DIETITIAN RESOURCES. RealFoodBlends.com

Transcription

1 DIETITIAN RESOURCES RealFoodBlends.com

2 WELCOME TO REAL FOOD BLENDS. We re so rateful for the overwhelmin support Real Food Blends has received from dietitians (like you!) who are excited to finally be able to offer their enteral patients (kids and adults) the benefits of whole food nutrition and a wide variety of real food. We created Real Food Blends in 212 after our own tube-fed son failed commercial formulas, but thrived on a homemade blended diet. In this booklet, you ll find nutritional information for each of our six meals and daily meal plans, tips for usin our meals, and clinical support for usin real food throuh the feedin tube. If you have questions or need Julie & Tony Bombacino, Co-founders samples for your patients, please Real Food Blends reach out to us via at Info@RealFoodBlends.com or by phone at (888) Thanks! Julie and Tony TABLE OF CONTENTS About Real Food Blends...3 Nutritional Information...4 Clinical Research Supportin Blended Diets...6 Sample Meal Plans...7 Tips and Tricks...8 The information provided in this booklet is not medical advice. Real Food Blends meals are not intended to dianose, treat, cure, or prevent a health problem or disease.

3 ABOUT REAL FOOD BLENDS Our 6 meals offer nutritional variety for people with feedin tubes and can be used in conjunction with commercial formulas, with a home blended diet, or alone. 5-7 whole food inredients per meal calories per 8oz meal Meals follow the Choose My Plate model from the USDA 1 servin of fruits and veetables Suitable for those with nut, soy, luten, or dairy intolerances No corn syrup or preservatives Covered by many insurance plans under HCPCS B4149 Orane Chicken, Carrots & Brown Rice Salmon, Oats & Squash Beef, Potatoes & Spinach Quinoa, Kale & Hemp Es, Apples & Oats Turkey, Sweet Potatoes & Peaches Candidates for Real Food Blends Patients with a workin diestive system 14 Fr or larer G-tube Ae 1 or older (i.e. would be eatin normal table foods at this ae if not usin a feedin tube) In eneral, patients who had their feedin tube placed for a neuroloical condition, or have physical limitations preventin them from safely ettin food into the stomach, tend to be ood candidates for real food. The information provided in this booklet is not medical advice. Real Food Blends meals are not intended to dianose, treat, cure, or prevent a health problem or disease.

4 9.43 oz / 267 (24 ml sinle portion) Per 1 ml ORANGE CHICKEN, CARROTS & BROWN RICE MONOUN POLYUN m(mec) m m (mec) mc m m m m m m (mec) m (3.58) (17.2) (9.8) 1.1 1, (15.6) (54.2) (41.4) 4.64 WATER: 75% NUTRITIONAL INFORMATION MONOUN POLYUN MONOUN POLYUN m(mec) m m (mec) mc m m m m m m (mec) m m(mec) m m (mec) mc m m m m m m (mec) m (1.32) (6.5) (12) (2.6) (15.6) (6.24) , (5.5) (25.5) (5) 8.23 WATER: 73% 1, (11.) ,561 (65.7) (26.3) 8.6 WATER: 76%

5 9.43 oz / 267 (24 ml sinle portion) Per 1 ml TURKEY, SWEET POTATOES & PEACHES MONOUN POLYUN MONOUN POLYUN MONOUN POLYUN m(mec) m m (mec) mc m m m m m m (mec) m m(mec) m m (mec) mc m m m m m m (mec) m m(mec) m m (mec) mc m m m m m m (mec) m (.87) (7.69) (4.77) (4) (6.7) (1.7) (11) 1 1, (3.7) ,266 (32.5) (2.1) 2.13 WATER: 75% (14.7) ,8 (25.85) (45.2) 7.17 WATER: 77% (15.1) (71.82) (46.3) 6.8 WATER: 62% **Nutritional information is calculated based on USDA Nutrient Database Standard Reference and manufacturer specification. The information provided in this booklet is not medical advice. Real Food Blends meals are not intended to dianose, treat, cure, or prevent a health problem or disease.

