1. Modified Diet Training
In-Service Presentation
Presentation By: Stacy Kosmen

2. Diets we will discuss… Dental Soft Mechanical Soft Renal
No Added Sodium (NAS )
Low Sodium

3. Dental Vs. Mechanical Soft
What’s the difference?
Dental Soft
Mechanical Soft
Foods are…
Soft
Moist
Bite-sized piece meats
Nearly regular texture
Foods are…
Soft
Moist
¼” cubed & ground meats
Simple to chew

4. NO build your own sandwich
Vs.
Dental Soft
Mechanical
Milk Products
(milk, plain & fruited yogurt, soft cheeses)
Cereals
(oatmeal, cream of rice, corn flakes, rice crispies, chex & NO raisin bran or shredded wheat)
Chopped Hamburger
NO bun
Chopped Hamburger
w/ bun
Soft Cooked Veggies (carrots,green beans, broccoli, etc.)
¼”, chopped
meat
Canned & Soft Fruits
(Canned pears/peaches, bananas,
applesauce)
Bite-sized, chopped
meat
NO build your own sandwich
All Fish & Meatloaf

5. Here at Northwestern Lake Forest Hospital the renal diet restricts:
Sodium
&
Potassium

6. Renal Diet Alternatives: Foods High in Sodium: Bacon Salted Crackers
Canned veggies & foods (unless marked no added salt)
Processed Cheese
Full sodium canned soups
Turkey bacon or turkey sausage
Unsalted Crackers
Fresh veggies
Swiss, mozzarella, cottage
Reduced sodium soups

7. Foods High in Potassium
Renal Diet
Foods High in Potassium
Foods high in potassium (limit to 1 srv/day)
Bananas
Oranges
Tomatoes
Potatoes
Prunes
Alternatives to offer: apples, peaches, pears, applesauce, fresh fruit cup
Cantalope
Honeydew
Bananas
Apricots

8. What does this mean for our menu?
Renal Diet
What does this mean for our menu?
No potatoes or foods containing potatoes (scrambled eggs & breakfast potato casserole, potato chips)
No oranges, orange juice, or orange muffins
No prune juice
No chicken tortilla or creamy tomato soup
No lasagna or any tomato or products containing tomato

9. NAS Vs. Low-Sodium Diet What’s the difference?
NAS diet is limited to 3,000 – 4,000 mg of Sodium per day.
Low-sodium diet is limited to 2,000 mg of sodium per day.

10. No Added Sodium (NAS) Diet
Foods to exclude
Ketchup (limit to 1 tbsp. per day)
Salt packets
Salted Crackers
Potato Chips
Canned veggies & foods (unless marked no added salt)
Processed Cheese
Full sodium canned soups
Pickles
Alternatives
Mrs. Dash, seasoning packet, hot sauce, pepper
Non-salted Crackers
Fresh Potato
Fresh veggies or canned with no added sodium
Swiss or mozzarella, cottage
Reduced or NAS soups

11. Low Sodium Diet Foods to Exclude: Alternatives:
Cured or Processed Meats (corned beef, ham, bacon, sausage, lunch meats, hot dogs)
Alternatives:
Fresh or frozen meats cooked without salt (chicken, turkey bacon or turkey sausage)

12. Low Sodium Diet Foods to Exclude: Alternatives:
Processed cheeses (American, cheese spread)
Vegetables: canned, pickled, vegetable juice, potato salad, tomato sauce
Alternatives:
Swiss or mozzarella cheese
Vegetables: canned with no added salt, fresh, sauce with no added salt
ALL fruits & fruit juices allowed

13. Low Sodium Diet Foods to Exclude: Alternatives: Salt
Limit mustard or ketchup to 1 tsp/day
Snacks: salted popcorn, chips, pretzels, salted nuts, salted crackers, cheese cake
Canned Soups
Alternatives:
Season packet, Mrs. Dash, Tobasco sauce, onion or garlic powder
Snacks: unsalted popcorn or pretzels, unsalted nuts, crackers with out salted tops, ice cream, popsicles
Sodium reduced soups

14. Renal, Low Sodium, & NAS Diet
Things to Remember:
Daily Limits Vs. Meal Limits:
When the screen flashes red warning that the sodium or potassium may go above what is recommended for the meal, check previous meals.
Renal Diet
Sodium: not to exceed 2,050 mg per day total
Potassium: not to exceed 2,050 mg per day total
Never tell a patient no without offering an alternative

15. Jeopardy!!

16. Dental
Soft
Mechanical Soft
Renal
NAS
Low-Sodium
100
200
300
400
Bonus Question!
500