Template of Menu Planning and Sample Menus
Adult Day Care Resource Manual for the USDA CACFP
44 National Food Service Management Institute
There are three ways the regular diet menu can be modified to meet special nutrition needs:
Therapeutic diets (such as low fat, low sodium, or calorie-modified)
Consistency-modified diets (change in food texture)
o More than one therapeutic diet (such as a low fat, low sodium diet)
o Therapeutic diet with consistency-modified foods (such as a calorie-modified, pureed
Consistency-modified diets are those in which the food
texture has been changed to make chewing easier or to
promote safe swallowing. Changes in consistency can be
based on either the regular diet or a therapeutic diet. All
diet orders must specify a regular or therapeutic diet
when consistency changes are requested.
Consistency-modified diets may include thickened
beverages. The purpose of the changes in the texture of
beverages is to promote safe swallowing and prevent
food or fluids from getting into the lungs. The changes
in food consistency are usually recommended by a
swallowing therapist, physician, or registered dietitian. A
registered dietitian will need to review the diets ordered
and write consistency-modified diets appropriate for the
Therapeutic diets are ordered by a physician or other authorized medical authority. They are designed
to assist in the management of disease or disorders by reducing or increasing specific foods,
ingredients, or nutrients (for example, fat or sodium).
The ADA (1998, 2000) recommends a “liberal approach” to writing menus for therapeutic diets for
older adults. A “liberal approach” means that only a few foods are restricted on therapeutic diets.
With the approval of the physician or registered dietitian, occasional “treats” may be served to
improve participant satisfaction.
According to CACFP guidelines found in 7 CFR, part 226.20h, “Substitutions because of medical
needs shall be made only when supported by a statement from a recognized medical authority which
includes recommended alternate foods.” Documentation of the medical need and a list of alternate
foods must be kept on file and in the individual plan of care.
All therapeutic diets must follow the CACFP
meal pattern except for specific medical conditions.
Some participants may
require a therapeutic diet
in which a specific food,
ingredient, or nutrient has
been reduced or increased.
Template of Menu Planning and Sample Menus PDF
Favor this template? Just fancy it by voting!
2 Page(s) | 1415 Views | 10 Downloads
1 Page(s) | 2996 Views | 672 Downloads
1 Page(s) | 2046 Views | 173 Downloads
1 Page(s) | 1253 Views | 56 Downloads
2 Page(s) | 1357 Views | 34 Downloads