Lesson 2 - Principles of Nutrition Therapy
Lesson 2 - Principles of Nutrition Therapy
Lesson 2 - Principles of Nutrition Therapy
NUTRITION THERAPY
Encar Ramos-Romano, RND
Clinical Dietitian, Trained DE
Objectives
• Recognize the methods used to adapt a normal diet to
treat a specific clinical disorder
• Apply the nutrition care process in the management of
disease conditions
• Identify the most common therapeutic diets used in clinical
care
• Appreciate the role of Nutritionist-Dietitian in patient care
• 2 main phases
• Nutrition assessment
• Nutrition therapy
MNT – 2 phases
• Nutrition assessment
• Evaluation of nutritional status thru measurements of food
and nutrient intake
• Method of obtaining data needed to identify nutrition problems
MNT – 2 phases
• Nutrition therapy
• Interventions used in the treatment of disorder or disease
• Includes diet therapy, nutrition couseling and use of
specialized nutrition therapies
• Diet therapy
• Branch of dietetics concerned with the use of food for
therapeutic purposes
Nutrition therapy
• Diet counseling
• Process in which a registered dietitian works with an
individual to assess the usual dietary intake
• Identify areas where change is needed
• Dietitian
• Translator of nutritional principles
Nutrition therapy
• Use of specialized nutrition
• Oral nutrition supplement
• Enteral nutrition
• Parenteral nutrition
Specialized nutrition
Enteral Nutrition Parenteral Nutrition
• Food or nutrient • Feeding intravenously,
administration thru the GI bypassing the usual
tract process of eating and
digestion
Principles of diet therapy
• Treatment for a patient that involves the modification of
food intake
• Principal means of therapy
• Supports the overall therapeutic program
• Supports other modes of treatment
• Modified diets are preventive measures
Dietary History Food like and dislikes Food budget per perso
Food intake Other sources of nutrient
Frequency of meals & time eaten Past diet restriction
Cooking facilities Nutritional knowledge & where obtained
Dietary needs while in Food like and dislikes Food tolerances (6 equal feedings)
the hospital Present dietary prescription Needs for dietary instructio
Appetite, ability to chew Any physical handicap
e
References
• Understanding Clinical and Normal Nutrition- Whitney and
Rolfes
• Medical Nutrition Therapy for Filipinos- Jamorabo-Ruiz,
Claudio and Castro
• Krause’s Food and Nutrition Therapy- Mahan and Escott-
Stump