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HEALTHY EATING AND DOCTOR PRESCRIBED DIETS Resource Guide Updated July 2017 Basic Nutrition and Doctor Prescribed Diets Page 1 of 103 ACKNOWLEDGEMENTS Appreciation is expressed to all participants of the original Nutrition Workgroup for their dedication and commitment to assisting with the design and content of this resource guide. This workgroup consisted of the following: Home and Community Based Waiver Registered Dietitians and therapists Family members Advocates Independent Support Coordinators (ISCs) Long-term care provider agency representatives Representatives from TennCare Department of Intellectual and Developmental Disabilities (DIDD) Regional and Central Office staff Additional appreciation is expressed to everyone who provided feedback and suggestions on recent revisions and update to the nutrition resource guide. Basic Nutrition and Doctor Prescribed Diets Page 2 of 103 TABLE OF CONTENTS INTRODUCTION 4 SECTION I: OVERVIEW OF HEALTHY EATING 6 Overview of Healthy Eating and the MyPlate 7 SECTION II: DOCTOR PRESCRIBED DIETS & ADDITIONAL RESOURCES 8 Doctor Prescribed Diets 9 Heart Healthy Diet 10 Weight Gain Diet 16 High Calorie High Protein Recipes 18 Weight Loss Diet 21 Low Fat Diet 29 Low Salt Diet 33 Diabetic Diet 37 No Concentrated Sweets Diet 44 Gastroesophageal Reflux Disease (GERD) Diet 47 High Fiber Diet 49 High Fiber Recipes 50 How to Manage Constipation 51 Fluids and Water 52 Calcium 54 Iron 55 Potassium 56 SECTION III: DIETARY TOOLS, SUPPORTS, AND GUIDELINES 57 Food Budgeting 59 Menu Planning 61 Sample Menu Planning Form 64 Grocery Shopping 65 Making Healthy Food Selections 66 Reading Food Labels 68 Healthy Menu Ideas 70 Food Safety and Storage 74 Eating Away From Home 78 Receiving Nutrition Through a Feeding Tube 80 Understanding Portion Control 81 Food and Drug Interactions 84 Staying Healthy with Exercise 85 Healthy and Accurate Weights 87 SECTION IV: PROBLEM SOLVING NUTRITION ISSUES 91 Problem Solving 92 Communication 99 Resources for Nutrition Education 98 CONCLUSION 99 GLOSSARY 100 Basic Nutrition and Doctor Prescribed Diets Page 3 of 103 INTRODUCTION This resource guide provides general information and guidelines regarding basic nutrition and common doctor prescribed diets. It is the supplement to the foundational training entitled Basic Nutrition and Doctor Prescribed Diets, which was developed by the DIDD. The intended use of this resource guide is as a reference tool for those responsible for supporting persons in the community with intellectual and developmental disabilities and it is written in this format. However, it can also be used by individuals who want to learn about healthy eating. This resource guide is divided into five main sections: Overview of Basic Nutrition Doctor Prescribed Diets Dietary Tools, Supports, and Guidelines When A Diet is Not Working Additional Nutrition Resources Information sheets and forms that can be reproduced for use as tools and handouts are included throughout the guide and in the additional nutrition resources section. While this resource guide is intended to be used as a reference, a referral to a Registered Dietitian for consultation may be needed to address more complex nutritional issues and assist with follow-through of a diet. NOTE: The resource guide only addresses doctor prescribed diets such as diabetic, low calorie, low fat, low salt, and high fiber. It does not address special needs related to the texture (size of food pieces) or consistency of the diet. If there are concerns regarding a person’s ability to safely swallow, a referral to a Speech Language Pathologist (SLP) or Occupational Therapist (OT) with expertise working with swallowing issues should be considered. Basic Nutrition and Doctor Prescribed Diets Page 4 of 103
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