Re: Full Liquid Diet mini-Rant

[Guest guest]

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The Full Liquid diet is Horse****! Should be banned from any hospital - " sorry,

not on our formulary " (cause it is no longer in the current ADA Manual). Cream

based soup & milk products - too often ordered after CL for postop chole and

post-pancreatitis patients when the doctor writes " advanced diet as tolerated "

and the nurse thinks that everyone should progress from CL to FL to S. I'd love

for those nurses to sit in a room starving and face a tray of cream of mushroom

soup, custard, whole milk, pudding. Talk about a post-pancreatitis patient not

tolerating??? YUCK!!!!

Thank goodness the pediatric side of the house barely knows what a FL diet

actually is (and they only order it when they are looking for TF to be sent to

the ER). I'm also fortunate in that every pediatric resident graduating our

program learns to ask the RD to help with any nutrition needs, for diabetes

treatment advice, and to see a FTT patient the minute they show up in the ER.

It's actually kinda cute when they see me and ask me to " fix this patient " .

It's a little embarressing when they expect covering dietitians to do the same

things I do (like recommend the appropriate insulin dose for a new diabetic, or

write out the supplies prescription - but they aren't CDEs and haven't worked

with Type 1 diabetics as much as I have).

Holly Lee Brewer, MS RD CDE

Pediatric Dietitian & Diabetes Educator, Las Vegas, NV

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