food first - pennine gp training
TRANSCRIPT
FOOD FIRSTA guide to help people who
find it difficult to gain weight.
Information for patients
NHS Calderdale
IntroductionThis information booklet is designed to help you if you have:
• lostweightorarelosingweight,unintentionally;
• apoorappetite;
• problemsgainingweight.
Improving your dietary intake can help towards keeping you as healthy as possible.
If you have diabetesIt is important to maintain good control of your blood sugars whilst trying to gain weight. The advice to include additional smallermeals,extrasnacksandfatwillhelptopreventfurther weight loss. Your intake of sugar and sugary foods may be increased cautiously however you should measure your blood sugar levels more frequently to monitor the effectofthisonyourdiabetes.Contactyourdoctor,nurseordietician if you need further advice.
Getting a lot out of a little• Eatthreesmallmealsandtwoorthreesnacksperday(see
sectiononsnackideas).Eatavarietyoffoodsthatyouenjoy.
• Keepsnackshandyandreadytoeat.
• Tryatleasttwonourishingdrinksperdaye.g.milk,milkycoffee,hotchocolateormalteddrinks(seenourishingdrinks ideas).
• Enrichedmilk:addfourtablespoonsofdriedwholemilkpowdertoonepintoffullcreammilk–usethisindrinks,cereals,puddings,saucesandformakingmilkydrinks.
Food first
• Useextrabutter/margarineonbread,chapattisandcrackers,addtopotatoesandvegetables.
• Sprinklegratedcheeseontosoups,stews,sauces,potatoes,vegetables,beansontoastandscrambledeggs.
• Adddoublecreamtosoups,desserts,mashedpotatoesand fruit.
• Choosefullfatproductswhereverpossible,ratherthan‘diet’foods,e.g.fullfatcheese,condensedorcreamysoups,‘thickandcreamy’yoghurtsandcreamypuddings.
• Usesugaryfoodse.g.jam,syrup,honeyandtreacleonporridge,milkpuddings,cakesandonbread.
• Addextrasugarindrinks,puddings,oncerealsandporridge.
Helpful hints• Ifyouhaveasmallappetite,aimforfiveorsixsmallmeals
throughouttheday,ratherthantwoorthreelargermeals.
• Don’trushyourmeals–taketimetorelaxandenjoythem,e.g. use background music or try to eat with company.
• Trynottodrinkalotoffluidjustbeforeyourmeal,asthismayreduceyourappetite,butdrinkplentyatothertimes.
• Awalkinthefreshairbeforemealscanoftenimproveappetite
• Makethemostofdayswhenyouarefeelingbetterbyeating well – try to include your favourite foods
• Ifcookingisdifficultormakesyoutired,conveniencefoodscanbeuseful.Thereisawiderangeoffrozen,chilled or packet ready meals to try.
NHS Calderdale
• Alcohol,insmallamounts,canhelpstimulateyourappetite,ifpermittedbyyourdoctor
• Smokingtendstoreduceyourappetite–cuttingbackwill help improve your appetite and health in general
If your food intake or weight has not improved within a maximum of four weeks, contact your GP or nurse.
When you reach your target weight• Slowlyreducethenumberofextrasnacksthatyouare
eating.
• Changebacktolowerfatoptionsifyoucontinuetogainweighte.g.semi-skimmedmilk,lowfatyogurt.
Snack ideas• fruitcake,currantteacakeandmaltloaf
• biscuits–cheeseorchocolate
• miniporkpie/pastry
• sausagerollorquiche
• sconesorcrumpetswithjamandcream
• cake,e.g.jamsponge,minirolls,parkin
• crackersordigestivebiscuitswithbutterandcheese
• nuts–savoury,chocolateoryoghurtcoated
Food first
• chevdaorBombaymix
• driedfruit–plain,chocolateoryoghurtcoated
• crisps,chocolateandsweets
• breakfastcerealwithenrichedmilk
• toastwithpeanutbutter
• breadsticksanddips
• bhajia,samosas,pakora.
Puddings• trifle–fruitorchocolate
• eggcustard
• crèmecaramel
• gateauxandcheesecakewithcreamoricecream
• full-fatmousse
• thickandcreamyyoghurt
• ricepuddingwithdriedfruit,jamorhoney
• spongeandcustard
• icecreamwithtinnedfruit
• instantpudding,e.g.AngelDelight
• milkyjellymadewithevaporatedmilkorfortifiedmilk
• Asianpuddingse.g.Gulabjamen,sevyiaan.
