Room Service Classes
- RS-1: Patient calls down meal orders to Call Center clerks via phone. They are responsible for ordering their own meals between 6:30am-8pm, 7 days/week.
- RS-2: Diet Technician or Nutrition Student will assist this individual with daily meal orders. Typically meeting with patient and deciding meals through the following day.
- RS-3: Patients under this class will receive a Non-select Tray. They are unable to choose their selections. Typically for patients unable to decide, unable to communicate preferences, or for prisoner patients.
- RS-4: This is the default classification for new patients, automatically assigned to them if no classification is given at admit. This is only a temporary classification, and should be changed as soon as possible to either RS-1, RS-2, or RS-3. If RS-4 classification is present, diet order is recognized by the Call Center. Patient is able to call and place their meal order at this time.
- No Restrictions
- This diet is for individuals who have difficulty chewing and/or swallowing regularly textured foods and/or liquids.
- Patients who are in need of a ‘Dysphagia’ diet, should be ordered through the Consistency modification.
- Pureed:All food is in pudding-like consistency / baby food texture (blended). Foods are smooth and moist. Foods are easy to swallow and does not require chewing.
- Refer to HFFY # 458
- Minced:All foods should be moist and easy to swallow. Food must be pureed or in 1/8” pieces or smaller. Avoid rice, bread, and foods that have liquids and solids mixed, like soups.
- Refer to HFFY # 457
- Mechanical Soft:For patients who have difficulty chewing, either because of poor dentition or they lack the energy to chew. They have the ability to swallow foods properly, so soft breads and rice are allowed.
- Refer to HFFY # 363
- Diced:Foods are ground (minced) or in ¼” pieces or smaller. Options like fish and pastas can be eaten without modification. Continue to avoid rice, bread, and mixed consistency foods.
- Refer to HFFY # 459
- Advanced Soft:Similar to the consistency of a general diet, but foods that are hard, sticky, or crunchy are avoided. May have rice, soft bread, and mixed consistencies at this time.
- Refer to HFFY # 456
- No Solids: No solid food of any kind. Only liquids or frozen food items that melt into a liquid at room temperature are allowed. Milkshakes, ice cream, sherbets are compliant, but gelatin and yogurt are restricted.
- Thin: Thin and easy to pour. Like water.
- Nectar: Easy to pour, yet thicker than water. Like a heavy syrup consistency.
- Honey: Thicker and drizzles from a bowl or cup, like honey does.
- No Liquids: Nothing that is in liquid form at room temperature. Pudding and gravies are acceptable.
- Refer to HFFY # 468
- Clear Liquid:Consist of all liquids and food items that are liquid at room temperature.
- Liquids must be clear, or able to see through the item.
- Refer to HFFY # 593
- Full Liquid:Consist of all liquids and food items that are liquid at room temperature.
- Liquids don’t need to be clear, or see-through.
- Compliant items include all clear liquids, plus blended yogurts, hot cereal, ice cream, milk, pudding, strained soups, nutritional supplements.
- Refer to HFFY # 348
- Males: 60-75 grams carbohydrate/meal. 15-30 grams carbohydrate at bed-time snack.
- Females: 45-60 grams carbohydrate/meal. 15-30 grams carbohydrate at bed-time snack.
- For patients after esophagectomy.
- Avoid large meals and foods that produce gas, reflux, or dumping.
- Clear Liquid – follow recommendations for general clear liquids
- Full Liquid – follow recommendations for general full liquids
- Mechanical Soft – follow recommendations for general Mechanical Soft Diet, plus
- Avoid gas producing vegetables (broccoli, brussel sprouts, cabbage, cauliflower)
- Avoid citrus and tomato fruits/juices/soups
- Avoid highly seasoned or fatty meals
- Avoid seeds, coconut, popcorn, peppermint or spearment
- Avoid straws and eat small/frequent meals and snacks.
- No restrictions on mixing liquids and solids
- Refer to HFFY# 368
- 25 grams/day: Very low fat diet, used for patients with chyle leaks. See HFFY# 536.
- 25 grams/day goal, 30 grams/day maximum, 8 grams/meal.
- 40-50 grams/day: Low fat diet. See HFFY# 292.
- 40-50 grams/day goal, 55 grams/day maximum, 16 grams/meal.
