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Vitamin Delicious Halal Food in Canada Are we getting enough? page 4 Nutrition Month Celebrate food... from field to table! page 12 page 3 healt hc are sol u tio ns sprin g 2010 Healthy food that’s not ‘heart’ to swallow… Alberta Health Services dishes up heart-healthy fare at the Mazankowski Heart Institute When Khaleed Khan and his team were charged with planning retail food services for the Mazankowski Alberta Heart Institute, they faced a huge challenge… but it’s one they were ready for. The café aims to satisfy the environment as well with high-efficiency kitchen equipment and mechanical systems, reusable mugs, and biodegradable ‘to-go’ packaging all help make the café ‘green.’ The task was to deliver heart-healthy food that meets nutrition guidelines, that also tastes good, at a reasonable price, in a limited space. The solution: Alberta Health Services’ newest healthy Trendz outlet! “We’ve transformed what would have been a traditional nondescript hospital café into a dining destination of choice for patients, visitors and staff,” Khan says. “This was important to us, as there is a multitude of competing restaurants within close distance to the building.” The healthy Trendz Café features hearthealthy fare that is tasty and nutritious, with emphasis on lower sodium products. One can enjoy high-end, Italian Caffè Fantini coffee and signature healthy Trendz food and snack options. With the atmosphere of an urban coffee cafe, the décor is elegant and modern, with digital menu boards to top it off. Khan is the Executive Director of Retail Food Services with Alberta Health Services. He and his planning team Rob Veronovici and Gianfranco Esposito, are responsible for overseeing the retail food service operations at all Alberta Health Services’ facilities across Alberta. “The hardest part of planning for this site was finding low-sodium products to meet the cardiac diet standards,” Khan says. “There just isn’t a big market for these products right now like there is for products with zero Trans fats.” The healthy Trendz Café culinary team makes their own soup and deli meats to ensure they meet the low-sodium requirements for cardiac patients. It also sources customized, low sodium baked goods from its vendor partners Future plans for healthy Trendz Café are already being tossed around, and may include cooking demonstrations and classes, as well as vendor exhibits that showcase foods used in the café’s dishes. continued on back page Creating Sweet Magic from a Mix with Betty Crocker Chef’s Corner Fat-Free Orange Angel Cake Each bite is light and refreshing—just like orange cotton candy! Enjoy as is or with your choice of toppings: a rich orangebrandy sauce or a light yogurt-fruit toss. Yield: 12 servings Cake: 1 box Betty Crocker® white angel food cake mix 1 1/4 cups Orange Juice Apricot Brandy Sauce: 1 cup 2 tbsp 1 tbsp 3 tbsp Apricot Preserves Corn Syrup Lemon Juice Brandy or Orange Juice Yogurt-Fruit Toss: 12 oz 4 cups Yoplait® Original 99% Fat Free Mandarin Orange Yogurt Fresh Fruit, cut up Preparation: Move oven rack to lowest position. Heat oven to 350°F. In extra-large glass or metal bowl, beat cake mix and orange juice with electric mixer on low speed 30 seconds. Beat on medium speed 1 minute. Pour into ungreased 10-inch angel food (tube) cake pan. Bake 37 to 47 minutes or until top is dark golden brown and cracks feel very dry and not sticky. Immediately turn pan upside down onto glass bottle, or rest edges on 2 to 4 cans of equal height until completely cooled, about 2 hours. Run knife around edge of cake; remove from pan. In 1-quart saucepan, heat preserves, corn syrup and lemon juice over low heat, stirring constantly until preserves are melted. Remove from heat; stir in brandy. Or, in large bowl, gently mix yogurt and fruit until coated. Serve cake with sauce or fruit mixture. 2 spring 2 0 1 0 Who was Betty Crocker? She was one of the best known interwar year’s women personalities but she never existed. During the late 1910’s and early 1920’s, the Washburn Crosby Company of Minneapolis (a well known milling company and now know as General Mills), received thousands of requests for answers to baking questions. In an effort to be more intimate with the consumer in their responses, they signed the response letters with the name Betty Crocker. They combined the last name of the retired company executive, William Crocker, with the first name “Betty,” which was thought of as a “warm and friendly” name. The signature of Betty Crocker came from a secretary who won a contest among female employees and that signature still appears on Betty Crocker products. Betty Crocker tried and true products have been around since the 1940’s. Initially the product contained powdered eggs but over four years of intensive research it was discovered that the consumer preferred to add some of their own fresh ingredients in an effort to create a more genuine cake. The powdered eggs were removed and the directions now call for adding two fresh eggs. During the 1950’s and 1960’s cake mix variety was the spice of life and hence, General Mills now offers a wide variety of flavours. During this time the luxury cake was considered to be the Angel Food cake. The consumer perceived it as a costly and tricky cake to make. Betty’s answer to the luxury cake was a one step process Angel Food cake. Only add water, mix and bake. Economics The foodservice industry in 2009 continues to be impacted by the tough economy. Food service facilities are striving to cut costs, yet keep quality levels at the same or better than before. One way to accomplish this is to source alternative products that offer versatility and consistency of products previously used. And… Betty Crocker can do this for you! Offering a wide variety of products allows the facilities to meet the expectations of the consumer/resident. Creativity and affordability is what Betty offers. Creativity!!! Who says a cake has to be made in a round or square cake pan? Make it in a rectangular pan for ease of cutting into 2x2 squares. Cut the servings into triangles for the special events. Use a loaf pan for another presentation option. Drop the cake mix by the tablespoon and make a soft cookie from it. If you need to adjust some of the ingredients to meet dietary requirements don’t be afraid: Cut the sugar – most baking recipes can replace half the sugar with Splenda (or a similar product). Use an Egg Substitute: you can replace half of the eggs in your recipes with egg substitute (1 large egg = 1/4 cup egg substitute). Angel Food cake is the most underutilized cake option out there. Most facilities buy it in frozen and it takes up an enormous amount of freezer space. If you use the one step alternative you can be more flexible with the presentation. Betty Crocker Angel Food cake is a perfect base for the most wonderful macaroons. Use a muffin pan for a single serve portion – perfect for the fresh fruit season (a lighter alternative to a pound cake), or make it on a cookie sheet and roll it up as a yule log. General Mills offers endless recipes for you to choose from. Vitamin Delicious By: Kathryn Hall, BASc,RD Vitamin D is getting a lot of press these days