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