- 100 grams/day: High fat diet, used for patients needing a Fecal Fat Collection. See HFFY# 395
- At least 100 grams/day goal, at least 30 grams per meal encouraged.
- High – 50 grams daily maximum, 35 grams daily goal, at least 12 grams per meal.
- Patient specific.
- Ordering doctors to choose the desired total amount of fluid desired to consume each day.
- Nursing to distribute the total fluid amount between nursing (unit), culinary, and IV.
- Generally, units/IV receive half the allotted fluids and culinary allowed half the total fluids, to allow for sufficient calories and nutrients to be consumed by patients.
- Typical restriction amounts allowed daily are 2000ml, 1500ml,1000ml,750ml,No Free Water, and Other Amount.
- Fluid restriction includes all beverages, gravies, puddings, frozen desserts, gelatin, watermelon, yogurts, and soups.
Gastric Bypass (Refer to HFFY # 327)
- Protein goal is 60 grams/day. Following surgery, will need to drink several protein shakes daily for the next 3 months in order to obtain this number safely.
- Portion sizes are very small. Several small meals eaten per day. Fluids should be drunk slowly.
- Restrictions: straws, carbonated beverages, juice, sweetened beverages
- 3 Levels of diet –
- GB Clear Liquid
- GB Full Liquid
- GB Pureed
Gluten Free (Refer to HFFY # 551)
- Avoids wheat, oats, barley, rye. Patient directed for specific tolerances.
Graft-Versus-Host Disease (GVHD) (Refer to HFFY # 415)
- Is a side effect of a stem cell transplant, which can upset the GI tract
- Eating small amounts of easy-to-digest foods can help the symptoms.
- Avoid lactose, high amounts of fatty foods, and high amounts of fiber.
- DASH Diet: Dietary Approaches to Stop Hypertension.
- This diet will help lower blood pressure by cutting back on the amount of sodium in your diet. It lowers your risk of heart attack and stroke.
- Refer to HFFY #379
- Low Saturated Fat – 20 grams max per day, 6 grams per meal.
- Low Sodium – NAS or 2400 mg max per day, 800 mg per meal.
- Low Caffeine – restricts caffeinated beverages.
- Custom Order: Pick and choose restriction levels and combinations, based on individual patient’s needs.
- Sodium – 2400 mg/day (No added salt)
- Low Saturated Fat / Cholesterol – 20 grams max saturated fat per day, 300 mg max cholesterol per day
- Fluid Restriction – No Restriction or choose intake amount.
- Caffeine – Low intake or No Restriction
- Sodium – 2400 mg/day (No added salt)
- UWHC does not have a Kosher kitchen, but can provide packaged Kosher meals.
Lactose Controlled (Refer to HFFY # 177)
- Avoids foods containing or made with lactose (a natural sugar found in milk and milk products).
- Patient directed for specific tolerances.
Neutropenic (Refer to HFFY # 483)
- Intended to minimize food borne pathogens that could cause infection in immunosuppressed or immunocompromised patients.
- Restrictions include:
- Undercooked, smoked, raw, or dehydrated meats, poultry, and seafood. Hot dogs or deli meats that have not been reheated to 165 degrees F.
- Unwashed fruits and vegetables.
- Fruits and vegetables that are unable to be thoroughly cleaned, like berries, grapes, raw sprouts.
- Non-pasteurized fruit/vegetable juices
- Unpasteurized (raw) milk or cheeses made from raw milk, like feta, brie, and queso fresco.
- Foods containing raw or undercooked eggs.
- Unroasted nuts.
- You must select renal diet options individually for every patient, according to their clinical condition.
- Sodium – 2400 mg/day (No Added Salt)
- Potassium – 2350 mg/day
- Phosphorous – 1000 mg/day
- Fluid Restriction – Choose your amount
- Protein – 70 grams/day
- Refer to HFFY # 320
- 2400 mg/day, 800 per meal.
- Also referred to as the No Added Salt diet
- 2000 mg/day, 660 per meal.
- 1500 mg/day, 500 per meal.
Surgical Soft (Refer to HFFY # 378)
- Used as a transition diet to slowly introduce different textures.
- Consists of foods that cause less irritation when ingested.
- Restricts raw fruits/vegetables with skin, seeds and pulp, fried foods, spicy foods, acidic foods, nuts, crunchy chips.
- Restriction of all animal products, including by-products, egg products, and dairy.