as its role in health and disease is better understood. Vitamin D has long been linked to healthy bones, but has also been linked to decreasing numbers of falls by the elderly and in chronic diseases such as diabetes, rheumatoid arthritis and colon cancer.1,2 As winter sets in, it will be harder and harder for us as Canadians to get enough. Often referred to as the “sunshine nutrient” vitamin D can be produced in our own bodies when our skin is exposed to sunlight during the summer months. During our cold Canadian winters we’re too bundled up to expose enough skin and the sun isn’t strong enough to allow our bodies to create the amount of vitamin D that we require. That’s why we need to rely on our food to provide us with the amount that Health Canada recommends each of us receive every day. Health Canada recommends the following daily amounts: 200IU for people under 50yrs, 400IU for people 51-70yrs and 600IU for those 71+yrs.3 Sources of vitamin D include: salmon, margarine, dairy products made with fortified cow’s milk and shiitake mushrooms.4 With such a short list of foods, increasing vitamin D intake can be a challenge, especially in long term care where calcium, protein and energy intake are all a concern. An afternoon snack of a half cup of Kraft Jell-O instant pudding prepared with fortified milk (1 cup instant skim milk powder in 1 litre of 2% milk) can provide approximately 200kcal, 261mg calcium, 7g protein and 100 IU of vitamin D4. Kraft Cracker Barrel, Delissio and Casino cheeses also make a great vitamin D and calcium packed snack. Or try adding one of these delicious Kraft recipes from kraftfoodservice.ca to your menu: “Queso Fundido” Mac and Cheese, Baked Salmon with Tomatoes, Spinach and Mushrooms, Salmon with Creamy Dill Sauce or Turkey-Poblano BBQ Meatloaf with Cheesy Mashed Potatoes. Kathryn Hall is a registered dietitian with a Bachelor of Applied Science in Nutrition and Food from Ryerson University. She completed her dietetic internship at Sunnybrook Health Sciences Centre in Toronto and is currently registered with the College of Dietitians of Ontario and a member of Dietitians of Canada and the Canadian Association of Foodservice Professionals. She has worked in both acute care hospital and long term care settings. References: 1 Bischoff-Ferrari HA, Dawson-Hughes B, Willett WC, Staehelin HB, Bazemore MG, Zee RY, et al. Effect of vitamin D on falls: a meta-analysis. JAMA. 162 2004;291:1999-2006. 163 Holick MF. Sunlight and vitamin D for bone health and prevention of 164 autoimmune diseases, cancer, and cardiovascular disease. Am J Clin Nutr. 2004; 165 80(suppl):1678S-88S. 166 2 Health Canada. 2009. Vitamin D: Recommendations and Review Status. http://www.hc-sc.gc.ca/fn-an/ nutrition/vitamin/vita-d-eng.php 3 Health Canada. 2009. Canadian Nutrient File, Version 2007b. http://www.hc-sc.gc.ca/fn-an/ nutrition/fiche-nutri-data/index-eng.php 4 So treat your special clients to the best. Treat them to Betty Crocker cake mixes with a twist – your TLC and make the best cakes, bars and desserts you’ve ever baked while keeping it affordable… http://www.bettycrocker.com. 2010 s pri n g 3 Halal Food in Canada Canada is one of the most diverse countries in the world. The 2006 census reports that 20% of all Canadians are foreign born – the highest proportion in 75 years. According to an estimate, there are over 1 Million Muslims in Canada. Muslims have special requirements when it comes to their dietary needs. The food should be Halal for any Muslim person. Meaning of Halal “Halal” is an Arabic word which means “permissible”. Anything, which according to the Islamic faith, a Muslim can do, enjoy, or engage in, is known as Halal. In terms of food consumption, anything which a Muslim can eat or drink is known as Halal. Some of the common Halal meat items are chicken, beef, lamb, goat, deer, seafood, etc. However, there is a special procedure which, if followed, then only will these items be considered as Halal. This is with the exception of seafood, which is Halal as default and no special procedure is required to make it Halal. The non-Halal items are known as “Haram”, which simple means “prohibited”. Halal and Haram do not go together. Therefore, there should not be mixing of any Haram product with the Halal one. Products like pork, alcohol or their by-products are known as Haram. Canadian Halal Market The World Halal Forum, estimates the Canadian Halal market to be around $1.5 Billion. Out of which $350 million is meat protein. The Halal market is still considered as an untapped segment for various foodservices and retailing sectors. This is one of the fastest growing ethnic food segments in Canada. Moreover, Halal does not represent any specific geographic location or ethnicity. The application and usage of Halal meat is universal. It can relate to any Muslim from any background in the world whether one is from the Middle East, Pakistan, India, Africa, Europe, Malaysia, China, if this person is Muslim, then Halal food will be the way that he or she would preferably eat. Canada’s rich and diverse population has really helped us to embrace each other’s culture and food. Today, as much as mainstream Canadians enjoy the ethnic flavours; Halal consumers also take pleasure in eating the mainstream Canadian food, whether in hospitals, nursing homes, restaurants, or schools. The only difference is that the food should be prepared with Halal ingredients. For most of the Halal consumers, meat is the central part of the daily meal and cuisine. While chicken is considered as a favorite protein option by the majority of Halal consumers, it is also a healthier alternative than most of the other meats. About Maple Lodge Farms Zabiha Halal Maple Lodge Farms Zabiha Halal is the largest producer of Halal poultry products in Canada. We have served the Canadian Halal market since 1990. Maple Lodge Farms offer the largest variety of quality poultry products. Whether you are looking for fresh or frozen Halal products, deli meats or portion controlled products, Maple Lodge Farms has it all. Maple Lodge Farms Zabiha Halal brand is very well known in the Muslim community. We offer our Halal products in a variety of fresh cuts – Ground Chicken, Legs, Wings, Thighs, Breasts, Drums and Whole Birds. In the frozen category Maple Lodge Farms offers Breaded Chicken Strips, Chicken Nuggets and Chicken Burgers. In wings, BBQ and Buffalo flavours. In deli we offer Cooked Original flavour, Bologna, and Breakfast Chicken Strips. While in wieners Maple Lodge Farms offers the Big Original and Original Chicken Wieners to cater to your customers of all ages and background. For more information, or to request samples please contact Melissa Rossini, Food Services Account Manager at 1.800.268.0863. Article by Salman Faisal, Product Manager – Maple Lodge Farms Zabiha Halal. Breakfast Burrito 4 spring 2 0 1 0 Ground Burger Fresh Sysco Breast Chunks 416-663-2727 or 1-800-969-6991 [email protected] www.shalitfoods.com 2010 s pri n g 5 The Crucial Journey from Conflict to Harmony By: Jayne Harvey, Owner and CEO of FCS International Our business of caring is based on exceptional customer service where excellence requires strong relationships and staff who understand