NHS Calderdale
Enriched soup
Ingredients:
1 packet or soup in a sachet
1 cup enriched full fat milk
cheese(grated)
Emptythecontentsofthepacket into mug.
Addwarmmilkandmixwell.
Put grated cheese on top.
Milk shake
Ingredients:
1 cup enriched full fat milk
1 scoop ice cream
1 tablespoon milk powder
flavouringse.g.milkshakesyrup,drinking chocolate
Mixtogetherandwhiskwell.
Chill and serve.
Nourishing drinks
Chilled banana drink
Ingredients:
1banana(mashed)
1 cup enriched full fat milk
1 teaspoon honey
1 scoop ice cream
Whisk or liquidise all ingredients together.
Servecold.
Food first
Fruit yoghurt drink
Ingredients:
1 small carton of full fat yoghurt (naturalorfruit)
1 small glass fruit juice or pureed fruit
Whisk or liquidise all ingredients together.
Chill and serve with a spoon of double cream.
Spicy night cap
Ingredients:
1 cup of enriched full fat milk
1 teaspoon syrup
a pinch of ground cinnamon
apinchofmixedspice
3-4 teaspoons of whisky or brandy (ifallowed)
Warm the milk in a saucepan or microwave
Addthesyrup,groundcinnamonandmixedspices
Addwhisky/brandyandservehot.
NHS Calderdale
Breakfast:• cerealwithfortifiedmilkandsugar
• cookedbreakfast,ifdesired,e.g.bacon,sausageand tomato
• bread/toastwithbutterandjam.
Mid-morning:• glassoffortifiedmilkornourishingdrink(seelist)
• smallsnack,e.g.biscuits,cake,crisps(seelist).
Lunch:• sandwichwithmeat,fish,cheeseoregg
• creamysoupwithbreadandbutter
• toastwithbakedbeans,egg,pateorfish,e.g.sardines
• puddingse.g.creamyyoghurt,icecream(seedesserts list).
Sample meal plan
Food first
Mid-afternoon:• asmidmorning.
Evening meal:• meat,fish,cheeseoregg
• potatoes,rice,pastaorchapatti
• vegetablesorsalad(withbutterormayonnaise)dessert(seelist).
Supper:• hotmilkydrinkwithfortifiedmilk,e.g.hot
• chocolate,OvaltineorHorlicks
• smallsnack(seelist).
Aimtodrinkatleastsixtoeightcupsofnon-alcoholicfluidthroughouttheday.Twotothreeoftheseshouldbenourishingdrinks(seepreviousideas).
NHS Calderdale
Don’t forget!
The foods you keep in your kitchen will depend on your likes and dislikes.
Herearesomeideasofextrafoodstoputonyourshoppinglist.
Shopping list
In the store cupboard:
• milkpowder,tinnedmeatsa
ndfish,e.g.
cornedbeef,ham,tunaandpil
chards
• macaronicheese,tinnedspa
ghetti,baked
beans
• creamy/condensedtinnedor
packetsoups
• instantmashedpotato
• tinnedvegetablesandpotat
oes
• tinnedcream,condensed/e
vaporated
milks
• tinnedfruit
• tins/cartonsofmilkpuddin
g,custard,
mousse,jelly
• snacks,e.g.nuts,crisps,swe
etandsavoury
biscuits
• driedfruit,e.g.currants,apr
icots,raisins
• honey,syrup,treacle,jam,le
moncurd
• Horlicks,Ovaltineanddrinkin
gchocolate.
Food first
Don’t forget!
In the freezer:
• icecream
• readymeals,e.g.cottagepie
,corned
beefhash,currywithrice
• fishpie,fishfingers
• boilinthebagmeals,e.g.c
odinsauce
• frozenchipsandvegetables
.
In the fridge:
• fullfatmilk
• cheese–hardvarieties
• freshcream
• smallpotsoftrifle,fullfaty
oghurts,
custard – thick and creamy varieties
• pies,pasties,quiches.
Shopping list
AcknowledgmenttoNHSKirklees
AdaptedfromWakefieldDistrictGuidelinesfortheAssessmentandManagementofUnderNutritionintheCommunity
NHS Calderdale4th Floor F MillDean CloughHalifaxHX3 5AX
Tel: 01422 281300
Date of publication: June 2011Print ref: HH3807 Job ref: EXd43413