A ‘food first’ approach to optimise nutrition and prevent unintentional weight loss or malnutrition is deemed best practice within the aged care sector.
Good nutrition becomes increasingly important as people age. To meet these nutritional requirements, residents are encouraged to eat small regular meals frequently throughout the day.
Foods and drinks should be ‘nutrient dense’ or nourishing.
It is recommended that residents are offered familiar foods and fluids as a first choice.
When residents are unable to meet their nutritional requirements from food alone, oral nutrition supplements may also be prescribed by dietitians.
In this situation, nourishing foods are encouraged followed by consumption of a nourishing drink or supplement.
Are there any other names given to a ‘food first’ approach? There is the High Energy High Protein (HEHP) diet.
Dietitians are most likely to recommend a ‘food first’ approach to those residents screened/assessed as being malnourished, losing weight unintentionally and experiencing chronic poor appetite.
They may also prescribe a ‘food first’ approach to those with increased requirements such as those with pressure injuries.
All staff (nurses, care/support staff, dietitians, Doctor’s, kitchen staff) have a role to play to ensure residents meet their nutrition and hydration requirements.
Food fortification involves the addition of everyday foods to make foods more nutrient-dense without increasing the portion size served so is therefore part of a ‘food first’ approach.
For example, additional cream may be added to desserts, butter or cheese to vegetables, or peanut butter + butter on toast.
All aged care facilities are encouraged to offer some fortified food/drink options on their menu.
For further information on a ‘food first’ approach and inclusion of fortified foods/drinks in your facility’s menu please contact your local Food Solutions dietitian.