their role in promoting positive interactions. And they must combine that nurturing and empathetic spirit with remarkable timemanagement and organizational ability. Staff members often find multi-tasking a dance of deadlines. All departments must work in unison. If one part of the machine is not as efficient or organized, the whole may be affected. apetito Therapeutic Products at Sysco it can be difficult to find convenient and tasty menu options when you need to follow a strict diet. Our special diet products have been created by working closely with our dietitian and prepared to a strict specification to ensure you get the nutrition you need. Conveniently packaged as a complete meal or in bulk. A tempting range to keep in the freezer and conveniently reheat when you want them. • • • • • • A range of quality, frozen products, available as individual meals or in bulk Nutritionally balanced for your special dietary needs Gluten Free Lactose Free No Added Salt Renal For More Information Contact Your Sysco Representative Our facility is federally inspected and operates a CFIA recognized HACCP program, ensuring the highest standards of food safety. 6 spring 2 0 1 0 For complete and up-to-date nutritional information and ingredient lists, click on apetito nutridata in the products section of our website at www.apetito.ca We’ve all had experiences when we get caught up in blaming each other for our bad day, and conflict rears its ugly head. The challenge is to resolve the issue instead of attacking the person. Conflict in the workplace usually surfaces as criticism about another staff person, resulting in subjective interpretation, gossip and innuendo, all of which fracture relationships. A good day is determined by “who is working with whom” rather than by everyone working together so that every day is a good day for everybody. Why is it so hard to maintain harmonious relationships in an industry that prides itself on caring? Not many of us are comfortable addressing conflict at work or in our personal lives. Dealing with discord constructively requires seeing the issue behind the emotion, depersonalizing the moment and avoiding judgment. As we work closely together day after day, we often find ourselves intertwined in each other’s lives, sometimes feeling like we have two families, one at home and the other at work. It is tricky to avoid being hurt by co-workers’ comments, feeling they somehow “should have known better”. In workplace conflict, it’s common to see employees refusing to pick up shifts or work with particular staff members, or choosing to work independently rather than ask a difficult co-worker for help. In the absolute worse-case scenarios, senior leaders find themselves at a loss to resolve issues, address complaints and get staff to assume accountability. This slippery slope can lead to far more serious ramifications: accusations of bullying, refusals to work and inflexibility in accommodating the changing needs of residents or patients. The basis of conflict can be rooted in a misunderstanding or a conscious choice to undermine others. Hidden agendas are difficult to manage, so your workforce needs boundaries of respectful communication that encourage building relationships, solving problems and working as a team. Here’s how: • The Interview Process – Develop value questions that all departments can use for interviewing all staff designations. These should be used for the first interview, when you ask questions exploring how flexible and how focused staff will be on solving issues or participating as a member of a team. • Orientation – Develop a clear orientation process that draws attention to communication, respectful relationships and team-building as the primary responsibility of the new staff member. • Performance – Enhance your performance-measuring tools to highlight the value portion of the work appraisal. • Policy – Develop policies and procedures that clearly define expectations of conduct: a communication charter, conflict-resolution process and list of meeting rules. • Communication – A communication charter defines what is expected within the organization, such as being honest, saying “please” and “thank you”, listening, agreeing to disagree, and not speaking of others unless they are present. • Meeting Rules – Your communication charter should also govern conduct in meetings. Meeting rules outline what happens if guidelines are violated, including ending the meeting if necessary. • Conflict Resolution Process – A conflict resolution process simplifies what is expected when a staff member is experiencing conflict. It should not be used or viewed as disciplinary but rather as a key to encourage staff to solve their own problems. Both your communication charter and conflict resolution process can be adopted for admission packages for patients, residents and family members to ensure they understand their responsibility in maintaining healthy relationships. Staff must be ever mindful that they work where your customers live, not that others live where they work. At the end of the day, it is their attitude that will dictate whether your customers feel they are in their own home or a guest in someone else’s house. 2010 s pri n g 7 Mini Mania Whole Grain and Fibre Chef’s Corner With foodservice trends changing daily, it is becoming increasingly difficult to keep consumers happy and satisfied. But with many menu options changing to “Mini” ideas, it is easy to see why this trend is becoming so popular. Not only can this option cut costs, but it can save time and can act as a healthier option for healthcare consumers. “Mini” menu ideas can also allow consumers to test different items in smaller portions. Canada’s Food Guide recommends that you make at least half of your grain choices whole grain everyday as whole grains are often a source of fibre. Fibre rich foods can help people feel full and satisfied.1 However, it is important to note that not all whole grains provide a source of fibre and a recent report suggest that many of the health benefits from eating whole grain foods come from the fibre content.2 Mini Trio Canada Bread Frozen Bakery offers many “Mini” ideas to suit not only the consumer, but the end user as well. With these products, end users can limit costs, promote healthy eating and have many popular trends all at the same time! What is the Difference between Whole Grains and Fibre? Mini Buns, Mini Bagels, Mini Ciabattas Yield: 1 serving Ingredients: 3 Mini Buns 1 5 oz Italian Meatball 4 Cheese Blend 11/2 oz Sliced Sausage 1 oz Provolone Cheese Slice 1/2 oz Mushrooms 11/2 oz 1/2 oz 1/2 oz Pulled Pork in SD Tomato Marinara Caciocavallo Cheese Roasted Red Pepper Benefits of Going “Mini” • Cuts plate costs • Easy to intake and chew, especially for Retirement or Long Term Care Residents • Clean, healthy ingredients such as Mini (Slider) Buns Canada Bread’s Mini Buns are an ideal menu solution for the healthcare sector. These soft, 2.5” buns are very easy to chew and being small, are ideal for such healthcare units as Retirement or Long Term Care Facilities. These buns can be used for many applications such as Mini Hamburgers and Mini Breakfast Sandwiches and with putting a few on a plate, end users cut their costs by dollars! Individually packed in bags of twelve, this item saves space in the freezer and will stay fresh out of the freezer for up to a week, making it an ideal product for the end user. Mini Ciabattas New to Canada Bread are 2.5”x 2.5” Mini Ciabattas. These Artisan Ciabattas are preservative and additive free and are made with the cleanest ingredients providing a healthy meal. These square un-sliced Mini Ciabattas can have multiple uses. Not only can they be used as a Mini Sandwich option but being un-sliced, they can be also used as a dinner roll. Their rustic look makes for a great looking menu idea and provides the same low cost and positive benefits. • Many different applications for each product • Plain • Harvest Wheat • Blueberry • Cinnamon Raisin • Low in Calories and Fat • No Waste: smaller portions will be easier to eat • All thaw and serve products Mini Bagels can have multiple uses such as a sandwich, or even as a side with soup. These low cost items provide a unique menu idea for any consumer. 