1. Nutrition and Dietetic Service Community Clinics in Reading and Newbury and Wokingham
Domicillary visits
Home enteral feeding Dietitian
Specialist Learning Disability service

2. Undernutrition
Problems with chewing/swallowing Physically unable to feed themselves Physical symptoms; nausea, vomiting, Dementia Depression, withdrawal or disinterest in food
Leading to a low food intake,
weight loss and a Must Score > 2

3. Reasons for Increased Nutritional Requirements Infection Cancer Post surgery Pressure sores Malabsorption Hyper activity– high activity levels

4. Fortifying Food First
Add extra butter/margarine and/or grated cheese to mashed potatoes, vegetables, on soup,
Milk powder can be added to full cream milk and used in drinks, cereal, pudding etc. (4 tbsp to 1 pint)
Add sugar/jam/honey to cereal, porridge, puddings
Stir cream into soups, milky puddings, porridge, pureed fruit
Make up jelly with evaporated milk instead of water
Pay special attention to altered texture diets - Use high energy liquids for pureeing.
Pureed diet – lower in energy and less palatable
Avoid overcooking before blending
Use high energy liquids for liquidising e.g. Fortified full cream milk, cream, melted butter, olive oil, cheese and white sauce, rich gravy, mayonaise, full cream yogurt
9/22/ :15:37 PM

5. 3 small meals and 3 snacks Soft diet
Whole diet
Soft diet
Eggy bread or peanut butter or pate on toast.
Hot chocolate, milky coffee , smoothies.
Cheese and biscuits
Fromage frais
Fruit cake or bakewell tart.
Full cream yoghurt
Mousse or angel delight
Tinned fruit and cream.
Pureed tinned fruit + cream

6. Weight Gain and Diabetes often related to lifestyle, loss of mobility or medication.

7. Diet
Healthy eating

8. Fresh foods from 4 food groups

9. Constipation or Diarrhoea
Irritable Bowel syndrome .
Inflammatory bowel disease
Coeliac disease
Bowel surgery

10. Visiting and monitoring Home enteral Feeding patients (Tube feeding) and advising on oral nutritional supplements

11. For referral to a Dietitian
Ask your GP to make a referral to Community Dietetic Service via the Health Hub. Ask your Community Team for People with Learning Disabilities or GP to make a referral to LD dietitian