Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Milk Cure.~--Certain physicians advise milk alone, giving from one to
two gallons a day for three weeks or longer. Many individuals complain
that "milk makes them bilious" but, as a rule, this is because the
amount taken is small and the solids insufficient to lend the
necessary bulk to the feces, consequently the peristaltic action
becomes sluggish and the passage of the food mass delayed in the
intestinal tract, furnishing a medium for bacterial growth and
activity. When larger quantities are ingested such is not the case and
the fluid so high in nutrient qualities is utilized by the body for
the building up of the depleted tissues. When the emaciation is the
result of disease the diet is necessarily adjusted to meet the
condition. At times it is most difficult to overcome the anemia and
accompanying emaciation on account of the disease precluding the
giving of the foods especially designed by nature to produce flesh.
This is especially the case in the progressive emaciation in diabetes.
However, in this case the Allen starvation treatment, with the
reeducation of the organs to a toleration for carbohydrates, has gone
far toward overcoming this distressing condition.
~Readjusting the Habits.~--When the loss of weight is found to be the
result of close application to work, lack of fresh air and sleep, or
from errors in diet, a change of climate and occupation should be
made, together with a readjustment of the daily habits, such as
substituting a cool bath for the regular hot one, and sleeping out of
doors or on a sleeping porch instead of in a poorly ventilated
bedroom.
The patient must be urged to eat, regardless of appetite, for in this
way only can the body weight be increased. The dietary must be made up
largely of the fat-forming foods, but not to such an extent as to
upset the nitrogen equilibrium.
The following diet sheet is given to be used as a guide in the
treatment of emaciation. Other foods of a similar composition and fuel
value may be substituted for those given here, to vary the diet.
EMACIATION DIET SHEET
_Approximately 5106 calories_
KEY
A _Protein Gm._
B _Carbohydrate Gm._
C _Fat Gm._
D _Total Calories_
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