8 spring 2 0 1 0 Whole grains or foods made from whole grains contain all three essential parts and naturally occurring components of the entire grain seed – the fibre-rich bran, endosperm and nutrient-packed germ. The nutrient contribution of different whole grains varies depending on the proportion of bran, endosperm and germ they contain. This includes the amount of fibre they provide because not all whole grains provide a source of fibre. For example, whole wheat provides more fibre per 100 grams of whole grains than whole oats, 12.2 g to 10.6 g respectively.3 What are the Health Benefits of Eating Whole Grains with Fibre? Studies show that eating more whole grains lowers the risk of many chronic diseases, such as heart disease, type 2 diabetes and certain types of cancer. Evidence has also shown that eating a diet high in fibre is linked to many of the same benefits, plus digestive health and maintaining a healthy body weight. However a recent independent review of the scientific literature confirmed that the health affects of whole grains are due to the fibre content of the whole grain food2. Therefore, in order to gain the maximum health benefit of whole grains, make sure to choose whole grain foods that also provide at least a source of fibre (2 g per serving). The best advice for knowing how much fibre is in a product is to Flip for Fibre – flip the box to the Nutrition Facts table to check the fibre content. The following Kellogg products made with whole grain provide at least a source of fibre: • Mini-Wheats* cereals • Just Right* cereal • MultiGrain Rice Krispies* cereal • Kellogg Two Scoops Raisin Bran* cereal • Muslix* cereals • All-Bran* cereals – Bran Flakes, Strawberry Bites, Strawberry Medley, Honey Nut Flavour • Guardian* cereal Mini Bagels For many people, especially within the healthcare sector, who find a whole bagel a little too much, Canada Bread’s Mini Bagels are a great solution! These 1.4oz sliced bagels are a great idea for breakfast, lunch or dinner and come in 4 varieties: sea salt and wheat flour Are they the same? For health care professional use only Sources: 1 Eating Well with Canada’s Food Guide. Health Canada, 2007 Whole Grain Intake Report, the Life Science Research Office, 2009. www.lsro.org/articles/wholeGrainIntake.html 3 Whole Grain Council of Canada, data from: USDA National Nutrient Database SR 17 2 2010 s pri n g 9 Nutrition During Flu Season Choose the Clear Fluid with a BOOST! If your patients or residents have experienced a fever, fatigue, loss of appetite, diarrhea and/or vomiting with the flu or other illness, chances are their fluid and nutritional status has suffered. During the recovery days that follow the illness, they may benefit from drinking a complete nutrition clear fluid. Try BOOST Fruit Flavoured Beverage. Influenza (or flu) affects millions of Canadians each year between November and April. The flu is a serious concern among Canadian healthcare facilities. Recovery from the flu can take a number of days or even weeks. Those who are in poor health are at greater risk of developing serious complications like pneumonia. In addition to influenza, there are a myriad of common viruses and gastrointestinal illnesses which can be debilitating for your patients and residents. During these times of illness, your 10 spring 2 0 1 0 patients or residents may have gone without solid food for more than 48 hours, or possibly suffered with a severe gastrointestinal illness and not eaten for almost a week. Patients who have experienced fever, diarrhea or vomiting, could be dehydrated and have probably lost weight. Residents who are already frail will have a more difficult time coping with flu symptoms, and the road to recovery may be challenging. As your patients begin to recover, an adequate fluid intake will be the most important focus. Fluids not only help manage hydration and prevent dehydration, they are also generally easier to digest and are often initially better tolerated than solid foods. Clear fluids may be easier to swallow than solid foods, they take less time to drink and they empty from the stomach more quickly. They are less likely to over stimulate the gastrointestinal tract, helping to reduce the incidence of gas or bloating, which may occur when solid foods or even milky fluids are taken too soon. Even though one of the primary intentions in taking clear fluids after an illness is to provide liquids and energy, most clear fluids are very low in calories as well as being nutritionally inadequate. Traditional “post–illness” fluids include soft drinks, soup broth, tea, gelatin and sometimes juice. These fluids are all very low in energy and may provide less than 3 g of protein and under 1000 kcal/day, as well as lacking important vitamins and minerals. If your patients have had fever, fatigue, loss of appetite, or diarrhea and/or vomiting, chances are their fluid and nutritional status has suffered. More than ever, during these times of stress or recovery, balanced nutrition is of primary importance. The focus needs be to on helping your patients reduce the risk of further nutritional depletion, regain strength, and facilitate immune system recovery. BOOST® Fruit Flavoured Beverage can help. Include this clear fluid, non-milky, complete nutrition drink as part of your patient or resident’s daily fluid intake and they will receive valuable calories, protein and key vitamins/minerals. BOOST® Fruit Flavoured Beverage is: • A complete nutrition, clear liquid supplement, with 180 calories/serving • High in protein, with 8.8 g /serving • Only 2% calories from fat • Designed to offer a lighter nonmilk taste while providing 28 essential nutrients • Ready-to-serve, with an attached straw for convenience in drinking • Available in three favourite flavors - orange, peach and wildberry • Note, BOOST® Fruit Flavoured Beverage contains whey (milk) protein Creating a Healthy Sandwich The sandwich – it’s customizable, adaptable and has endless creative possibilities. In foodservice settings, sandwiches represent over 1.2 billion annual servings, and these numbers continue to grow. In 2010, healthy sandwiches are predicted to be a big trend with customers who are looking