DIETETIC SERVICES 
                                   
                        DIET MANUAL 
                                   
                                   
                                   
                                   
                  Healthcare Management Composite, Inc. 
                       9837 Folsom Blvd., Suite A 
                         Sacramento, CA 95827 
                             916-364-5300 
                      Lee Tincher, MS, RD, President 
                        www.hmcomposite.com 
                                   
                                   
                                   
                            Copyright 2007 
                                   
                                   
                  _____HEALTHCARE MANAGEMENT COMPOSITE, Inc. © 2007_____ 
                                   
                                                
           Congratulations on your purchase of Dietetic Services Diet Manual, 
           Healthcare Management Composite, Inc. ©2007. 
            
           DISCLAIMER OF WARRANTY: 
           This book is sold as is without warranty of any kind, either expressed or implied, 
           respecting the contents of this book, including but not limited to implied warranties for the 
           book’s quality, performance, merchantability, or fitness for any purpose.  Healthcare 
           Management Composite, Inc. accepts no responsibility for user’s interpretation of 
           information.  Healthcare Management Composite, Inc. shall not be liable to the purchaser 
           or any other person or entity with respect to liability, loss, or damage caused or alleged to 
           be caused directly or indirectly by this manual. 
            
           COPYRIGHT 2007 Healthcare Management Composite, Inc., all rights 
           reserved. 
            
           RESTRICTIONS ON USE OF COPYRIGHT MATERIAL: 
           This publication is for the use of one facility and may not be reproduced, except for forms 
           to be used by purchasing facility.  No part of this publication may be reproduced for sale in 
           any form or by any means or stored in a database or retrieval system or translated into any 
           language or computer language, in any form or by any means, without the prior written 
           consent of Healthcare Management Composite, Inc. 
            
           ACKNOWLEDGEMENT OF COPYRIGHT AND AGREEMENT: 
           Your purchase and use of this manual acknowledges that you have read this agreement, 
           understood it and agree to be bound by its terms and conditions.  You further agree that it 
           is the complete and exclusive statement of the agreement between us which supersedes 
           any proposal or prior agreement, oral or written, and any other communications between 
           us relating to the subject matter of this agreement. 
            
            
            
                                                
                                 Lee Tincher MS, RD, President 
                            Healthcare Management Composite, Inc. 
                       9837 Folsom Blvd., Suite A, Sacramento, CA 95827 
                                         916-364-5300 
                                                           
                                    www.hmcomposite.com
                         _____HEALTHCARE MANAGEMENT COMPOSITE, Inc. © 2007_____ 
                                                                                2
                                INTRODUCTION 
           
          The HM Composite Dietetic Services Diet Manual has been developed for long and short 
          term care institutions by the Registered Dietitians of Healthcare Management Composite.   
          Nursing facilities caring for long term elderly residents, psychiatric hospitals catering to 
          short term clients, small acute hospitals, residential care, and board and care facilities all 
          require diet information.  The contents of this manual reflect current dietetic practice and 
          research findings applied to the feeding of resident populations.  
           
          The Dietetic Services Diet Manual should be read carefully.  Any discrepancies between 
          the current facility diet procedures and this manual should be resolved at the Resident 
          Care Policy Committee prior to approval of the manual.  Review pertinent policies and 
          procedures with the dietary staff.  The Diet Manual should be made available to all 
          personnel concerned with Dietetic Services.  An inservice “Overview of Dietetic Services 
          Diet Manual” is included in the Appendix section. 
           
          The page Facility House Diets is designed as a poster that can also be used as a handout 
          for inservice training with dietary staff, nursing personnel or others. 
           
          The menus and therapeutic diets served to the residents or clients must follow a facility 
          approved Diet Manual.  Details of specific diets and meal patterns are further supported in 
          the Dietetic Services Policy and Procedure Manual and educational material provided to 
          the food production staff.  Diet therapy should be approached through consideration for the 
          individual and their needs, thus the diets found on the following pages are a guide only.  
          The descriptions of diets in this manual shall serve as a reference for the Registered 
          Dietitian in planning cycle menus, a guide for the Physician in selecting appropriate dietary 
          regimens, and a resource for the Food Service Director and nursing personnel to establish 
          a common language of communication. 
           
          The Dietetic Services Diet Manual divides diets into nine categories.  The nine categories 
          are 1) Normal Nutrition; 2) Regular Diets; 3) Consistency (Texture) Modified Diets; 4) 
          Carbohydrate Modified Diets; 5) Fat Modified Diets; 6) Mineral Modified Diets; 7) Protein 
          Modified/Renal Diets; 8) Food Sensitivities and Intolerances; and 9) Enteral and Parenteral 
          Nutrition.  Listed under each heading are the specific diets included in this Diet Manual. 
           
           Some diets contain additional information for institutional menu planning where menus 
          and food preparation are under the direction of a Registered Dietitian or other dietetic 
          professional. 
           
          We are confident you will find this revised manual to be the best written, user-friendly 
          Dietetic Service Manual. While this manual meets current regulations, be aware that state 
          regulations vary and new federal or state regulations are released continuously.  Your 
          comments are always welcome.  We gratefully acknowledge the contributions of these 
          professionals: 
           
                     _____HEALTHCARE MANAGEMENT COMPOSITE, Inc. © 2007_____ 
                                                                    3
        Author:      Lee Tincher, MS, RD, President 
         
        Co-Author:              Judith Morgan, MBA, RD 
         
        Editor:                 Susan Liebert, Project Director 
         
        Reviewers:               Sam Ousey, RD, Operations VP 
                                 Sonja Lorraine, RD, Human Resources Director 
                                 Stephanie Keelan, RD, Business Dev. Director 
                                 Janet Montano, RD, Menu Programs Director 
                                 Debbie Bill-Serpa, CDM, CFPP 
                                 Julie Tharalson, RD 
                                 Lisa Boury, RD 
                                  
         
         
         
         
        Thank you for purchasing the Healthcare Management Composite Dietetic Services Diet 
        Manual © 2007.   
         
         
                  _____HEALTHCARE MANAGEMENT COMPOSITE, Inc. © 2007_____ 
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