CLIENT PROFILE

from www.burn-recovery.org/injuries.htm

CLIENT:     24 YEAR OLD
                   20% OF BODY COVERED WITH 3RD DEGREE BURNS
NO SPECIFIC CULTURAL/RELIGIOUS REQUIREMENTS


SPECIAL DIET 
(http://medicalcenter.osu.edu/PatientEd/Materials/PDFDocs/nut-diet/nut-other/hig-cal-burn.pdf)
     * HIGH CALORIE, HIGH PROTEIN
        WHY?
         - HELP HEAL WOUNDS
         - MAINTAIN OR INCREASE WEIGHT
         - PROMOTE GROWTH
         - RESIST OR FIGHT INFECTION


     * NOTHING BY MOUTH EXCEPT MINERAL WATER FOR FIRST 24 TO 48 HOURS (Mosby's Canadian Comprehensive Review of Nursing)
     -CLEAR LIQUIDS AS TOLERATED AFTER 2 DAYS
     - THEN HIGH PROTEIN, HIGH CARBOHYDRATES, HIGH FAT, HIGH VITAMIN DIET AS TOLERATED

SPECIFIC PREFERENCES/RECIPE TO FOLLOW

FOOD CHOICE WILL BE UP TO THE CLIENT.

KEEP IN MIND THAT:
TISSUE DAMAGE
STRESS ON THE BODY
METABOLISM HIGH-RESPONSE TO DAMAGE AND REPAIR
TRAUMATIC




THE FOLLOWING GUIDELINES SHOULD BE TAKEN INTO CONSIDERATION FOR A BURNS CLIENT:

(http://medicalcenter.osu.edu/PatientEd/Materials/PDFDocs/nut-diet/nut-other/hig-cal-burn.pdf)

from http://www.oregonlive.com/health/index.ssf/2009/08/you_docs_money_is_a_fine_motiv.html

1. WEIGHT - CHECK TWICE A WEEK -INDICATES IF YOU ARE GETTING ENOUGH CALORIES
-MONITOR INPUT AND OUTPUT OF LIQUIDS
-MUSCLE BREAKDOWN-LOST IN WOUND AND URINE



2. EAT A BALANCED DIET (VARIETY)
    EAT SMALL FREQUENT MEALS TO   INCREASE INTAKE OF CALORIES AND PROTEIN
-CALORIES TO COMPENSATE FOR METABOLISM AND FIGHT FOR INFECTION
-PROTEIN FOR CELL REGENERATION AND TISSUE REHABILITATION


ADDITIONAL VITAMINS AND MINERALS AID IN REPAIR OF DAMAGED TISSUE




from http://www.homemadebeauty.co.cc/2009/07/homemade-beauty-easy-high-protein.html

 A. DRINK AT LEAST 2 CUPS OR MORE MILK -WHOLE MILK HAS THE MOST CALORIES -INCLUDE CHEESE, ICE CREAM PUDDING OR YOGURT


B. 2 OR MORE 3-OUNCE SERVINGS OF MEAT, POULTRY OR FISH, OR MEAT SUBSTITUTE SUCH AS EGGS, BEANS, PEAS, LENTILS,CHEESE OR PEANUT BUTTER -TOFU AND SOY PRODUCTS ALLOWED

C. 2 OR MORE SERVINGS OF FRUIT OR FRUIT JUICE A DAY

from http://woodstockmma.com/blog/?paged=2

D. 3 OR MORE SERVINGS OF VEGETABLES -DARK GREEN, LEAFY OR DEEP YELLOW-ORANGE VEGETABLE

E. 6 OR MORE SERVINGS OF BREAD, GRAINS, CEREALS OR OTHER STARCHY FOODS A DAY






THESE ARE ALL MINIMUM AMOUNTS. TRY TO EAT AT LEAST THE  SUGGESTED SERVINGS EACH DAY.



