what do long-term interventions do?
determine readiness for change
emphasize WHAT to eat, rather than WHAT NOT to eat
suggest 1-2 changes at a time
when is a mechanically altered diet approptoate?
for difficulties of chewing or swallowing
surgery of the head or neck
anatomical physiological abnormalities
when is a blenderized liquid diet appropriate?
oral or facial surgeries
soft or tender food from all food groups
when is a clear liquid diet appropriate?
before and after GI procedures/surgeries
these diets require minimal digestion and re easily absorbed
acute intestinal disorders
before & after surgery
long-term restriction is discouraged
prevent or correct fluid retention
treatment of hypertension and CHF
high kcalorie, high-protein diet
high nutrient requirements
how can medications affect diet-drug interactions?
increase appetite and weight gain
alter absorption, metabolism, & excretion of nutrients
some interactions can become toxic
how can nutrients affect diet-drug interactions?
alter absorption, metabolism, and excretion of medications
what are some effects that drugs can have on food intake?
induce nausea & vomiting
alter taste sensations
dry the mouth
cause inflammation & lesions in the mouth
sedate the patient
some stimulate food intake (weight gain)
how does the stomach emptying rate affect drug absorption?
meals delay absorption
empty stomach enhances absorption
how does the stomach acidity affect drug absorption?
some drugs need an acidic environment
others may need enteric coating
how does grapefriut juice affect drug metabolism
increases blood concentrations of some drugs
how do vitamin k rich foods affect drug metabolism
can weaken the effect of blood thinners