Our Top Tips To Help You To Fortify Texture Modified Meals For People You Support With Dysphagia To Prevent Malnutrition

In our latest educational article we address the challenge of the links between people living with Dysphagia and the heightened risk of malnutrition and specifically answer the question recently posed to us how can we fortify meals to ensure that the people we support’s daily food intake meets daily dietary requirements.

Jo Bonser MD told us:

‘We absolutely understand that supporting ladies and gents with Dysphagia and ensuring that they maximise on the correct levels of nutrition and hydration represents a huge challenge to care managers and their teams. These people are at high risk of being deficient due to consistently having to eat texture modified meals, which can offer less nutritional value, and finding it difficult to tolerate large volumes of fluids.

 

I know from my own experience caring for my own Mum, of the challenges of supporting someone with malnutrition and learned a lot about how to fortify her meals without increasing her portion sizes, just to improve her daily calorie intake.

The question of how can we fortify modified texture meals came up in a seminar I attended recently so it has prompted me to write a helpful, educational article which hopefully will help others too.’

 

Dysphagia, (or swallowing difficulties) can affect a person’s ability to eat and drink leading to an inability to meet food and fluid needs and take medication, affecting their health and quality of life. This can result in a person becoming at risk of malnutrition, weight loss and dehydration.

The key to maintaining nutrition and hydration in people with dysphagia is to promote safe swallowing and to ensure that the person has food and fluids which are of the appropriate texture and thickness.

A texture-modified diet should ideally meet the recommended daily allowance of energy, protein and micronutrients for a meal. However, due to poor nutrient density, high dilution factor and limited palatability, modified consistency meals are known to result in significant weight loss. In view of difficulties in achieving an adequate nutritional intake from a modified consistency diet alone, food fortification may be necessary.

This is a way of increasing the nutrient and energy content of food and drink without increasing portion sizes, making it easier to eat more calories and protein every day.

Our top pureed food fortification tips:

Choose liquids to added to pureed/semi-solid foods with nutritional value rather than water such as

  • Whole (full fat) milk, fortified milk and cream
  • Broth
  • Fruit juice (avoid those labelled diet, sugar-free and no added sugar)
  • Cheese sauce, white sauce, parsley sauce, bread sauce
  • Gravy
  • Custard

High calorie snacking between meals with foods such as sandwiches, biscuits and cakes, which can be texture modified using a soaking solution, can also help.

 

We all eat with our eyes first so it is paramount to ensure, that in addition to providing the RDA, pureed food always looks appetising and is attractively presented. It is common for people with a Dementia to refuse to eat what they cannot recognise, and as Dysphagia is common as dementia progresses, improving meal presentation with colour and contrast on the plate for everyone, regardless of their condition, ensures that nobody feels isolated or treated differently.

The use of food moulds is becoming increasingly popular to recreate the original shapes of pureed foods as family members and care caterers understand the key benefits:

  • Improved meal presentation and nutrition
  • Increased dignity at mealtimes
  • Greater meal variety
  • Reduced preparation time ad wastage

food molds and molded food

Why not download our free Dignified Dining Solutions Guide here to learn more ways to help manage Dysphagia and improve the mealtime experience for the people you support.

What challenges are you currently facing with helping the people you support living with dementia to eat better?’

Lets get started

 

We are offering 10 free half-hour‘ discovery’ calls with our MD Jo Bonser who supported her own Mum and transformed her mealtime experience and nutrition levels and understands the challenges you are facing.

Get in touch

Testimonial

“My daughter is 12yo. She has diagnosis’ of Down’s syndrome, oral dysphagia, autism, sensory processing disorder and food intolerances. I have only been able to give her pureed or mashed food which she was not particularly interested in. She is assisted while eating. The first time she saw her ‘food moulded’ dinner she shouted, “carrots!”. The second time she wanted to know what every bit of food was on her plate. This time I had used parsnips in the carrot mould. “What’s that, what’s that?”, she said as she used a fork to scoop up individual pieces of dinner into her mouth with glee. I have neither the time, energy nor interest for ‘faffing’ about these days so the moulds are extremely practical. Easy to clean, easy to fill with food, easy to freeze and the frozen food just pops out. I have made batches of vegetables, meat and fruit, popped them out of the moulds and stored them in another container in the freezer to use later. One can use the broccoli mould for cauliflower and sprouts. The pumpkin mould for turnip and sweet potato and as I mentioned earlier parsnip in the carrot mould. But what is most important is that my daughter is beginning to enjoy her meal times and showing greater independence …. because of the moulded food. From my experience, the silicone food moulds have been a success”.

Mrs D Drewery

 

 

Back

Read our trustpilot reviews
Read More

Customer Testimonials

“We’ve built a strong working relationship with Hcsuk over many years, having used them to source, install and service our medical training equipment. We have always found the team very professional, helpful, and well-organised. We’d like to give a particular shout out to Phil, the technician / engineer who has been the consistent friendly face visiting our business to inspect and test our mobility hoists every 6 months. Thank you for all your support and advice.”

P. B. (Care Manager), Blue Bird Care Ltd

You are part of a great company, if we can help you grow by contracting you out to our sites its good for you, but it’s great for us because your service is fantastic, very efficient, everyone within Hcsuk is super helpful in answering queries and every time we’ve had an issue, Hcsuk has always been there to solve the problem almost immediately, which is fantastic.