Concentrate the calories in the foods you eat when possible. This helps you get more calories with less volume.

from http://www.exitinteriors.co.uk/kitchen-11/serving-66/buttered-contemporary-shaped-butter-1499.htm



Liberal use of fats will increase calories in your diet.

Add extra butter or margarine to breads, vegetables, pastas and eggs.

Use gravies, cheese, mayonnaise and salad dressing liberally.

Frying foods may double the calories.


 

Keep high caloric high protein snack food items handy to eat throughout the day.



from http://www.flickr.com/photos/engravedintime/3835143453/



Limit the intake of animal fats if you have a history of cholesterol.








TIPS FOR INCREASING NUTRITIONAL VALUE IN FOODS:

from http://www.platebydzintra.com/the-food/gallery-of-food/?nggpage=2

- USE CREAM INSTEAD OF BROTH BASED SOUPS. DILUTE WITH MILK OR CREAM INSTEAD OF WATER


- DO NOT FILL UP WITH COFFEE, TEA, BROTH, OR WATER. DRINK CALORIE-CONTAINING LIQUIDS  SUCH AS JUICES, MILK YOGURT, SMOOTHIES, MILKSHAKES, FROSTIES OR OTHER BLENDED DRINKS


-USE CREAM ON CEREAL INSTEAD OF MILK

from http://www.savingwithshellie.com/2010/05/21/free-ice-cream-walmart/

- EAT ICE CREAM, ADD NUTS, CHOCO SYRUP AND TOPPINGS TO MAKE HIGH CALORIE SUNDAES


- ADD PEANUT BUTTER, DIP OR CREAMY SALAD DRESSINGS TO RAW VEGETABLES


- MAKE CHICKEN, EGG, TUNA SALAD INSTEAD OF PLAIN MEAT OR EGGS - ADD GRATED CHEESE OR HARD-BOILED EGGS FOR EXTRA PROTEIN



- FRY CHICKEN OR FISH INSTEAD OF BAKING

from http://www.eatfoo.com/archives/2006/07/not_quite_perfect_fried_chicke.php

-ADD SOUR CREAM, MARGARINE, WHIPPED CREAM OR CHEESE TO POTATOES WHEN MASHING THEM


- EAT NOODLES AND PASTAS WITH RICH CREAM SAUCES


- DRINK BEVERAGES AFTER MEALS

from http://picasaweb.google.com/lh/photo/ZSveAoe8StLuRGsGF7vd9g

- ADD DRY SKIM MILK POWDER (1-2 T/SERVING) TO SOUPS, EGGS, CASSEROLES, POTATOES, MILK, MILKSHAKES, SAUCES, HOT CEREALS, PUDDINGS, AND CUSTARDS


- PROTEIN POWDERS MAY ALSO BE USED IN JELLO, ICE CREAM, SOUPS, MASHED POTATOES, GRAVY, MILKSHAKE, CEREALS, APPLESAUCE OR VEGETABLE SLICES








SNACKS
IF CT FEELS FULL QUICKLY, DECREASE SIZE OF MEAL AND EAT SNACKS IN BETWEEN


-THEY SHOULD BE RICH IN CALORIES AND PROTEIN


EXAMPLES:

from http://www.lifesambrosia.com/2009/08/chicken-sandwich-with-yogurt-dill-sauce-recipe.html

-SANDWICHES WITH MEAT, EGGS, FISH, PEANUT BUTTER OR CHEESE


-PEANUT BUTTER ON CRACKERS, APPLES, PEARS OR CELERY


-MILKSHAKE, CHOCOLATE MILK, EGG NOG, COCOA


- CEREAL AND MILK

from http://candorstyles.com/yogurt-a-super-food/

- ICE CREAM


- PUDDING, CUSTARD, YOGURT


- NUTS


-CHEESE AND CRACKERS
(http://medicalcenter.osu.edu/PatientEd/Materials/PDFDocs/nut-diet/nut-other/hig-cal-burn.pdf)

