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This is a direct quote from the article by Dr. Munoz. In it she includes the recipe for Chocolate Almond Milkshake from the book Flavorful Fortified Food - Recipes to Enrich Life.
Intervention: What intervention will positively change NM’s health status? Review practice guidelines and policies to define and prioritize interventions that will facilitate improvement in the nutritional status and help the patients/residents accomplish their goals. To implement the selected interventions, communicate the plan of care with the interdisciplinary team, and consistently revise the nutrition interventions as warranted based on patient/resident response.27 Helping the patient maintain adequate nutritional status, identify and treat poor food intake, manage unintentional and insidious weight loss, and/or improve nutritional status should guide the intervention selection process. For NM, select an intervention from the food and nutrition delivery domain. The amount of formula being provided needs to be evaluated and adjusted (formula/solution ND–2.1.1).27 For patients/residents with PO intake, the NPUAP guidelines suggest the use of enhanced foods and/or supplements as needed to promote adequate nutrient intake.19 Figure 3 provides an example of a fortified food recipe. Monitoring and evaluation: It is important to monitor and evaluate the impact of the interventions put in place. Are the clinical goals of the patient being met? For patients/residents continued on page 11THE SPECTRUM • Winter 2013 11 Pressure-Ulcer Healing continued from page 10 continued on page 12 with PUs, monitoring and evaluating parameters individualized to the nutrition diagnosis is an important step. Some relevant areas to monitor include weight, anthropometrics, laboratory results, nutrient intake (oral, enteral, parenteral), wound-healing progress (improvement or deterioration), wound stage (with wound deterioration the stage is adjusted), and hydration status.17 These parameters can be monitored via the plan of care developed for the patient/resident.
Digna Cassens, MHA, RDN, & Linda S Eck Mills, MBA, RDN, LDN, FADA collaborated in putting their practice and ideas about food into words. The results speak for themselves. In 2012 Flavorful Fortified Food - Recipes to Enrich Life became so popular that Digna was invited to participate in over 10 seminars and workshops to present the concept in several Western states, including California. In 2014 these presentations became their second book, Food First! Enhancing the Nutritional Value of Meals with Fortified Food. Both books are now available on Kindle.
Disclaimer: The information and services provided by Digna I Cassens, MHA, RDN, CLT, FAND and Cassens Associates - Diversified Nutrition Management systems, is not intended as substitute for medical care. The information provided in this website, in our books and blogs and through our services is for educational purposes only. All nutrition information should be used in consultation with your physician and other healthcare providers. We are not responsible for the contents or products of any or all links made from and to this site by a third party site. We disclaim any liability arising directly or indirectly from the use of this web site, books, blogs and/or services.