for a quick, portable meal with high nutritional value. From fibre-rich whole grain bread to sodium-reduced meats, sandwich options are expanding to meet the needs of health-conscious consumers. Here are some tips for offering healthy sandwiches in your foodservice setting. The first layer: bread Multigrain is okay, but many savvy customers are starting to understand that whole grain breads are their best bet for optimal vitamin, mineral and fibre content. Make sure you have whole grains breads, bagels and tortillas available. Most multigrain breads are made from refined white flour and have a scattering of grains and seeds. These are not whole grain breads. True whole brain bread is made from 100% whole grain (i.e. not refined) flour such as whole wheat, rye or spelt. Try Dempster’s new Healthy Way Breads, which are a line of high fibre, whole grain breads that are also low in sodium. You can also select Dempster’s fibre-rich Ancient Grains bread, which is made from a blend of whole grain quinoa, amaranth, spelt and kamut. The second layer: protein Sales data shows that the most popular sandwiches in Canada are filled with chicken, turkey, ham or roast beef. Keep customers satisfied by offering range of these healthy meats. Offer lean turkey, ham, roast beef and chicken breast. Look for Maple Leaf Sure Slice Deli Meats. The sodium content has been reduced in our 3 top-selling varieties: Roast Beef, Turkey Breast and Black Forest Ham. Now each 60g portion has less than 470mg of sodium! Plus, both Turkey Breast and Black Forest Ham are low in saturated fat and trans fat free. To satisfy vegetarian customers, also offer assorted low-fat cheese, egg salad, hummus and a tofubased spread. The third layer: toppings Lettuce and tomato are traditional sandwich toppings, but other vegetables can also add a satisfying crunch to a delicious sandwich. Offer a selection of fresh cucumber, red peppers, avocado, spinach, shredded carrot and onion. Consider fruit too! Sliced apples or peaches are refreshing options. Scale back on the salty pickles, olives and hot peppers – no one needs extra sodium in their diet! Top it off with condiments Mustard adds a zesty punch to sandwiches, and is fat-free to boot. Just go easy on the portion size, since it is a salty condiment. When using mayonnaise, consider buying a low fat or “light” brand to scale back on the fat and calories. Just one tablespoon adds about 100 extra calories to the sandwich, and those calories add up quickly. For a change, experiment with flavour-packed, herb-based sauces such as pesto, where a little goes a long way. Another unique condiment is fruit-based chutney, which has the added benefit of antioxidants from the fruit. Serve it neatly Consider the portability factor of the healthy sandwich. Rather than big, sloppy sandwiches, customers are asking for wraps or mini sandwiches that are easier to eat on-the-go. Tucking contents neatly into small wraps or buns makes for a convenient dripless mini-meal in the foodservice setting. Sandwiches can range from healthy delights to dietary disasters depending on the fillings, toppings and breads that are chosen. By making smart choices and offering healthy options, it’ll be easy for your customers to build a sandwich that’s filled with fibre and protein, but is lower in fat and sodium. Celebrate Nutrition Month with Sure Slice Deli Meat! Maple Leaf has an exciting offer to help hospitals celebrate the event with cafeteria customers. From February 8th – March 19th, for every 5 cases of Sure Slice deli meat that you purchase, you receive a free promotional kit. The kit contains everything that you need to promote the event in your establishment including a free William Sonoma “Eat Well” cook book valued at $50. Contact your Maple Leaf Foodservice sales representative for more details or email us at: [email protected]. 2010 s pri n g 11 There's nothing healthier for your clients than food they enjoy eating, which is why Danone has created the new Creamy Cremix with no fruit pieces, Nutrition Month but great fruit taste! March 2010 March is Nutrition Month across Canada. In celebration of healthy eating, dietitians across Canada unite to organize events and communications to reinforce the importance of nutrition in achieving health and wellbeing for Canadians. This annual public awareness campaign has grown since its inception in the early 1980’s to one of the most recognized social marketing campaigns in Canada. The theme of the 2010 Nutrition Month Campaign is: Celebrate food… from field to table! The goal of this year’s campaign is to help Canadians make informed food choices to support optimum nutrition and learn where food comes from. This theme was chosen for several reasons: • To celebrate the abundance and diversity of nutritious food available in Canada • To relay accurate facts and dispel myths about Canadian food • To showcase the knowledge and expertise of dietitians as leaders in food and nutrition • To create an opportunity for parents, teachers and community leaders to educate children about food One of the main objectives of the 2010 Nutrition Month Campaign is to give dietitians and community leaders the opportunity to provide practical healthy eating information to help Canadians discover and engage in ways to eat well, live well while learning where food comes from. Get involved! Help spread the healthy eating message. The Dietitians of Canada website contains information on the campaign background, and provides resources, ideas and contacts to get involved. There are fact sheets, posters and calendar of events to promote local and regional activities. • • • • • There are several fantastic inter-active web-based features at www.dietitians.ca/ eatwell that help to support Nutrition Month activities, such as: • EATracker – assesses food choices and provides personalized feedback on the total intake of energy and essential nutrients and compares this to what is recommended for age, gender, and activity level. It also determines BMI and provides information to help achieve and maintain a healthy weight. • Let’s Make a Meal – shows how different meal choices can add up to a healthy day and gives tools for easy menu planning. • Recipe Analyzer – provides feedback and practical examples of how recipes can be modified to enhance some nutrients and to control other nutrients. Lastly, Sysco Account Executives and our manufacturer partners are a great resource for product information. They can provide you with new product and menu ideas, information on where food comes from, nutritional information and so much more. Yogurt: Flavours to Favour Contains 1.5% fat for health-conscious clients. Made from milk enriched with vitamin D. Enhanced with a subtle aroma of vanilla. Featuring a delicate fruit purée without chunks. Light, velvety and easy-to swallow texture. Like all Danone Creamy yogurts, Cremix is a source of calcium, vitamin B2, vitamin B12, phosphorus and magnesium, making it an ideal snack, dessert or breakfast. Available in 100 g multi-pack. Swallowing difficulties may sometimes complicate eating for some people. To ensure a healthy and balanced diet, food consistency may have to be adjusted for their menus. For this reason, yogurt is very popular and versatile. 