Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Convalescent Diet.~--During the fourth week, if the pain and
discomfort are decreasing, soft-cooked or creamed eggs may be added to
the diet, together with thoroughly boiled rice, farina, cream of
wheat, wheatena and other finely ground wheat foods, wine or fruit
jelly, sweetened slightly, or by using a small amount of saccharin for
the purpose, junket and plain vanilla ice cream. At the end of the
fourth week a very small portion of meat may be given once a day. It
may be scraped raw beef spread upon toast or zwieback, or very lightly
broiled beefsteak, broiled lamb chop or chicken (breast only), or
boiled or broiled sweetbreads or brains. Spinach or green peas pressed
through a sieve are the first vegetables allowed. After these young
tender carrots and string beans may be given. Tea, coffee, and
chocolate are eliminated from the diet. Milk flavored with coffee or
cocoa may serve as a hot drink in the morning when the desire or need
for such a drink is manifested. Butter is the best form of fat to be
used in cases of gastric ulceration, but this must be given with the
greatest caution. In cases where this fat is used in the form of
cream, the amount must be cut down or entirely abandoned when there
are evidences of butyric fermentation. Buttermilk, koumiss, and other
fermented milk drinks are often found very satisfactory adjuncts to
the diet. These may be given between meals, or at meals they may be
substituted entirely for the milk when other foods are being given.
They are not sufficiently nourishing to take the place of the milk
diet otherwise. Albumenized orange juice and cream, egg and vichy may
be given to add variety to the diet.
~Anemia.~--When anemia is severe, as is often the case in gastric
ulceration, the diet must be reenforced to overcome it. Some of the
concentrated milk foods such as plasmon, encasin, sanatogen, etc., as
well as the predigested meat foods, such as panopepton, liquid beef
peptonoids, and like preparations, may be used to reenforce the diet.
~Bland Diet.~--In certain cases of gastric ulceration it has been
found more advisable to use what is known as a bland diet. This
consists of farinaceous foods such as farina, arrowroot, cream of
wheat, corn meal, wheatena, malted breakfast foods cooked thoroughly
and given in the form of gruels, and some of the proprietary infant
foods, such as Mellin's Food, Eskay's Food, Racahout. These foods may
require the addition of Taka diastase to make them more readily
digested. They leave the stomach more rapidly than any of the others,
and for this reason will be found to give less discomfort than the
foods containing a high percentage of protein and fat. This diet,
however, cannot be prolonged on account of its lack of balance. If the
gruels are made with milk instead of with all water they become more
evenly balanced. Samples of the stomach contents may be taken for
analyses from time to time.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account