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Raj R.

All Staff please take photo of all Raj's food intake and upload it here. 

Choose a time
Food photo

Thank you for assisting Raj^^

Date of initial assessment: 17/11/2022

Dietitian: Sally Juan

Last reviewed on: 20/01/2023

Reason for Referral:

Intellectual disability, reliant on others for food choices, weight gain over last few months, management of chronic health conditions – diabetes, education for SIL staff re appropriate dietary intake and food / menu planning. 

Food Texture: 

Regular food cut up into 1.5 cm x 1.5 cm pieces 

Thin fluid

( As per speech pathologist- last reviewed in Sep 2019)

Medical History: 

- Complex genetic disorder (Chromosome 6 Deletion) -- risk of weight gain 

- Diabetes

- High Cholesterol

- Proteinuria

- Non aligning of upper and lower jaw

- Atrium Septum Defect

Nutrition Goals:

  • Ensure adequate nutrient intake and good blood glucose control 

  • Reduce weight to healthy weight range of 50 -57 kg; Height = 152 cm

    • Weight = 70.7 kg (on 17.11.2022) BMI = 30.6 kg/m2

    • Weight = 71.7 kg (on 19.01.2023), BMI = 31.0 kg/m2

  • Improve overall nutritional intake for weight loss

  • Improve food variety, eating for pleasure to improve the experience with eating 

 

Nutrition Recommendations:

  1. For better Glucose control and Weight Loss

    • Provide optimal carbohydrate portion at meals and snack for optimal blood glucose control

    • Provide at least ½ plate (or 2 cups) of salad to create a lower Glycaemic index meal and satiety

      • Raj likes raw onions and fresh raw garlic in salad dressing

      • If Raj is asking for second serve, encourage him to finish all his salad/vegetables first

    • Follow portion Plate Model

    • Provide a variety of meals and snack as per meal plan

    • Raj loves bread- only offer bread as per portion on meal plan (Meal time = max 2 slices; Snack time = 1 slice)

    • Raj likes most cuisines ( ie Italian, Thai, Indian, rice paper roll, sushi, curry etc), but does not like spicy foods

  2. Monitor weight fortnightly

  3. Commence Food Chart and Meal Photos

  4. Have adequate fluids throughout the day to help with bowel movements

    1. Encourage 2 L of water per day

    2. Continue Bowel Chart

Portion_Plate_AIS.jpg

Suggested Meal Plan (Updated 23/01/2023)

Week 1 

Meal plan week 1 Jan 2023.JPG

Week 2

Meal plan week 2 Jan 2023.JPG

Note:

  • Try not to offer food or snacks out side of above times.

  • Mindful of carbohydrate portion (For example, Rice = 1 cup cooked; Pasta = dried is 50g in weight; Bread = max 2 slices)

  • Aiming to allow 3-4 hours gap between any food intake

  • No dessert after dinner. Dessert only sometime (ie when eating at mum’s)

  • Always provide at least 2 cups of salad/vegetable at meal time. Encourage to finish salad/ vegetables before second serve. Mother reported Raj usually stops eating when he is full.

Recipe Links- Main meal

Beef and mushroom Ragu

https://realfoodwholelife.com/recipes/weeknight-mushroom-and-beef-ragout/

  • Cook 50g pasta (dried weight) following instruction on the package

 

Brussel Sprout Salad

https://www.dinneratthezoo.com/brussels-sprout-salad/

Butter chicken

https://www.recipetineats.com/butter-chicken/

Carisma Lentil Shepherds Pie

https://www.gisymbol.com/recipe/carisma-lentil-shepherds-pie/

  • slight change: to 1 cup mixed vegetable of cauliflower, carrot and green capsicum

  • Use 1 medium Carisma Potato (Low GI potato)

 

Chicken Tikka Masala

https://www.recipetineats.com/chicken-tikka-masala/

Chicken Vegetable Pasta Bake

https://www.healthylittlefoodies.com/chicken-pasta-bake/

Creamy Cucumber Salad with Lemon Yogurt Dressing

https://www.recipetineats.com/creamy-cucumber-salad-lemon-yogurt-dressing/

Dal (Indian Lentil Curry)

https://www.recipetineats.com/dal-indian-lentil-curry/

  • Serve only 200g of this Dal recipe with ½ cup basmati rice and Salad

 

Garden Salad

https://momsdish.com/recipe/773/ultimate-garden-salad-recipe

Goan Fish Curry

https://www.recipetineats.com/goan-fish-curry-indian/

  • To make this dish not spicy, do not put kashimir chilli powder and green chilli from the recipe

  • Serve with 2/3 cup basmati rice and 2 cups freshly sliced cucumber, tomato, grated carrots

 

Greek Salad

https://www.loveandlemons.com/greek-salad/

Green Papaya Salad

https://rasamalaysia.com/green-papaya-salad/

Indian Tomato Salad with Mint Dressing

https://www.recipetineats.com/indian-salad-tomato-mint-dressing/

Overnight Oat Porridge

https://www.healthier.qld.gov.au/food/recipes/overnight-no-cook-fruity-oats/

Pasta Salad

https://www.instagram.com/p/Ck2QjhDyaLq/?igshid=MTI5NDc2ZGU=

  • Cook 40g raw pasta to offer

  • More salad vegetables in this dish

Pizza Supreme

(RPAH page 54)

  • Top with mixed leaves, onion, cucumber, grated carrots, shallot

 

Pizza Wrap

https://www.instagram.com/tv/CfTCVNHDgJH/?igshid=MTI5NDc2ZGU%3D

  • Only use 1 egg and shredded chicken instead of 4 eggs

  • Use 1 low GP wrap/ Lebanese bread/ Roti as pizza base

 

Rice paper rolls

https://www.recipetineats.com/vietnamese-rice-paper-rolls-spring-rolls/

  • Use total of 60g Vermicelli noodle (cooked) equally devided between 4 rolls

  • Add more thinly sliced lettuce, cucumber, carrots, bean sprouts, shallot to increase volumne

Salmon Patties

(RPAH Page 35)

Salmon with Quinoa, Mint and Cucumber Salad

https://www.gisymbol.com/recipe/salmon-with-quinoa-mint-and-cucumber-salad/

 

Satay Chicken Noodle Salad

https://www.recipetineats.com/satay-chicken-noodle-salad/

  • Only provide 1 cup noodle (ie Vermicelli noodle better)

Stuffed Capsicum

https://www.dinneratthezoo.com/stuffed-green-peppers/

  • Use basmati rice and lean beef mince

 

Sushi Bowl

https://www.dinneratthezoo.com/sushi-bowl-recipe/

  • Use basmati rice instead of sushi rice. Only provide 1 cup

  • Put variety of toppings (salmon, pink ginger, nori, cucumber, grated carrots, shallot, avocado etc)

 

Sweet potato chicken vegetable tray bake

https://www.gisymbol.com/recipe/sweet-potato-chicken-and-tomato-tray-bake/

  • Also add extra vegetables of capsicum and zucchini to bake

Thai Beef Salad

https://rasamalaysia.com/thai-beef-salad-recipe/

Tofu Salad

https://www.allrecipes.com/recipe/83576/tofu-salad/

Tofu and Vegetable Stirfry Noodle

https://www.sanitarium.com/au/recipes/a-z/marinated-tofu-vegetable-noodles

Zucchini Slice

(RPAH Page 55)

shashika rice.JPG
pizza supreme.JPG
salmon patties.JPG
zucchini slice.JPG
PXL_20230120_051047236~2.jpg

Supporting Doctuments

Updated on 26/01/2023

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