Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Diet.~--Soft-cooked eggs, toast (slightly buttered), cocoa made with
water instead of milk, chicken, calf's-foot or wine jelly; later,
well-cooked rice, junket, and soft custard; still later, lightly
broiled beefsteak, lamb chops, chicken, squab or quail, sweetbreads or
brains. Not until the patient is entirely free from all symptoms of
diarrhea or intestinal disturbance may the following foods be given:
cream or cream dishes such as cream toast, cream chicken, or cream
soup, raw or stewed fruit, green vegetables, salt foods, spiced foods
of any description; pastries, confectionery and desserts in general,
unless they are simple in character and are sweetened with saccharin
instead of sugar, as the latter substance is particularly susceptible
to fermentation.
~Anemia as a Result.~--Anemia is one of the most common results of
prolonged diarrheal attacks, especially in those toxic diarrheas
resulting from infectious diseases, dysentery, etc. The blood-making
tissues suffer from a lack of nourishment and are in consequence
incapable of producing blood of the best quality. Hence the starvation
treatment cannot be carried on over a very extended period or the
resulting anemia may be more difficult to overcome than the original
trouble.
~Selecting and Regulating the Diet.~--The following points must be
kept in view when regulating the diets of individuals who are prone to
develop diarrhea:
~Preparing the Diet.~--Only such foods as are known to agree with the
individual, and these prepared in the simplest manner possible, must
have a place in the dietary.
~Fermentation.~--All foods that are subject to fermentation either in
the stomach or intestines must be withheld, at least until the attack
is well over. Sugar is an example of such foods; saccharin may be
substituted when necessary.
~Avoidable Foods.~--Pork, veal, and shellfish must be left out of the
dietary, possibly for months, since they have been found frequently
not only to bring about a return attack of diarrhea but also to have
been the cause of the original one.
Fatty foods of all sorts had best be avoided as long as there are
symptoms of diarrhea; these foods are handled with difficulty by the
digestive apparatus and impose extra work upon the intestine, which is
already taxed by the disease.
~Restricting Fluids.~--Fluid foods should be more or less limited in
the diet, since they require more effort on the part of the intestines
than the more concentrated foods.
~Proprietary Foods.~--Certain proprietary infant foods[94] are at
times found to be exceedingly valuable, since they furnish food in a
concentrated and digestible form. Among these Mellin's Food, Racahout,
and Imperial Granum may be mentioned.
CHRONIC ENTERITIS
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