HIGH PROTEIN CUSTOMER'S MENU



CHILI RECIPE (MAKES 8-10 1/2 CUP SERVINGS) 1 1/2 CUP SERVINGS






from http://thesepeasarehollow.blogspot.com/2010/08/summer-ish-chili.html

 2 LBS OF EXTRA LEAN GROUND BEEF
1 LARGE CAN OF  CRUSHED TOMATO
1  SMALL CAN TOMATO PASTE
1  REGULAR CAN OF GREEN BEANS, STRAINED
1  REGULAR CAN OF YELLOW CORN, STRAINED (OR 1 CUP YELLOW PEPPER)
2  REGULAR CAN OF KIDNEY BEANS (OR SUBSTITUTE 1 CAN FOR BLACK OR PINTO BEANS)

from http://www.simonstapleton.com/wordpress/2009/07/30/job-scams-how-to-avoid-them/

1/2 CUP OF CARROTS, PEELED
1/2 CUP OF CELERY
1/4 CUP OF ONION, PEELED
1 GARLIC CLOVE, PEELED
3 TBSP OF CHILI POWDER
1/4 TSP OF CUMIN POWDER
1 TSP OF SALT
1/2 TSP OF PEPPER
1/2 TSP OF CRUSHED CHILI PEPPERS
1 BAY LEAF
1/2 TSP OF OREGANO
1 TSP OF SUGAR (OPTIONAL)




PREPARATION: 25 MIN
COOK TIME: 40-50 MIN

from http://musictovideo.blogspot.com/2009_06_01_archive.html

-HAIR SHOULD BE TIED BACK.
-HAND HYGIENE BEFORE, DURING AND AFTER CONTACT WITH MEAT PLUS AFTER COOKING
-MAKE SURE MEAT AND SUPPLIES IS AT BEST BEFORE DATE
-WASH AND RINSE FRESH VEGETABLES


PROCEDURE:

from http://vapormaid.com/hello-world/

COOK  GROUND BEEF UNTIL BROWN AT HIGH HEAT ( AT LEAST 160 DEGREES - ABOUT TEN MINUTES). CHOP/DICE ALL FRESH VEGETABLES: CARROTS, ONION, CELERY, GARLIC. OPEN CANS OF OTHER VEGETABLES. ADD ALL VEGETABLES TO BEEF AND COOK FOR ABOUT TEN MINUTES UNTIL THEY SOFTEN. ADD OTHER INGREDIENTS AND REMAINING SPICES AND STIR. SIMMER ON LOW HEAT FOR ABOUT 30 MINUTES, STIRRING EVERY 5 MINUTES.

CALORIES: 240
PROTEIN INTAKE: 37 g

ADD 1/3 CUP OF CHEDDAR CHEESE (OPTIONAL)

CALORIES: 120
PROTEIN: 7 g




CAESAR SALAD (1 SERVING)

from http://blass.com.au/definitions/caesar%20salad

1 CUP OF ROMAINE LETTUCE
6 MULTI-GRAIN CROUTONS
1/2 OF SIMULATED BACON BITS (OPTIONAL)
1 TBSP OF RENEE'S LIGHT CAESAR SALAD DRESSING
1 TBSP OF FRESHLY SHREDDED PARMESAN CHEESE
1 SLICE OF LEMON (GARNISHING OR SQUEEZED)


CALORIES: 160
PROTEIN: 7 g

from http://coupme.wordpress.com/2010/06/29/get-your-fruit-fix-summer-in-a-cup/

FRESH FRUIT CUP (1 CUP SERVING - NO WHIP CREAM)
1-2 STRAWBERRIES
1/4 CUP OF CANTALOUPE
1/4 CUP PINEAPPLE
6 BLUEBERRIES
1/2 A MANDARIN ORANGE (OPTIONAL)


CALORIES: 75


2 MEAT + ALTERNATIVE (BEEF, BEANS)
4 SERVINGS OF FRUIT AND VEGETABLES (FRUIT CUP, VEGETABLES IN CHILI, SALAD)
2 GRAIN PRODUCTS (CROUTONS, TORTILLA WRAP CHIPS)
3 MILK + ALTERNATIVES (MILK, WHIP CREAM, CHEESE)