- The UWHC Vegetarian diet follows the lacto-ovo vegetarian restrictions.
- Allows consumption of dairy and egg products
- Restricts all meats, including beef, pork, poultry and fish.
- Assessment and Management of Eating Disorders – Adult/Pediatric – Inpatient
- Patients with an eating disorder must be put on the Eating Disorder Protocol, if they are admitted for medical stabilization. The goal for the eating disorder patient is to safely restore physiological stability through nutritional rehabilitiation.
- Adult patients should be admitted to the D4/4 unit, when possible, and pediatric patients should be admitted to AFCH, and assigned Pediatric Hospitalist service on the P5 unit.
- Clinical Nutrition should be consulted to assess the patient, and to set up on a meal plan. Meals are planned by Clinical Nutrition and patients should NOT be allowed to order their own meals (RS-2 classification).
High Protein (Refer to HFFY # 265)
- Goal of 150 grams protein / day, 180 grams / day maximum, unless otherwise specified by dietitian.
High Protein/High Calorie (Refer to HFFY # 554)
- Calories: 2000-2500 calories goal/day, 3000 maximum/day, unless otherwise specified by dietitian.
- Protein: 150 grams protein goal/day, 180 grams maximum/day, unless otherwise specified by dietitian.
- Encourage a rich protein source at each meal, like meat, fish, poultry, dairy, eggs.
- Nutritional supplements encouraged to reach daily goals.
Ketogenic (Refer to HFFY # 517)
- A strict, very high fat, low carbohydrate diet used to treat epilepsy.
- Feeds are measured out on a gram scale and every meal must be completely eaten for the therapy to work.
- Restricts caffeinated beverages and high amounts of chocolate
- Diet prescribed for patients with PKU metabolic disease.
- Diet consists of carefully measured amounts of fruits, vegetables, low protein breads, pastas and cereal. Avoid high amounts of protein foods like meat, milk, dairy, eggs, beans and nuts.
- Consult doctor or dietitian with questions.
Low Tyramine (Refer to HFFY # 154)
- A low tyramine diet is needed when taking certain medications, like monoamine oxidase inhibitors (MAOIs).
- Diet restricts foods that are fermented, aged or spoiled.
- Avoid foods like sauerkraut, soy sauce, teriyaki sauce, over-ripe fruits, Chinese pea pods, fermented meats/sausages like chorizo, and corned beef, dried sausages like pepperoni, summer sausage, salami and pastrami, and all fermented cheese, like bleu, cheddar, gouda, muenster, feta, brie, parmesan, provolone, mozzarella.
Avoid fermented beverages like wine, beer, and champagne.
MSUD – Maple Syrup Urine Disease
- An inherited, rare metabolic disorder that prevents the body from breaking down certain amino acids.
- Diet consists of carefully controlled levels of amino acids, that must be maintained at all times.
- Consult doctor or dietitian with questions.
- Restricts pork products
- Specialist diet, created by Research Dietitian, restricted to the D6/6 inpatient unit.
Low Phosphorus (Refer to HFFY # 156)
- Less than 1000 milligrams/day goal.
- Restrict intake of high phosphorus foods like organ meats, milk and dairy products, beans, whole grains, nuts, brown sodas, molasses and beer.
Low Potassium (Refer to HFFY # 222)
- Less than 2,350 milligrams/day goal.
- Restrict intake of high potassium foods like dairy products, whole grains, dried fruits, some fruits like bananas and oranges, and some vegetables like potatoes and tomatoes.
- Patient is ordered not to eat or drink anything by mouth, until NPO order has been changed.
- Choose from Strict NPO, NPO except Medications, NPO with Ice Chips/Sips of Water, NPO except Ice Chips.
6 Small Meals
- 6 small feedings sent per day at breakfast, 10am, lunch, 3pm, dinner, and bedtime snack.
** UWHC no longer carries a diet order for Wired Jaw/Blenderized Diet. If you wish to order that diet, please refer to HFFY#279, and enter diet order as Full Liquid. Since getting enough calories and protein consumed can sometimes be a problem, it is recommended that nutritional supplements be also ordered.
- If Tube Feeding constitutes any part of the patient’s nutrition, select Diet Type of Tube Feeding first.
- Then choose if the Tube Feeding order will be in connection with a diet order (General or Modified order), or NPO.
- From there, answer all cascading questions to complete the Tube feeding diet order.