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Providing Partnership services in Bedfordshire, Essex and Luton How to get the most out of your food In Tune with you – in hospital, in the community, in your home Sometimes we do not feel like eating. This can be for a variety of reasons and can affect your health if it continues over a period of time. It is important to eat a varied diet to ensure that you get as much nourishment as possible. Increasing the ENERGY content of your diet will help you maintain or increase your weight and make best use of the protein in your food. Slightly increasing the PROTEIN content of your diet may help your body to fight infection and repair tissues. Too much however will not help and may make you feel unwell. This leaflet is designed to help you over periods when your body may require more food and/or your appetite is poor. It shows you ways to improve the quality of your diet providing examples of suitable meals, snacks and drinks. Try these measures for 4 weeks. If they do not appear to be working ask your doctor about a referral to a State Registered Dietitian. If you have diabetes or kidney problems you may require individual advice. When Your Appetite Is Poor • Enjoy a variety of foods, have 2 small courses at each meal or aim to eat little and often, taking something small every 11/2 - 2 hours during the day. • Always have breakfast - you will find you eat better for the rest of the day. • Cold foods and snacks e.g. sandwiches, can be just as nourishing as a cooked meal and are often more appealing. • If you cannot manage a main meal have a milky drink, a small snack or a dessert instead. • Take your time eating. Chew all foods well and try to rest after meals. • Make the most of good days by treating yourself to your favourite foods. Eat what you want, when you want it. Don’t be tied to conventional mealtimes. • On days when you feel like cooking, make extra of what you cook and freeze a portion for a later date. • Sharp foods are refreshing. Try fresh fruit, fruit juice, lemon squash, boiled sweets and acid drops. • A small glass of alcohol or fruit juice half an hour before a meal may help to stimulate your appetite (check with your doctor first as alcohol should not be taken with some medicines or tablets). • Avoid filling yourself up with large servings of vegetables, salads, water and fizzy drinks. They provide bulk but little nourishment. • Try not to get out of the habit of eating - you actually need to keep eating to stimulate your appetite. • Having a breath of fresh air before meals also helps. • It is very important to drink enough fluid - aim for 6-8 cups a day. However it may be best not to drink just before meals as this may spoil your appetite. • Take up offers of shopping or cooking. Use home delivery services for shopping and meals. Eating in company can help. How To Add Extra Energy And Protein To Your Food To breakfast cereals add: sugar • honey • cream • evaporated milk • dried fruit To soups stir in: cream • yoghurt • cheeses • butter or margarine • milk • eggs To potatoes and vegetables add: cream • butter or margarine • grated cheese To puddings add: syrup • jam • honey. sugar • yoghurt • cream • dried fruit • ice cream • custard • eggs • milk powder To pastas add: cheese • cream and cheese sauces • cream • greek yoghurt To drinks add: sugar • honey • cream • milk powder Fortified milk: whisk 4 tablespoons of milk powder into a pint of full fat milk. Use this milk throughout the day in drinks, on cereals, in puddings and sauces etc. Refrigerate between use. Choose High Energy Foods! We all know that foods low in fat and sugar are part of a healthy diet. Such foods however are not useful for somebody who needs a diet high in energy. Choose more Choose less Full cream milk Skimmed and semi-skimmed milk Full fat and extra creamy yoghurts Low fat and diet yoghurts Normal butter or margarine Low fat butter or margarine Sugar Artificial sweeteners Full fat cheese Low fat cheese or cottage cheese Standard sugar-containing drinks Reduced sugar, no added sugar or low calorie drinks Fruit tinned in syrup Fruit tinned in natural juice Standard varieties of puddings or desserts Reduced sugar, low fat, diet milk puddings or desserts Ordinary crisps Low fat crisps Creamy soups Low calorie soups Full fat mayonnaise or salad creams Low fat varieties Fried foods Grilled foods What To Eat Main meals: include a high protein food such as meat, fish, chicken, egg or pulses with your main meal. Add extra calories and protein using the suggestions on the previous page. Convenience foods: these are very useful when you do not feel like cooking or shopping. Try and make sure you have a good supply of tinned, frozen or dried meals or foods in your cupboard or freezer. Ready-made meals such as shepherd’s pie, lasagne, curry or fish in sauce for example are also suitable. Sandwiches: use high protein fillings such as cheese, ham, egg, tuna, chicken, peanut butter or pate. Add interest and flavour with pickles, mayonnaise or salad cream. Jacket potato: there are lots of suitable fillings such as baked beans, cheese, tuna and sweetcorn, ham and coleslaw etc., and use butter with these. Toast: this can be useful as a snack or a small meal with toppings such as pilchards, sardines, baked beans, cheese or eggs. Desserts: choose high energy desserts such as thick and creamy yoghurts, fromage frais, custard, trifle, cheesecake, cakes with creamy fillings, rice pudding and ice cream. Snacks: aim to have a snack in between each of your main meals. Suggestions include scones and cakes, dried fruit, nuts, crisps, chocolate, cheese cubes or cheese and crackers and breakfast cereals. What To Drink Milky drinks: drinking chocolate, Bournvita, Ovaltine and Horlicks can provide quite a lot of energy and can be taken between meals as well as at bedtime. Avoid low calorie types and use fortified milk where possible. Milk shakes: ready-purchased or make up a powder such as Nesquick with full cream or fortified milk. A recipe for a rich milk shake is included on the back page of this leaflet. Coffee: made with milk, preferably fortified. Soups: instant or otherwise. The small cup-a-soup varieties can be particularly useful but avoid low calorie types. Yoghurt Drinks: can be purchased, or yoghurts can be diluted with milk to make yoghurt shakes. Fruit juices: fresh, long life or diluted. Fruit juice with fizzy drinks are refreshing. Supplement drinks: there are a number of drinks available to buy from chemists or supermarkets which are high in protein and energy with added vitamins and minerals. Examples are: Build Up, Complan Made up with milk, they provide a nourishing sweet or savoury drink useful between meals or to replace a meal occasionally. They can also be used in powdered form to add to foods to increase their nutrient content. Recipes Milk Shake Recipe 1 1/3 pint milk 2 heaped dsps milk powder or 1/2 sachet Build Up or Complan 1 scoop ice cream Mix the above ingredients in a blender or liquidizer and serve. Optional extras: yoghurt, tinned fruit, banana, cream, milk shake powder. Dessert Recipe 1 sachet Build Up or Complan 1 sachet Instant Whip 1/2 pint milk Soup Recipe 1 packet instant soup mix 3 tbsps neutral Build Up or Complan 113 pint milk Mix soup and Build Up or Complan. Add a little cold milk to form a paste and then add remaining milk. Mix together the powders. Add milk, whisk and leave to set. SEPT Patient Experience Team If you have any concerns or need advice about accessing NHS services, you can speak in confidence to the Patient Experience Team on 0800 0857 935 or you can email [email protected] PAH Patient Experience Team If you have any concerns or need advice about accessing NHS services, you can speak in confidence to the Patient Experience Team on 01279 444455 ext 2358 or PALS on 01279 827211 or you can email [email protected] This leaflet can be produced in large print, audio cassette, Braille and other languages on request. SEPT regards equality and diversity as integral to the way it works. Our staff will ensure that everyone is treated fairly and no one is discriminated against on the basis of their ethnicity, gender, disability, age, sexual orientation and religion or belief. CWE0009