Nutrition Services | Registered Dietitian Consulting Group



Diet Order CommunicationResident:Res #:Rm:Date:Communication: New Resident Diet Change Snack/SupplementPhysician’s Diet Order:Diet: RegularTexture: Regular LCS Mechanical Soft NSP NFF (No Fried Foods) Puree Avoid high Potassium foods (NO Oranges, Orange juice, Thickened LiquidsBananas, Tomatoes, Tomato Products, Tomato Juice, Non- Nectar thickboiled White/Sweet Potatoes, Prunes, Prune Juice) Honey Thick NPO Pudding Thick __________________________________Snacks: Super Cereal at Breakfast With Peanut Butter Ice Cream ______________ Peanut Butter & Jelly Sandwich Prune Juice at Breakfast on ___________________ __________________________________________Adaptive Equipment:Food Allergies:Preferences:Signature:Date:Nutrition Services, Inc. | info@nutrition- | Nutrition-Diet Order CommunicationResident:Res #:Rm:Date:Communication: New Resident Diet Change Snack/SupplementPhysician’s Diet Order:Diet: RegularTexture: Regular LCS Mechanical Soft NSP NFF (No Fried Foods) Puree Avoid high Potassium foods (NO Oranges, Orange juice, Thickened LiquidsBananas, Tomatoes, Tomato Products, Tomato Juice, Non- Nectar thickboiled White/Sweet Potatoes, Prunes, Prune Juice) Honey Thick NPO Pudding Thick __________________________________Snacks: Super Cereal at Breakfast With Peanut Butter Ice Cream ______________ Peanut Butter & Jelly Sandwich Prune Juice at Breakfast on ___________________ __________________________________________Adaptive Equipment:Food Allergies:Preferences:Signature:Date:Nutrition Services, Inc. | info@nutrition- | ................
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