1 Available in 6 flavours, each with the light taste of fruit and vanilla • Raspberry-vanilla • Blackberry-vanilla • Strawberry-vanilla • Mango-vanilla • Peach-vanilla • Cherry-vanilla According to studies: • • • Yogurt is a fast-growing menu item in hospitals and senior care, offering enhanced digestive health benefits. 2 46% of consumers don’t like fruit pieces in yogurt ! 3 Vanilla is consumers' favourite flavour, while vanilla and fruit combos are among the top flavours for yogurt. 4 • To help Canadian families learn where food comes from 1 ASSTSAS Newsletter, Volume 3, Number 5, 2008 2 NPD Mega Trends Reports 2009 3 Ipsos Descarie, Barriers to Purchase, Research Report, April 2008 4 ACNielsen MarketTrack, Nat., L52 wks ending November 22, 2008 12 spring 2 0 1 0 2010 s pri n g 13 THE NATURAL GOODNESS OF TEA Just about everyone loves tea. A soothing cup of hot tea is a universally popular drink. In fact, it’s the second most commonly consumed beverage in the world (after water); Canadians drink about seven billion cups of tea annually. But besides its delicious flavour, there’s another reason to drink tea – it also has valuable health benefits. Targeting sodium THE FLAVONOID ANTIOXIDANT ADVANTAGE Flavonoid antioxidants are naturally occurring substances in many fruits and vegetables, and can help maintain good health. The basis for green, black or white teas is a plant called the Camellia sinensis. The leaves of the Camellia sinensis contain an especially high amount of flavonoid antioxidants. In fact, an average serving of Lipton® green or black tea contains a significantly higher level (actually three to four times higher) of flavonoid antioxidants than a comparable quantity of orange juice.1 How much sodium is too much? The average adult Canadian consumes in excess of 3,100 mg of sodium a day.1 This is twice the recommended amount needed for proper body functions such as maintaining the right balance of fluids and transmitting nerve impulses. Research shows that lowering sodium consumption to optimal levels could reduce the incidence of stroke and heart disease by as much as 30%.2 What are the effects of a diet high in sodium? The World Health Organization estimates hypertension to be the leading risk factor for death in the world.3 This is partly because hypertension is common, occurring in nearly one quarter of the world’s adult population and partly because the management of hypertension is sub-optimal. “Increased blood pressure is the leading risk factor for death, causing most of the strokes and much of the heart disease our country faces,” says Dr. Norm Campbell of Blood Pressure Canada, who spearheaded development of a National Sodium Policy Statement. “It is estimated that almost one in three Canadians who have hypertension would have normal blood pressure if there was less sodium in our food.” What is being done? The research concludes that the excess sodium in the diet is coming from fast food, processed foods and packaged foods.4 Therefore, health professionals are advising Canadians to read the Nutrition Facts Table and choose lower sodium options in processed and packaged foods. In the fall of 2007, Health Canada created a multi-stakeholder working group on sodium reduction. This working group is made up of organizations including government agencies, the scientific community, health professional and health-focused non-governmental organizations. Their focus is to develop and oversee the implementation of a strategy to lower the sodium content of Canadians’ diets over the next decade. How can Dr. Oetker help? Target your sodium concern by trying Dr. Oetker Instant Cheese Sauce Mix and Instant Low Sodium Gravy Mixes, available in four flavours: TEA AND THEANINE In addition to flavonoid antioxidants, tea also contains theanine, a unique amino acid found almost exclusively in tea. Theanine may help you focus your attention more effectively and concentrate better on tasks.2,3 • Instant Low Sodium Beef Gravy CAFFEINE: KNOW THE NUMBERS • Instant Low Sodium Brown Gravy For those who are watching their caffeine intake, tea is a good alternative to coffee. A 250 mL (1 cup) serving of hot tea contains about one-third as much caffeine as a cup of coffee: 50 mg of caffeine for tea, compared with 145 mg for coffee. • Instant Low Sodium Chicken Gravy • Instant Low Sodium Turkey Gravy Health Canada suggests daily caffeine intake should be no more than 300 mg daily for women of childbearing age and 400 mg daily for other adults, so six to eight servings of any delicious Lipton® tea — such as Pyramid, Organic, Kericho Estate — can be enjoyed on a daily basis and still be within the recommended limits. Of course, Lipton® also offers a selection of decaffeinated teas and caffeine-free herbal teas. Sources: 1 Statistics Canada, Garriguet D. Sodium consumption at all ages. Health Reports, 2007:18:47-52 2 3 4 The changing face of heart disease and stroke in Canada 2000, Wielgosz et al, 1999. Ottawa., Heart and Stroke Foundation of Canada And There’s More… Despite the misperception that tea is a diuretic because of its caffeine content, it is actually hydrating.2,3 Since tea is 99.5 percent water, it can count toward the daily fluid intake recommended by Canada’s Food Guide. And when served without milk or sugar, tea is a zero-calorie drink. Plus, there’s the delightful lift that tea gives – it’s a perfect mid-afternoon pick-meup that refreshes and renews. Those are just a few of the reasons why Lipton® teas are a smart choice for healthcare. More importantly though, Lipton® teas have the full, rich flavour that people around the world have enjoyed for more than 100 years. World Health Organization. The World Health Report 2002. Geneva, Switzerland: WHO; 2002 He FJ, MacGregor GA. How Far Should Salt Intake Be Reduced? Hypertension. 2003;42:1093-99 For more information, go to www.unileverfoodsolutions.ca or www.liptontea.ca Broccoli Pot Bake 74% Together with the Rainforest Alliance, Lipton® is conserving biodiversity, protecting soils and waterways and improving the lives of workers and their communities. of Canadians drink tea. Lipton® has made a commitment to source all teabags from Rainforest Alliance Certified™ estates by 2015. — NPD 2008 1 USDA Database for the Flavonoid Content of Selected Foods, 2003. 2 Gardner E. Eur J Clin Nutr. 2007; 61(1)3-18. 3 Popkin B et al. Am J Clin Nutr. 2006; 83(3): 529-542. ©2009 Unilever Foodsolutions. Trade-mark owned or used under licence by Unilever Foodsolutions, Toronto, Ontario M4W 3R2. Pork Tortiere 14 spring 2 0 1 0 2010 s pri n g 15 Unintended Weight Loss and the Supplement Solution: The Importance of Nutrition Intervention: Nutrition intervention is an important factor in providing a cost effective weight management program. It is well known that malnutrition in Long term care facilities are estimated to be between 30 – 60%. In fact residents over the age of 65 are at greater nutritional risk because of common physiological changes due to aging and multiple medical conditions or diseases. Supplementing a resident’s diet with additional calories and protein will help promote weight gain and wound healing. If meal consumption is inadequate and additional in between supplements are going to waste, then a Medication Pass Progam is a possible solution. What is a Med Pass Program? Medication Pass or Med Pass is the time of the day when nursing administers prescribed medication to the residents. Medications are given 3 to 4 times per day. Usually, medications are taken with 4 ounces of water or juice. In an effort to decrease unintended weight loss, residents are given 2 to 3 ounces of a caloric dense supplement like Sysco Imperial Med Plus 2.0 at the same time as their medications. This method can improve supplement consumption and help reduce the need for between meal supplements or snacks. Identify Who is Appropriate for Medication Pass Program How to Implement the Program 1. Foodservice or other designated department purchases Med Plus 2.0 and dispenses to the nursing department. 