food first advice leaflet for community...
TRANSCRIPT
Food First Advice Leafletfor Community Setting
A guide to eating well if you have a small appetite for clients in a community setting or on a community caseload
If you are eating less or have lost weight without planning to, simple changes to your meals and snacks may make a difference. You may be recommended foods that you would think are unhealthy. This is the recommended diet until your appetite improves.
Why do you need to eat well?
• Ifyouhaveapoorappetite,youmayhavelostweightorbeatrisk of losing weight
• Eatingtoolittlemayalsoaffectyourenergylevels
• Lackofprotein,mineralsandvitaminsmaymakeyoumoreproneto illness or delay the healing process
• Itisimportantthatyoueatabalanceddiettoprovideallthenecessary nutrients. These can be provided by simple meals and snacks.
Helpful Hints
• Aimfor3smallmealsand2to3snacksadayifyourappetiteispoor
• Takedrinksafteryourmeal,notbeforeorduringasthiscanfillyouup
• Drinks,snacksandmealscanbefortifiedtomakethemmorenutritious
• Smokingcanreduceyourappetite-trytocutdownorstopsmoking
• Eatingbreakfastmayhelpyoueatbetterfortherestoftheday
• Addvarietytoyourdietwhereverpossibletomakemealsmoreinteresting
• Conveniencefoodscanbeusefulifyoufindcookingdifficultortiring.
This dietary advice sheet gives some general information to help you make changes to your diet. Ifyourappetitedoesnotimproveoryoulosemoreweightoryoufindmakingthesechangesdifficult,please discuss with your doctor.
10DHSSPSPromotingGoodNutritionFoodFirstAdviceLeafletforCommunitySetting|ReviewDate:November2015
Food First Advice Leafletfor Community Setting (Continued)
PROTEIN FOODS
• Aimtohave2portionsofproteinadayandchoosefromthefollowingfoods:
Meat, chicken and fish
• Includeatleast75-100g(3-4oz)ofmeat,chickenorfishifyouhaveacookedmeal
• Tryconveniencefoodssuchaslasagne,fishinsauce or shepherd’s pie
• Forasnackmealincludesmallerportionsofmeatorfishinasandwichorontoaste.g.tinnedmackerel on toast or chicken sandwich.
Cheese and Eggs
• Gratedcheesecanbeaddedintoscrambledeggs, mashed potatoes, sprinkled onto a bowl of soup or beans on toast
• Forasnackmealtrycheeseontoastor cheeseoreggsandwiches.(1oz(30g)cheese or1-2eggs)
• Haveacheeseoreggmealsuchasmacaronicheese,scrambledeggs,cauliflowercheeseoran omelette
• Trymakingacheesesaucetoputwithvegetables,fishorpasta.
Beans and Lentils
• Chooselentilorbeansoups,oraddtinnedbeans such as butter beans or kidney beans to casseroles or soups.
Nuts
• Snackonplain,salted,dry-roastedorchocolatecovered nuts
• Addtofoodssuchascasseroles,saladsordesserts.
DAIRY FOODS
• Aimforatleast1pint(568ml)ofmilkperdayoratleast3portionsofdairyfoods.
1 portion is: 200ml(1/3pint)milk150g(mediumpot)ofyoghurt30g(1oz)cheese200g(1/2can)ofmilkypudding
• Usewholemilkifyouarelosingweight,oraimfor2-3portionseachday
• Avoidlowfat,sugarfreeyoghurts.Choosethickand creamy varieties
• Includeamilk-baseddessertatmealse.g.custard, milk jelly, yoghurt, fruit fools and mousses.
FRUITS AND VEGETABLES
• Fruitandvegetablesprovidevitaminsandminerals. Include small helpings with meals but don’tfillupontheseastheyarelowinproteinand calories
• Frozenortinnedfruitandvegetablesarejustasnutritious as fresh
• AimforatleastoneglassofpurefruitjuiceorsquashfortifiedwithvitaminCaday.
CARBOHYDRATE
• Carbohydratesarestarchyfoodse.g.potatoes,breakfast cereal, rice, pasta and bread. These are important as they provide fuel for the body and essential vitamins and minerals
• Wholegrainvarietiesprovidefibreandhelptopreventconstipationbutmaybefillingsoavoidifappetite is small
• Haveatleastoneportionateverymeal:oneserving is approximately 1 slice of bread, ½ cup ofrice,½cupofpasta,2eggsizedpotatoesora small bowl of cereal.
