Prior to discharge, the nurse instructs an elderly client's wife about preparing a mechanical soft diet at home. It is important that the nurse emphasize the importance of:
1. Adding extra fiber to prevent the material from becoming too soft.
2. Including all food groups in the diet to assure that it is nutritionally adequate.
3. Avoiding meats which could cause choking or aspiration.
4. Adding extra salt and fat to improve the taste of the foods.
2
Rationale: Low-fiber diets may be easier to prepare in the consistency required for a mechanical soft diet. Including all food groups in appropriate proportions will assure a balanced nutritional intake. Meats that are not tough or include casings or other sources of protein are an essential component in a balanced diet. Extra salt or fat should be avoided since neither is beneficial in excess.
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