2. Med Plus 2.0 is refrigerated prior to serving. The 32 fl oz carton of Med Plus 2.0 is placed on the medication cart. Pour 2 to 3 ounces into cup and serve with medication*. Follow Dietary’s food safety policy for any remaining opened containers. 3. Nursing documents intake in medication records. 4. Registered Dietitian and interdisciplinary team monitors resident’s progress and adjust the care plan as deemed necessary. *Unless food or milk is contraindicated with medication. Consult with your pharmacist for any medications that should not be taken with these type supplements. Benefits of Med Plus 2.0 Medication Pass Program Each ounce of Med Plus 2.0 provides 60 calories and 2.5g of protein. The No Sugar Added version provides 50 calories and 2.5g protein. By serving 3 ounces 3 times a day, a resident would receive an additional 540 calories and 22g of protein in just 9 oz. Sysco Med Plus 2.0 would help reduce the need and cost for between meal supplements while ensuring needed calories and protein in a small volume. So make every ounce count and try Sysco Imperial Med Plus 2.0 today! With the help of an interdisciplinary team, identify the residents at risk for undernutrition or weight loss. Some of the factors that may identify a resident for the Med Pass Program follow: • Inability or refusal to consume normal volumes of fluid • Refusal to consume between meal supplements • Unintentional weight loss over a 30 day period • Average intake of milk or protein component of meal less than 50% • Average meal intake of less than 50% • Diagnosis of condition requiring increased calories and protein For more information please contact: SHALIT FOODS · 24-601 Magnetic Dr. · Toronto, ON M3J 3J2 1-800-969-6991 · www.shalitfoods.com 16 spring 2 0 1 0 Variety is the Spice of Life How true it is! Marsan’s Puree Essentials are a creative way to add variety to your menus, increase intake and plate appetizing puree meals. New innovation products from Marsan Foods are ideas that customers request with the nutrition content they require. New to our puree family of products are: • Puree Essentials Bacon • Puree Essentials Breakfast Sausage • Puree a la Carte Scrambled Eggs and Toast • Puree a la Carte French Toast Customer Testimonial Puree Yogurt Banana Muffin Marsan Foods has helped create more variety with our pureed diets through the use of pureed bread. It allows us to follow the regular menu cycle more closely. This has resulted in an increased intake by the residents. We look forward to new products created by Marsan Foods. 1 scoop #12 (90g) Puree Essentials Banana Bread Pdding topped with 2 tbsp of vanilla yogurt Odette Statema, RD Dietitian Extendicare Lethbridge Recipe Ideas Puree Trifle Pudding 1 scoop #12 (90g) Puree Essentials Carrot Cake Bread Pudding layered with 2 tbsp Strawberry Puree & 2 tbsp vanilla yogurt Rice Pudding Mix Puree Essentials Brown Rice with whole milk, vanilla, cinnamon and sugar. Top with pureed prunes. Puree Toast with Peanut Butter Place smooth peanut butter in steam table to melt to saucelike consistency, portion 1 scoop (90g) PE Whole Wheat Bread onto dish. Ladle 30ml peanut butter over bread. Regular Diet Day 1 Puree Diet Day 1 Regular Diet Day 2 Puree Diet Day 2 Breakfast Breakfast Breakfast Breakfast Alternate Banana Yogurt Muffin Alternate PE Banana Bread Pudding with Yogurt Alternate Peanut butter with whole wheat toast Alternate Heated Smooth Peanut Butter with PE Whole Wheat Bread Lunch Lunch Lunch Lunch Alternate French toast with Bacon Alternate PALC French Toast with syrup with PE Bacon Alternate White fish with dill sauce Alternate PE Fish with added dill sauce Dinner Dinner Dinner Dinner Alternate Macaroni and Cheese Alternate PE Pasta w cheese sauce Alternate Pork sausages Alternate PE Breakfast Sausages Cream of Wheat Scrambled Eggs Cream of Potato and Chive Soup Roast Beef Sandwich Spinach Salad Rice Pudding Sweet and Sour Pork Rice Pilaf Green Beans Pineapple upside down cake Cream of Wheat PALC Scrambled Eggs and Toast BC Cream of Potato and Chive Soup PE whole wheat bread with creamed horseradish PE roast beef PE Spinach with French dressing PE Brown Rice Pudding PE Pork with sweet and sour sauce PE Brown Rice PE Green Beans PE original Bread pudding with nutmeg and puree pineapple Cream of Wheat Bacon with Whole wheat toast Cream of Mushroom Soup Hot Turkey Sandwich Mashed Potatoes Corn Trifle Pudding Lasagna with meat sauce Carrots Chocolate Éclair Cream of Wheat PE Bacon with PE whole wheat Bread BC Cream of Mushroom Soup PE Whole wheat Bread with PE Roast Turkey Mashed Potatoes PE Corn Trifle Pudding PE Pasta layered with PE Beef topped with puree Tomato Sauce PE Carrots PE Original Bread Pudding with custard, whip cream and Chocolate Sauce 2010 s pri n g 17 Mind Matters Smart Purchasing Nutrient Recommendations for Healthy Cognitive Aging Baby-boomers, born between 1946 and 1964, constitute the largest age-group in the Canadian population. As they enter their senior years, increasing concern has been directed to the potential “sleeping giant” of Alzheimer’s disease (AD). Nutrition plays a central role in brain function and recent research suggests that poor dietary practices, including excess body weight, may have a negative bearing on cognitive function later in life. Earlier this year, 10 studies showed that the risk of Alzheimer’s disease and vascular dementia from stroke was increased in both obese and underweight individuals. In addition to this, a five-year study of almost 1,000 subjects uncovered similar results; that being obese or underweight in mid-life may increase the risk of future dementia. Interestingly enough, the same study also showed that being obese or underweight later in life (76+years) does not have this effect. Turning to specific nutrients, both human and animal studies have suggested a role for vitamin D in certain aspects of brain function. Another nutrient with potential cognitive benefits is vitamin K. Known for its role in coagulation, bone metabolism and calcium metabolism, vitamin K exists in two forms: phylloquinone found in green vegetables, oils, legumes, nuts and spices and menaquinone found in dairy products, meat and poultry. The development of Alzheimer’s disease is associated with vascular diseases therefore; the benefits of antioxidants to vascular function may represent ways for reducing the risk of Alzheimer’s. In particular, Vitamins A, C, E B-carotene, selenium, anthocyanins, polyphenols and compounds of selected culinary spices and herbs are thought to minimize the oxidation of brain lipids. 