6 SUGAR,, AND VITAMIN D SUGAR The American Heart Association recommends limitin added suar to 25 rams/day for women and children and 37 rams/day for men. FDA labelin uidelines do not require manufacturers to indicate the amount of added suar added to tube-feedin products. Real Food Blends contains only naturally occurrin suar in food and does not have any added suar. Real Food Blends is 1% real food, which is naturally low in sodium. Therefore, we recommend addin salt or a source of sodium daily. For most patients, ¼ to ½ teaspoon of salt per day added to Real Food Blends is usually adequate to meet sodium needs. Sodium Recommendations: Ae (yrs): 1-3 <15m/day 4-8 <1,9 m/day 9-13 <2,2 m/day 14+ <2,3 m/day Sources of Sodium: 1/4 tsp salt = 575 m 1/2 tsp salt = 1,15 m 5 oz chicken broth = 55 m 1 c. milk = 1 m AND VITAMIN D Real Food Blends meals do not contain any dairy inredients since this is a common allery and intolerance. Dairy products or other foods that are ood sources of calcium and vitamin D can be added to the meals to meet your patient s nutritional needs. You can also add an ae-appropriate multivitamin to meet these needs. Calcium Recommendations: Ae (yrs) Male Female m 7 m 4-8 1, m 1, m ,3 m 1,3 m ,3 m 1,3 m , m 1, m , m 1,2 m 71+ 1,2 m 1,2 m Sources of Calcium Yourt, plain, 8 ounces = 416 m Milk, 2%, 8 ounces = 293 m Soymilk, calcium-fortified, 8 oz = 299 m Kefir, dependin on brand = 3-4 m Vitamin D Recommendations: Ae (yrs): IU 7 8 IU Sources of Vitamin D: Cod Liver Oil, 1 tsp = 453 IU Orane Juice, Fortified 1c. = 137 IU Milk, all varieties, 1 c. = IU Yourt, Fortified 6 oz = 8 IU **Nutritional information is calculated based on USDA Nutrient Database Standard Reference and manufacturer specification.

7 CLINICAL SUPPORT FOR REAL FOOD FOR ENTERAL PATIENTS There is a rowin body of evidence-based research that shows that enteral patients can benefit from blenderized diets. Improvements in ain and retchin 2 Reduction in vomitin 3 4 Less diarrhea 5 Greater volume tolerance 6 Relief from constipation 7 Improved reflux symptoms Research also shows that many enteral patients support usin real food and already rely on real food for at least some of their nutritional needs. 8 COMMON SYMPTOMS OF FORMULA INTOLERANCE: Gain/Retchin Frequent burpin Bloatin Abdominal pain Diarrhea Vomitin Constipation IMPROVEMENTS REPORTED BY CUSTOMERS AFTER SWITCHING TO REAL FOOD BLENDS Improvements in Reflux Bowel Habits Improved Increased interest in eatin orally Able to eliminate/decrease some medication Less nausea/vomitin Increased enery Improved sleep Better skin pallor 1. Pentiuk, Scott, et al. Pureed by astrostomy tube diet improves ain and retchin in children with fundoplication. Journal of Parenteral and Enteral Nutrition 35 (211): PubMed. Web. 1 Au Mitsuya, Jennifer Bordato, et al. Tolerance of Pureed Diet by Gastrostomy Tube in Pediatric Patients. NASPGHAN, Oct , 214, Hilton Atlanta, Atlanta, Ga. 3. Hurt, Ryan, et al. Blenderized Tube Feedin Use in Adult Home Enteral Nutrition Patients. Nutrition in Clinical Practice 3.6 (215): Sae Journals. Web. 1 Au Gallaher, Kelsey. The BLEND Study: A feasibility study lookin at children transitionin onto blenderized tube feeds. NASPGHAN, Oct. 7-11, 215, Washinton Hilton, Washinton, D.C. 5. Ibid. 6. Novak, Patricia, et al. The Use of Blenderized Tube Feedins. ICAN: Infant, Child, & Adolescent Nutrition 1 (29): Sae Journals. Web. 1 Au Ibid. 8. Epp, Lisa, et al. Use of Blenderized Tube Feedin in Adult and Pediatric Home Enteral Nutrition Patients. Nutrition in Clinical Practice 32.2 (217): Sae Journals. Web. 1 Au. 217.

8 TIPS AND TRICKS BOLUS FEEDING Additional liquid can be added if a thinner consistency is desired Cut the pouch at an anle to minimize drips Dip the syrine pluner in olive oil for smoother feedin Heatin the meals can also thin the consistency FEEDING PUMPS AND GRAVITY FEEDS Add an additional 2-4 ounces of liquid (water, milk, juice, oil, etc.) Pour into pump/ravity ba AFTER addin liquid and mixin well Han time is 2 hours (meals can be refrierated for up to 24 hours after openin) TRANSITIONING FROM FORMULA Start slow, especially with youner children One option is to replace one can of formula daily with one RFB meal Be mindful of hydration needs. Extra free water is typically needed, just like for oral eaters. (RFB meals are approximately 75% free water) QUESTIONS? COMMENTS? SAMPLES? Contact us at Info@RealFoodBlends.com or (888) with any questions or to request samples! The information provided in this booklet is not medical advice. Real Food Blends meals are not intended to dianose, treat, cure, or prevent a health problem or disease.