Food Groups
11DHSSPSPromotingGoodNutritionFoodFirstAdviceLeafletforCommunitySetting|ReviewDate:November2015
Food First Advice Leafletfor Community Setting (Continued)
Fortifying your foods to increase calories
Caloriescomefromproteinfoods,fatsandoils,starchyfoods(bread, potatoes,pasta,riceandbreakfastcereals)andsugar.Toincrease yourcalorieintakemakesureyoudothefollowing:
• Addlotsofbutterormargarinetoyourfoodse.g.
- Spreadthicklyonbreadandcrackers
- Mashintopotatoesormeltontopofvegetables
- Stirintohotpastaandservewithmeatorcheesesauce
- Donotuse“light”orlowfatspread
• Fryingfoodscanaddextracalories
- Roastpotatoesandchipsarehighincaloriesandareausefulsourceofenergy
• Usemayonnaise,saladcreamanddressingsgenerously
• Choosewholemilkinsteadofskimmedorsemi-skimmedmilk
• Addcreamtosoups,sauces,dessertsorporridge
• Gratecheeseoverscrambledegg,vegetablesorpotatoes.
‘Overthecounter’enricheddrinkse.g.ComplanorBuild-Upcanbeusedtoincreasecalorieintake.
Fortified Milk
Fortifymilkbyaddingskimmedmilkpowdere.g.Marvel,orsupermarkets’own brand skimmed milk powder. This increases the protein and calorie content.
Whisk2-4heapedtablespoons(50g/2oz)skimmedmilkpowderinto1pint of whole milk.
Thismilkcanthenbeusedto:
• Makemilkydrinkssuchashotchocolate,coffee,Ovaltine,Horlicks,orcocoa
• Makeporridge
• Pourovercereal
• Makesaucese.g.whiteorcheesesauce
• Milkshakes(tryaddingfreshfruitandicecreamfora“thickshake”)
• Makeintodessertse.g.custard,semolina,ricepuddingetc.
12DHSSPSPromotingGoodNutritionFoodFirstAdviceLeafletforCommunitySetting|ReviewDate:November2015
Food First Advice Leafletfor Community Setting (Continued)
Meal and snack ideas for small appetites
Breakfast
• Cereale.g.Weetabix,Cornflakes,ReadyBrek,RiceKrispiesorPorridgewithwholemilk
• And/ortoastwithmargarine/butterandjam,peanutbutter,marmalade
• Bakedbeansorspaghettiontoastorbread• Scrambled,boiled,friedorpoachedeggonbreadortoast• Glassoffreshorangejuice/wholemilkorpieceoffruitwithcream.
Light Meal
• Macaronicheesewithgratedcheeseandtomato• Creamysoupwithgratedcheese/creamandarollorsandwich• Cheese,bakedbeans,peanutbutter,tinnedspaghettiorsardines
on toast• Jacketpotatowithbutterormargarine,cheeseandbakedbeans,
tuna and mayonnaise or creamy mushroom sauce• Cauliflowercheesewithpotatoes,orwheatenbread• Sausagerolls,pasties,Scotcheggormeatpiewithbakedbeans,
bread or chips• Sandwichmadewithmargarineorsoftbutter,cheeseand/orMayonnaiseandfillingsuchastinnedfish,coldmeat,cheese,prawns or boiled egg with salad
• Quicheandgarlicbread.
Main Meal
• Chickenpie,potatoesandvegetables• Sausages,bakedbeansandmashedpotatoes• Anyreadymeal• Poachedfishwithpotatoesandtinned/frozenvegetables• Shepherd’spie/cottagepie/Irishstew.
Bed Time
• Hotmilkydrinke.g.Horlicks,Ovaltine,hotchocolate made with whole milk.
13DHSSPSPromotingGoodNutritionFoodFirstAdviceLeafletforCommunitySetting|ReviewDate:November2015
Food First Advice Leafletfor Community Setting (Continued)
Meal and snack ideas for small appetites
Ideas for snacks and desserts
• MilkyDessertse.g.milkpudding,stewedfruit&custard,sponge &custard,fruitfool,fromagefrais,semolina,eggcustard,mousse, milk jelly, ice cream, rice pudding, custard, thick and creamy yoghurt e.g.Greekstyleyoghurt,trifle
• Softfruitwithcreamorice-cream• Traybakes,bunsandpastries:chocolateéclairs,doughnuts,croissants• Biscuitse.g.chocolatecoveredbiscuits,shortbread,flapjacks,cookies• Toastedcrumpets/barmbrack/maltloaf/scones/pancakes/crumpets
topped with butter, jam, honey or cheese.
14DHSSPSPromotingGoodNutritionFoodFirstAdviceLeafletforCommunitySetting|ReviewDate:November2015