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The Doctor's Diet Orders

It is best to ask the doctor to write all his orders, including the kind of diet the patient may have. The home nurse has many responsibilities and should not rely on memory in carrying out the doctor’s orders. When the doctor prescribes a liquid, soft, light, or full diet there should be clear understanding of what foods may be included. Since food is an important part of the treatment in many illnesses, the doctor’s instructions as to diet should be followed with as much care as those given for medicine.

When a special diet has been ordered, the home nurse may need assistance in planning meals that not only meet the patient’s needs and the family’s food habits but are also within the limits of food budget. Special diets need not be expensive. When the patient is hospitalized and plans are being made for him to come home or if he is receiving treatment in the hospital’s outpatient department, a conference usually can be arranged with the hospital staff dietitian or the clinic nutritionist to discuss meal planning, methods of preparing special foods, and the substitutions that can be made to meet individual food preference. The doctor will give advice and will know best where to obtain additional counseling if it is needed. He may be able to recommend authoritative books if it is needed. He may be able to recommend authoritative books on nutrition available at the local library. The public health nurse, because of her knowledge of food and nutrition, may also be called on assistance.

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