nutrition intervention program, and commercial products available to provide supplemental nutrition.

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