MEAL INTAKE PERCENTAGE PRIORITY NUTRITION CARE DIETETIC INTERN

MEAL INTAKE PERCENTAGE PRIORITY NUTRITION CARE DIETETIC INTERN KERRY BARBERA

Objectives Importance of recording meal intakes Review percent of meal intake system Introduce point system another way of documenting food intake

Introduction Residents who consistently eat less than 75% of their meals puts them at risk of under -nutrition Weight loss and malnutrition have a significant impact in the elderly Accuracy is crucial in identifying at risk residents Early nutritional intervention is key

Meal Intakes

Food intake guide handout

Percent Meal Intake 76 -100%- ¾ of all items eaten. All of three or more basic food groups 51 -75%- ½ to ¾ of all items eaten. All of two basic food groups 26 -50%- ¼ to ½ of all items eaten. All of one basic food group 0 -25% -bites only. No basic food groups eaten Refused-nothing eaten

Points System Tallies the amount of food eaten. Beverage intake is documented separately per PE policy Condiments, such as ketchup, mustard, and mayonnaise, do not count. Butter counts with the bread. All other food items are given 1 point.

Points System If the resident eats: All of a particular food=1 point ¾ of a particular food = 1 point ½ of a particular food item = ½ point ≤ to ¼ of a food item = 0 points.

Points System Total points eaten-To simplify the process, record the tally of foods eaten as a fraction (ie, 2/7, 3/6, 4/9, etc). Once you have determined the total points eaten, divide this number into the number of total items on the tray. Example: 2/7=28. 5% rounded to the nearest whole number equals 29%, 3/6=50%, 4/9=44%

Example All of the soup and crackers=2 points ½ of the cottage cheese/fruit plate=½ point All of the orange Jell-O®=1 point TOTAL to record=3. 5/4 equals 87. 5% or 76100%

Example All of his orange juice ½ of the Cheerios ¾ of the bacon ½ banana None of the waffle with syrup TOTAL to record=2/4 equals 50% or 26 -50% not 51 -75%

Examples ¼ of the steak All of the mashed potatoes ½ of the green beans All of the salad with dressing ¾ of the vanilla pudding TOTAL to record=3. 5/5 equals 70% or 5175%

Examples 1 ¾ of the mushroom chicken= _____ ½ of the mashed potatoes with gravy=_____ None of the wax beans=_____ ½ of the bread with butter=_____ ¼ of the rice pudding =_____ All of the grapes=_____ ½ of the vanilla cake TOTAL to record=_____

Answer Example 1 ¾ of the mushroom chicken=1 ½ of the mashed potatoes with gravy=½ None of the wax beans =0 ½ of the bread with butter=½ ¼ of the rice pudding=0 All of the grapes=1 ½ of the vanilla cake=½ TOTAL to record: 3. 5/7= 50% or 26 -50%

Practice Example 2 Sips of the broth=_____ None of the tossed salad=_____ ¾ of the enchilada casserole=_____ ¼ of the spinach=_____ All of the roll=_____ All of the applesauce=_____ ½ of the ice cream =_____ TOTAL to record=_____

Answer Example 2 Sips of the broth=0 None of the tossed salad=0 ¾ of the enchilada casserole=1 ¼ of the spinach=0 All of the roll=1 All of the applesauce=1 ½ of the ice cream = 1 TOTAL to record: 4/7=57% or 51 -75%

Practice Example 3 All of the vegetable soup=_____ All of the crackers=____ ½ of the ham and cheese sandwich=____ ¾ of the potato salad=____ All of the custard=_____ All of the ice cream=____ TOTAL to record=_____

Answer Example 3 All of the vegetable soup= 1 All of the crackers= 1 ½ of the ham and cheese sandwich= ½ ¾ of the potato salad= 1 All of the custard= 1 All of the ice cream= 1 TOTAL to record: 5. 5/6=92% or 75 -100%

Practice Example 4 ½ of the chicken Kiev=____ ¼ of the brown rice=____ ½ of the broccoli =____ All of the carrots =____ ½ of the whole wheat roll=____ All of the rice pudding =____ None of the peaches =____ ½ of the ice cream=____ TOTAL intake=

Answer Example 4 ½ of the chicken Kiev= ½ ¼ of the brown rice=0 ½ of the broccoli = ½ ¾ of the carrots = 1 ¼ of the whole wheat roll=0 All of the rice pudding = 1 None of the peaches = 0 ¾ of the ice cream= 1 TOTAL intake=4/8 = 50% or 26 -50%

Summary Weight loss and malnutrition have a significant negative impact in the elderly Accuracy is crucial in identifying at risk residents early Early nutritional intervention is key Percent or Point system

Questions You gave me your time-the most thoughtful gift of all. - Dan Zedra Thank You!

Resources Nutrition 411. com. (2016). Meal Intake Guide (supported by Abbott Nutrition) | Nutrition 411. Retrieved from http: //www. nutrition 411. com/content/meal-intake-guidesupported-abbott-nutrition. Accessed on February 14, 2015 Nutrition 411. com. (2016). Point System Percentage Meal Intake: Adding Up the Points | Nutrition 411. Retrieved from http: //www. nutrition 411. com/content/pointsystem-percentage-meal-intake-adding-points. Accessed on February 14, 2015 FS. Rot. CRD 1. 1, 4. 4, & 4. 6. Barbera