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Chapter 8 Box 8.5 Selected Meal Plan Options


• Fully prepared meals: eg, from an outside delivery service, a caregiver, or the facility’s kitchen, based on meal pattern and dietary recommendations from the registered dietitian (RD) with little or no input from the patient.


• Daily menus: The RD or the patient with supervision of the RD writes out exactly what will be served at each meal/snack time, which is then prepared by the patient or caregiver.


• Meal schedule only: The RD or patient with RD supervi- sion plans meal- and snacktimes; patient chooses from avail- able foods at each time.


• Daily food group goals: A plan to eat a certain number of foods from each group each day, but no specific goals as to which foods are eaten at which times.


• Meal schedule plus food groups: A plan to eat a certain number of foods from each group at specific times of day.


• Exchange lists: see reference 8 for more information. • Calorie counting: The RD provides a calorie goal for intake at each meal and/or each day, along with recommendations for how best to allocate those calories. Note: It is of course appropriate for the RD and hospital staff to document calo- ries eaten in the medical record. However, because of the obsessive nature of eating disorders, patients can misuse calorie counting to promote restrictive eating and/or feelings of guilt or wrongdoing about eating. If a patient is already counting calories as part of his or her eating disorder, the RD, patient, and treatment team should decide whether to teach the patient a more holistic meal planning technique or instead make use of the patient’s existing knowledge of calorie counting to support recovery.


• The plate method: see reference 9 for more information.


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