Name: ________________________________________
Date: _________________________________________
Procedure 56-2:
Instructing a Patient According to Dietary Needs
Objective: Provide patient instruction regarding a BRAT diet to treat diarrhea.
Equipment and Supplies: Patient’s health record; printed handout of BRAT diet; pen
Affective Behaviors: Affective behaviors provide a professional approach to a skill that enhances
the patient encounter. These behaviors may also display sensitivity to a patient’s rights and
enhance communication. Pay close attention to these skills, which will be in bold, italicized font.
Skills Assessment Requirements
Read and familiarize yourself with the procedure. Complete each procedure within a reasonable
amount of time, with a minimum of 85% accuracy.
Documentation
Use the area below for any documentation needed to complete the procedure.
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Name: ________________________________________
Date: _________________________________________
POINT VALUE
= 3–6 points
= 7–9 points
GRADED
TRIAL
# 1
GRADED
TRIAL
# 2
NOTES
1. Warmly greet and identify the
patient. Introduce yourself if you
haven’t already done so.
a. If the patient is a child, direct
the education toward the
caregiver but do not exclude
the patient during instruction.
2. Confirm that the patient is
experiencing GI upset, such as
diarrhea or vomiting.
3. Explain that the physician has
recommended that the patient
follow a BRAT diet. During the
explanation, review that the foods
in this diet include bananas, rice,
applesauce, and toast. Explain
that the toast should be eaten
plain or with a very small amount
of butter or margarine. Jellies,
honey, jam, and peanut butter are
not allowed on the BRAT diet.
4. Review allowed beverages with
the patient. The physician may
likely encourage the patient to
increase fluid consumption to
prevent dehydration. Often, fluids
allowed on the BRAT diet include
water, low-sugar sports drinks,
and sometimes ginger ale to aid in
settling the stomach.
5. Provide the patient or caregiver
with a printed handout that
includes information about the
BRAT diet and allowed beverages.
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Name: ________________________________________
Date: _________________________________________
POINT VALUE
= 3–6 points
= 7–9 points
GRADED
TRIAL
# 1
GRADED
TRIAL
# 2
NOTES
6. Inform the patient or caregiver
to contact the oce if the
patient does not show signs of
improvement. The physician will
want to see improvement within
48–72 hours. Always ask the
physician to clarify if you are not
sure. The patient or caregiver
should also be told to call the
oce if symptoms worsen.
7. Ask if the patient/caregiver has
any questions and if so, answer
them to the best of your ability.
8. Have the patient/caregiver sign
the handout indicating receipt of
a copy.
9. Place a copy of the signed handout
in the patient’s health record, or
if electronic health records are
used, scan the document into the
patient’s EHR.
10. Perform hand hygiene.
11. Document the teaching in the
patient’s health record.
GRADING
Points Earned
Points Possible 75 75
Percent Grade (Points Earned/
Points Possible)
PASS: YES
NO
N/A
YES
NO
N/A
Instructor Sign-O
Instructor: ______________________________________________ Date: _________________________
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click to sign
signature
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