Section 390.1850 Meal Planning

Section 390

Section 390.1850  Meal

Planning

a)         The diet for all residents shall be as prescribed by the

attending physician.

b)         Nutritional Requirements for Infants and Children

1)         The charts in Tables A and B labeled Nutritional Requirements

for Infants and Children have been adapted from current recommendations of the

Food and Nutrition Board, National Research Council for children with normal

growth and developmental patterns.  These recommendations vary for each age

group.

2)         The Nutritional Requirements are to be used as guidelines only

in those cases where the physician does not prescribe a therapeutic diet.

However, the diet of a resident with severe physical abnormalities and

irregular growth and developmental patterns may require a considerable variance

from the current recommended allowances.  Such variance shall be permitted upon

the written order of the attending physician.

c)         Meals for the day shall be planned to provide a variety of

foods, variety in texture and good color balance. The following meal patterns

shall be used.

1)         Three meals a day plan

A)        Breakfast:  Fruit or juice, cereal, meat (optional, but three

to four times per week preferable), bread, butter or margarine, milk, and

choice of additional beverage.

B)        Main Meal (may be served noon or evening):   Soup or juice

(optional appetizer), entree (quality protein), potato or potato substitute,

vegetable or salad, dessert (preferably fruit unless fruit is served as a salad

or will be served at other meal), bread, butter or margarine, and choice of

beverage.

C)        Lunch or Supper:  Soup or juice (optional), entree (quality

protein), potato or potato substitute (optional if served at main meal),

vegetable or salad, dessert, bread, butter or margarine, milk, and choice of

additional beverage.

2)         Other meal plans may be used if facilities are able to meet

residents' needs using such plans.