My RD says no, therapeutic diet is by mouth, not TF.

Tammy Gola BSN, RN, CRNAC
Wilkes-Barre General Hospital
Transitional Care Unit
575 North River Street
Wilkes-Barre, PA. 187641-0001
570-552-5417
[EMAIL PROTECTED]


-----Original Message-----
From: carol maher [mailto:[EMAIL PROTECTED]
Sent: Thursday, January 22, 2004 11:18 AM
To: [EMAIL PROTECTED]
Subject: Tubefeeding/therapeutic diet


Do you consider all residents who are tube fed to be on a "therapeutic
diet?" Since the definition of "therapeutic diet" is "A diet ordered to
manage problematic health conditions.  Examples include colorie-specific ,
low-salt,low-fat lactose, no added sugar, and supplements during meals."
The concern is for those residents who are receiving a tube feeding formula
that is based on calories per kg of body weight just like they would figure
a regular diet for an orally fed resident.  The tube feeding would be given
due to either dysphagia or failure to thrive.  Would you consider the
dysphagia problematic health conditions managed by the diet or would you NOT
believe this to be a therapeutic diet because it would be similar to a
regular diet just given by a different modality?
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The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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