18 spring 2 0 1 0 Deficiencies in the B Vitamins are recognized as contributors to cognitive decline. Similarly, a deficiency in EFA’s or Essential Fatty Acids could be one of the causes of Alzheimer’s disease. Maid-Rite Portion Control in Long-Term Healthcare AGE’s, a group of endogenous sugarprotein compounds, found in high sugar and fried foods as well as foods subjected to high and dry heat are thought to promote Alzheimer’s disease. In summary, current nutrition research suggests that: • Individual nutrients do little to offset Alzheimer’s disease cascading effects. A rationally derived combination of nutrients available through a varied, low fat, high fibre diet that emphasizes neuronal, vascular and gastrointestinal health as well as obesity and diabetes prevention holds more promise. • Food preparation methods that emphasize boiling, poaching, stewing and steaming may help to reduce the amount of AGEs in the body, and thereby delay the onset of Alzheimer’s disease. • Essential dietary lipids such as DHA of the omega-3 fatty acids and various antioxidants may help prevent Alzheimer’s disease. Further studies are needed to identify the specific role of various nutrients and their interactions, the possible role of nutrients combined with drug therapy, as well as environmental factors. Researchers are currently in the midst of a four-year prospective study that may shed new light on the role of overall dietary quality and specific micro-nutrients on cognition. Sources: Report from: The Eighth Annual Health and Nutrition Symposium. Nutrition and Cognition, Guylaine Ferland, PhD., University of Montreal, November 2008. Mind Matters: Evaluating the role of nutrition in the prevention and treatment of Alzheimer’s disease. Current Issues, Dietitians of Canada, October 2006. Many variables contribute to dietary department costs, with food items often accounting for the largest proportion of overall supply expenditures. While the purchase price for products is important, veteran foodservice managers know that other factors should impact purchasing decisions. Some general rules of thumb include: • The lowest price may not be the best value. • Evaluate product regularly and when applicable, follow order guides based on menu cycles. • Don’t assume larger sizes are less expensive than small sizes on a comparable basis, such as per ounce. • Make use of your supplier’s expertise about their products and their merits; use them as a resource about new items and trends, and to keep you informed about special offers. Another useful tool is to perform intake studies – by identifying what items residents are not eating and replacing those on menus with items that they accept. A common hidden cost is increased use of supplements when weight loss results from poor plate intake. By providing meals that residents enjoy, these added costs are kept to a minimum. Portion control products developed by Maid-Rite Steak Company, Dunmore, PA and packed under various Sysco brands specifically for healthcare will contribute to a more efficient, less costly, and higher quality operation. The foregoing considerations, and many others, have been scrutinized as part of a stringent R & D process during which testing and development are incorporated keeping eye appeal, taste, texture, nutritional density, and cost in mind. New items are introduced after approval and on the recommendation of an ad-hoc advisory group including Corporate Dieticians, top management, and peer groups/residents. Among the most popular selections are the Beef Swiss Steak (pictured), Veal Roulade, and Salisbury Steak. 2010 s pri n g 19 Controlling Costs and Providing the Best Possible Meal Service We all know that the economy is tough and these are uncertain times. No one knows for sure what tomorrow brings. The one thing we can be sure of is the importance of controlling our costs and providing the best possible meal service to our Clientele. Sysco has tools available to our customers that help you monitor your menu costs and make the best choices when making operational decisions. Imagine implementing a menu that you know will meet your budget prior to ordering placing your first order! Our Synergy Dietary Management software allows our customers to plan nutritionally balanced menus with budgets in mind. Linked into our eSysco online ordering system, Synergy will upload your pricing and cost out your menus and recipes. Menu decisions and changes can be made prior to implementing your next menu. Menus can also be re-costed at anytime. Food pricing fluctuates and can vary based on seasonality and availability of products. Updating costs regularly in Synergy allows you to make necessary menu changes quickly and effectively before it is too late. Accurately forecasting production requirements are another way to control costs and meet budget requirements. Synergy generates production forecasts taking into consideration your menu and the specific needs of your Client/ Residents. This reduces the risk of running out of food or having too many leftovers. Quality of service improves and you can stay on budget. This outlet is the flagship location of the healthy Trendz brand, the brainchild of Khan, which was developed by himself and his team in Edmonton. Working with vendor partners such as Sysco, Trendz blends industry food trends with healthy eating principles. Food is made with wholesome ingredients by in-house red-seal chefs, using healthy preparation methods. Served in proper portion sizes, the food is approved by Alberta Health Services dietitians. 20 spring 2 0 1 0 We could go on and on about the many features and benefits of using Synergy. Our goal is to provide you with the powerful tools to deliver the highest possible Client/Resident quality of care and stay within your budget! If you have any questions regarding Synergy, please feel free to contact either your Sysco Healthcare Account Executive or Karen Hurley at Sysco – 1-888-440-2524 ext. 2049. Forecasted grocery lists in Synergy allow you to purchase food based on meeting your production requirements, not par stocks. When calculating your ordering needs, Synergy takes into consideration what is on your menu, Healthy food that’s not ‘heart’ to swallow continued from page 1 your census, Client/Resident customized requirements, ingredients used in recipes and generates a suggested order. This results in lower inventory levels and you never forget to order what you need! The healthy Trendz concept has grown from its first store in 2004 at the Glenrose Rehabilitation Hospital to five Edmonton stores in 2009 and six more planned across Alberta for 2010. Same store sales have grown a combined 83 per cent in the past four years and total annual sales are expected to grow a further 100 per cent by the end of 2010. Heart health is on the menu! Sample Breakfast Items • Right-Sized Muffins • Steel-cut Oatmeal • Omega 3 and Turkey Panini Sample Lunch Items • Roast Beef Portobello Panini • Mediterranean Chicken Fusilli Pasta Salad • Low-Sodium Enhanced Flavour Soups