Dessert



from http://lightrefreshmentsserved.com/tag/ice-cream/



Chocolate, vanilla, strawberry ice cream









Yogurt and fruit

Rice pudding

Banana Split – strawberry, chocolate, caramel sauce and whip cream

Strawberry Cheese Cake

from http://commons.wikimedia.org/wiki/File:Motherhood_and_apple_pie.jpg

Fruit Cup – melon, mandarin orange, pineapple, strawberry and blueberry

Chocolate/Vanilla/Butterscotch pudding

Pumpkin pie and whip cream

Apple pie and ice cream



from http://commons.wikimedia.org/wiki/File:Salad_platter02.jpg


Salad (with or without side of chicken as a meal)

Caesar Salad, bacon, croutons

Spinach Salad, bacon, egg, croutons and creamy cucumber dressing

Mixed Leafy Green Salad with Balsamic vinaigrette

Macaroni Salad





from http://www.sodahead.com/living/what-is-your-favorite-soft-food/question-464585/

Drinks

Chocolate, vanilla,  strawberry milk shake

Boost Protein Shake or Ensure

Freshly Squeezed Orange Juice, Pineapple Juice, Apple Juice

Milk 2% or  Homogenized

Fruit Smoothies (banana, strawberry, pineapple)

Entrees (comes with a choice of veggie, rice or garlic toast)

Pork and beans with bun



from http://sarahmeyerwalsh.wordpress.com/2008/06/23/cornbread-adorned-chicken-chili/



Beef, veggie, chili, bun, cheese or crackers

Salsbury steak

Prime ribs, Yorkshire pudding

Ham and pea soup, bun or crackers

Beef Stroganoff over Linguini noodles



from http://www.flickr.com/photos/38423535@N03/3541423597/



Pork and Rice with spinach

Gyros in a pita with Tzaziki Sauce (tomato, onion)

Roast beef sandwich

Ham sandwich

Chicken Salad Sandwich

Peanut Butter and Jam

from http://www.seductionmeals.com/2010/05/indian-seduction-vegetable-sam.html

Salmon with Mango Chutney and Rice

Curry Goat and Rice

Hot Chicken Sandwich and Mashed Potatoes in gravy

Fillet of Sole over Rice, tomato, onions and peas

Liver and onions, rice and butternut squash

from freeloanspecialist.com/products-page/pan-y-vino/

Mexican omelet (3 eggs) tomato, corn, onion, red peppers, jalapenos, mushroom and spinach plus white cheddar

Spaghetti and meatballs in tomatoes, spinach and tomato sauce



from http://www.sweetlyraw.com/2010/05/when-garden-brings-asparagus-make-soup.html


Soups

Cream of Tomato

Cream of Asparagus

Cream of Mushroom

Side Dishes



from http://picasaweb.google.com/lh/photo/PmQKH2yZPzJjNwuViasMPw

 Sweet potatoes             Rice

Asparagus                    Garlic Toast

Peas and carrots          Mashed Potatoes

Green Beans                Baked beans

Turnip                          Creamed Corn

Butternut Squash        

Broccoli and orange cauliflower

Snacks

from http://wallpapers.pixxp.com/21__Culinary,_best_quality_Wallpapers_-_all_for_vegetable_salad.htm

peanut butter plus crackers

carrot sticks, yellow peppers plus ranch dressing

almonds in a bowl

beans plus crackers

cheese and crackers

Alternative Dish

We also specialize in clients that cannot chew well. Ask your caregiver/PSW/server for more details

Beef Tomato Soup

1 can of tomato soup

1 cup of beef broth

2 tbsp or pureed peas and carrots (drizzled onto hot soup

1 cup chocolate pudding

Shake

1 Boost protein vanilla shake

½  pureed banana, ½ cup strawberry, ½ cup pineapple

2 cups of crushed ice