Tools and Resources

Downloadable brochure and general menu 

 

Brochure and Dinner Menu - Regular, Cut Up and Soft Diet

Brochure and Dinner Menu - Minced and Dysphagia

Brochure and Dinner Menu - Pureed

Brochure and Dinner Menu - Pureed and Dysphagia

Brochure and Dinner Menu - Finger Food

Brochure and Low Sodium Menu

Brochure and Diabetic/Healthy Heart Menu

Brochure and CKD Hemodialysis Menu

Brochure and CKD Peritoneal Dialysis Menu

Brochure and CKD Pre-Dialysis Menu

Brochure and Vegan, Vegetarian and Pescatarian Menu

 

Printable Handouts Medical Nutrition Therapy

 

Modified Diet Textures:

Pureed Diet

Minced Meat and Soft Diet

Dysphagia Diet

Cut up Diet

Finger Food

 

Nutrition Therapy

Dairy Free

Diabetes Management

Diverticulosis Management

Dysphagia Diet

GERD

Gluten Free 

Healthy Heart

HIgh Protein High Calorie Diet

Low Sodium

Low Potassium (K)

 

Poster Therapeutic Meals

 

Medical Nutrition Therapy

Medical Nutrition Therapy is a therapeutic approach to managing medical conditions and their associated symptoms via the use of a specifically tailored diet, devised and monitored by a registered dietitian. A therapeutic diet is a prescribed diet based on a medical diagnosis by Speech Language Pathologists and Registered Dietitians may prescribe Modified Diet Textured Meals.

The Registered Dietitian is trained and qualified to implement both Nutrition Therapy and Modified Diet Texture meals. Adhering to nutrition therapy to your best ability is essential to manage your health condition and maintain the highest quality of life possible. Our Registered Dietitian can assist you implementing your nutrition therapy at home. Counseling services are available with or without the purchase of Therapeutic Meals. Nutrition Assessment is included with the purchase of meals. Counseling service only is charged at $90.00. You can request a consultation by contacting us at the bottom of this page.

Therapeutic Meals provides nutrition consultation and meal planning services. Making ordering easy!

When you require meal support services for a longer period of time, it is easier to create a personalized menu plan. Our friendly and skilled Registered Dietitian can create weekly, bi-weekly and monthly personalized menu's for you. With a meal plan in place, there is no to call in every week to order. The order is fulfilled automatically until you wish to halt or change the menu. Please request a consultation by contacting us at the bottom of this page.

If you would like assistance with ordering, you may call us at 250 415 5444

If you have any questions about our services, comments or wish to find out more when our services are coming online, please contact us at the bottom of this page. 

 

 

Modified Textures, what does it mean?

 

A person with chewing difficulty needs meals that require little to no effort to chew. This is called texture modification, and ranges from cut up diets, soft diets, minced diets to pureed diets. Chewing difficulty can be caused by missing teeth, or poorly fitting dentures. Sometimes the energy to chew is just not present, and texture modified meals are desired.

The RD can do a bedside assessment to screen for chewing difficulty or other symptoms, and prescribe a diet texture to help increase intake of food and therefore quality of life. Assessment of appropriate diet texture modification for chewing difficulty is focused on assessing the current ability of a person to chew food. During the bed side assessment, the RD will look at such things like the ability to open your mouth, the ability to chew a range of textures, strength of the tongue to move the food around and to the back of your mouth, and how long it takes to form a bolus in the mouth and swallow. Furthermore, the RD will work with you to find the foods that you like and are acceptable to you to eat.

Diet modification is often recommended upon discharge from hospital or outpatient clinic. A Registered Dietitian or Speech Language Pathologist from the hospital will most likely already given you a handout, and went through the information with you. Still, implementing the regime at home may raise questions or anxiety to what kind of foods are allowed and what foods need to be avoided. Therapeutic Meals can assist you with implementing your diet regime through counselling, or through a combination of counselling and meal service.

If you have any questions about our services, comments or wish to find out more when our services are coming online, please contact us at the bottom of this page.

Dysphagia (Swallowing difficulty)

The definition of dysphagia is the difficult passage of food from the mouth to the stomach during swallowing. The inability to eat safely and effectively for extended periods of time can generate frustration, anxiety and depression. The risk for dehydration and malnutrition is increased, as well as the risk for aspiration. To manage this risk your health professional may have prescribed a diet texture and a thickened fluid to manage your dysphagia.

Why do I need a dysphagia diet?

Someone with dysphagia has a decreased ability to consume sufficient foods and fluids. Swallowing difficulties negatively impacts the nutritional status. Undiagnosed and/or unmanaged dysphagia has been associated with increased risk for malnutrition, dehydration, choking episodes, aspiration, chest infections or pneumonia and even death (1). Dysphagia diet, meaning diet modification and fluid thickness modification, is one of the recommended methods to manage dysphagia and risk for aspiration.

What is a dysphagia diet?

A dysphagia diet is free of dry, hard or chunky like nuts, popcorn, crumbly or dry cookies; coarse cooked cereals with bran, nuts, or seeds; any “lumpy” texture such as rice pudding; mixed consistency sauces, soups or dressings, skins and bones in meat, stringy or coarse textures in potatoes and fruits, and are not too spicy.

Modified textures foods may never be runny, lumpy, sticky or too dry. Adding sauces or gravy is recommended to keep foods moist and aid in the swallowing process. Therapeutic Meals created a variety of foods offered in modified diet textures, and offers a great selection of sauces and gravy.

How can a Registered Dietitian help someone with dysphagia?

The RD can screen for swallowing difficulty, and recommend diet modification and fluid thickness. However, further assessment is recommended to manage dysphagia to help manage risk for aspiration. The RD at Therapeutic Meals is able to communicate with the health professionals in acute care facilities upon your consent. These consultations with acute care health professionals can provide you with a smooth continuation of your treatment after discharge from hospital. The RD can consult with a Speech Language Pathologist (SLP), or request a follow up assessment by a SLP.

The overall goal of implementing diet textured food is to increase your ability to take in sufficient amount of foods and reduce your risk for aspiration. The dietitian can further help you meeting your needs by recommending energy dense foods or (thickened) liquid supplements.

1 (Defining the Role of the Dietitian in Dysphagia Assessment and Management A Statement of Dietitians of Canada MARCH 2015).

If you have any questions about our services, comments or wish to find out more when our services are coming online, please contact us at the bottom of this page.

 

Resources

How to use the daily value (DV) on nutrition labels

www.badgut.com.CSIR a registered non-profit organization that is dedicated to increasing public awareness, providing patient education material, and funding medical research regarding a broad range of gastrointestinal diseases and disorders.

(1) A study published by Diabetes Care, endorsed by the American Diabetes Association (Wing R, 2011) Benefits of Modest Weight Loss in Improving Cardiovascular Risk Factors in Overweight and Obese Individuals With Type 2 Diabetes showed that "the magnitude of weight loss at 1 year was strongly (P < 0.0001) associated with improvements in glycemia, blood pressure, tryiglycerides, and HDL cholesterol", see link:http://care.diabetesjournals.org/content/34/7/1481.short

Chronic kidney disease and low potassium diet management: http://www.uptodate.com/contents/low-potassium-diet-beyond-the-basics

Example menu plans for low potassium:

 

Resource: Beyond the Basics: Meal Planning for Healthy Eating, Diabetes Prevention and Management: http://www.diabetes.ca/for-professionals/resources/nutrition/beyond-basics/.

 

 

 

 

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