1. Evergreen Long- Term Care Facility
Stephanie Klein
Wei Yuan

2. Objectives Administration of Evergreen long-term care will be able to:
Identify three key points about redesigning menus
Identify the use of three main equipment in the small kitchen
Identify three reasons for budget planning and RD schedule
Describe one pro and one con for sustainability plan

3. Evergreen LTC 300 Beds 5-chair dialysis unit
20 Adult Day Care participants

4. Problems Redesign menus Kitchen renovation RD staffing
Sustainability practices

5. Menu Planning Budget ($3.75/day for general diet)
Nutrition (Seven diets)
Age-appropriate (texture, comfort food, food related social events)

6. Budget $3.75/day for three meals Use frozen vegetables and fruits
Use inexpensive beverage

7. Nutrition General Menu Liquid Diet Puree Diet
Consistent with nutrition requirements for healthy adults
Liquid Diet
Clear/full
Puree Diet
Minimize chewing
Provide adequate nutrition

8. Nutrition Dialysis snack Protein: 20 grams CHO: 28 grams Fat: 8 grams
Sodium: 468 mg
Potassium: 272 mg
Phosphorus: 75 mg
Fluid: 4 oz.

9. Nutrition Cardiac Criteria: 75 grams of fat or less
200 mg of cholesterol or less
2 grams (2000 mg) of sodium
Menu options:
Similar to regular menu
Limited sodium/cholesterol but tasty
Not “missing out” on favorite foods

10. Nutrition Calorie Controlled/Diabetic
(4 CHO at breakfast, 5 CHO at lunch/dinner)
1800 calories
Easy carbohydrate counting
Delicious menu options
Very similar to general menu
Not “missing out”
Variety
Dessert with each meal!

11. Nutrition Lacto-Ovo Vegetarian Reason for choice:
(consumes eggs/dairy products)
Less expensive because no meat products
Reason for choice:
Plant based diet
Visitors complain
Healthful choices
Lower in fat/calories
Inexpensive

12. Adult Day Care Menu One week menu: Purpose: Keep in Mind:
Breakfast, lunch, afternoon snack
Purpose:
Increase PO intake of residents
Increase socialization
Keep in Mind:
Correct textures
Variety, comfort food, age appropriate

13. Adult Day Care Menu Socials everyday! Popcorn/movie Bingo Kitchen tour
Doughnut
( yum!)

14. Equipment Small Kitchen (Adult Day Care) Coffee Maker Food processor
Soup Kettle
Griddle
Popcorn machine
Waffle baker
Fryer
Conveyor toaster

15. Equipment-small kitchen
The items shown represent the Adult Day Care kitchen:

16. Equipment Old Kitchen- Replacement Steamer Puree Molds
Food warmer (steam table)
Shelving
Thermometers
Delivery carts/vinyl covers

17. Equipment-old kitchen

18. RD Staffing
Budget
Workload for long-term care, dialysis unit, and Adult Day Care
Schedule

19. Budget Planning Total $250,000
$87,500 for clinical nutrition manager ($70,000+25% for benefit)
$163,000 for consulting dietitians
$163,000/($35/hour)/(52 weeks/year)=90 hours/week
3 part-time dietitians (30 hours/week each)

20. Workload and Schedule CNM: 9 am to 5:30 pm M-F
RD A: 7 am to 1 pm M-F, 25 hrs in long term care, 5 hours in dialysis unit
RD B: 11 am to 5 pm M-F, 25 hrs in long term care, 5 hours in dialysis unit
RD C: 11 am to 5 pm M-F, 25 hrs in long term care, 5 hours in adult day care
Take turns to cover Saturday shift

21. Sustainability Plan
Sourcing local, seasonal, or sustainably grown products
Providing and promoting varied and balanced food options
Increasing the purchase from fairly and responsibly certified sources

22. Local, Seasonal, Sustainable
Gaining familiarity with regional agriculture and seasonal products
Getting connected with local/sustainable farms
Determining potential areas to improve local sourcing
Setting up an interdisciplinary group
Marketing
Encouraging personal purchase

23. Varied and Balanced Increasing choices of low fat/fat free dressing
Replacing food high in fat, sugar, and sodium with healthier choices
Providing food and nutrition pamphlets/newsletters
Offering various food choice (vegetarian, ethnic, gluten free)
Demonstrating healthy cooking methods

24. Fair Trade-Coffee Aspretto Coffee
Fair trade- improves farmers well being
Higher quality
Better for environment
Part of sustainability plan
Good for conscience

25. Questions??