Leicestershire County Council

Truly exceptional levels of customer service, the best I have experienced for many years. Very helpful staff made follow up calls to ask how the equipment was performing and supplied extra user instructions to supplement the manufacturers manual. I would not hesitate to order from this company again.

Savills Estate Agents

We would just like to pass on our thanks for all of your help with our orders and would be pleased if you would also pass on our thanks to the manufacturers for being so accommodating in meeting our requirements. We have found everyone very helpful.

Lincs Partnership NHS Foundation Trust

Since I set up the account for Hcsuk over 18 months ago I have found them to be an excellent advocate of our products. They have been willing to learn about the technical and servicing elements to our hoists and the sales staff have really taken on board and proactively promoted our range where possible. I feel that as a company Hcsuk have got the desire and right people in place for growing in this competitive industry. They seem to push themselves to go that little bit further and offer that little bit more to stand out from the rest. May our relationship continue going from strength to strength.

Joerns Healthcare

As a care home manager I have used Hcsuk for my supplies for the last 20 years in two homes. I have always found them to be helpful and reliable. Their products are of the highest standards, they are able to source anything. The delivery service is prompt and regular so I do not have to keep large amounts of stock. They supply extra services such as servicing and repairs which are done efficiently, and training in COSHH. The reps are pleasant and helpful bringing new products to my attention but are never ”pushy”. Aftercare is good, any problems soon sorted. I would recommend them highly and would not think of using anyone else.

Littleover Nursing Home

HPC have supplied Hcsuk (Health Care Services Ltd) for well over a decade now and we would consider them to be a high quality and professional business run in an organised and progressive manor. We do not rank our customers or have a preferred customer status but if we were to introduce such a scheme I can confirm that Hcsuk would easily make such a grade.

HPC Healthline

As a manufacturer we look for key values in a distributor some of these include honesty, reliability, commitment and reputation. Hcsuk carry all of these and many more. With a twenty plus year working relationship we now place Jo and the team at the top of our distributor list. I have no hesitation in recommending Hcsuk to any prospective manufacturer or customer and wish Jo and the team all the best for the future.

Cleenol Group Ltd

It is brilliant that we are able to ring Health Care Services and that you will go the extra mile to get us the stock we need as soon as possible.

Rykneld View Nursing Home

Just to say a huge thankyou to you and your fantastic team, and I mean that from the Heart. I have never before experienced such a person centred company.

Hampton Grange Nursing Home

What I like about working with Health Care Services is the relationship we have built up and the personal service. The homes report that you always deliver on time, the quality is consistantly good and the prices competitive. Your team members are always willing to go that extra mile for us and if ever we have an issue there is always someone there to save the day.

Eastgate Care

VAT Relief Information

Conditions for VAT relief for disabled people

Some of the products which can be purchased from the Hcsuk website are available for an eligible person to purchase without paying VAT on them. HM Revenue and Customs sets out the conditions when equipment for disabled people might be free of VAT and how to claim exemption from paying VAT on these products.

Products a can only be exempt from VAT when all the following conditions are met:

  1. The customer is eligible to purchase supplies at the zero rate
  2. The goods are for the personal or domestic use of the customer
  3. The goods and services are eligible to be supplied at the zero rate

A more detailed explanation of each of these conditions is given below, but you should visit the HM Revenue and Customs Website to fully understand the conditions

The product must be being purchased for someone who is chronically ill or disabled.

A person is ‘chronically sick or disabled’ if he/she is a person:

It does not include a frail elderly person who is otherwise able-bodied or any person who is only temporarily disabled or incapacitated, such as with a broken limb.

‘personal or domestic’ use means that the supply must be made available specifically for the use of an eligible individual.

You don’t have to physically buy the goods in person. If your parent, guardian or wife or husband buys the goods and services for you, then you won’t be charged VAT.

What counts as personal or domestic use?

Personal or domestic use means that the goods or services are supplied for your own private use, rather than for business purposes. Also, the goods or services must be just for your own use – not for use by anyone else, or chronically sick or disabled people in general. However, if you and your partner are both chronically sick or disabled and you buy goods or services for both of you to use, then you won’t have to pay VAT.

Products which are offered for sale on this website which qualify for VAT relief to be claimed for an eligible person.

The products which can be bought without paying VAT are:

Only the products on our site carrying the VAT exemption price (the smaller price marked ex VAT) are eligible to be purchased this way and you must tick the box on the basket page indicating that you wish to claim VAT exemption on the items in your basket that are eligible for VAT relief.

How to claim

On the my basket page of this website a link to the online declaration form is provided if the basket contains a product that qualifies for VAT relief. You must tick the box to state you wish to claim VAT relief on the eligible product and complete in full the reason by which you are ‘chronically sick or disabled’ and name and address of the claimant. If possible the person making the claim should complete this form, but a family member, carer or medical professional may complete the form on the claimants behalf. To submit the claim and receive the VAT relief, click the ‘Submit VAT Relief Claim’ button before proceeding to the checkout.

Please note that all orders submitted with a VAT relief claim form completed are checked before the order is processed.

It is necessary to complete a separate claim form each time a qualifying product is purchased from Hcsuk.

 

0
Your Cart