Integrated & Community Services - Blended Diet for Enteral Feeding Recipes

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Dietitian:

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Follow the plate model for guidance on making sure blended meals are complete for all the nutrients.

• Energy/carbohydrate rich food at each meal
• Protein rich foods twice daily
• Milk and dairy rich food three times each day
• Fruit and vegetables five portions daily

For portion sizes

• Aim for 1/3 protein/carbohydrates/vegetables. If less energy/ calories needed, give more vegetables eg ½ and ¼ of protein/ carbohydrate. If more energy/ calories needed, fortify with more protein and energy rich foods
• Mobility will affect how much nourishment an individual requires. Children need a certain amount to grow, but this may be reduced if mobility is lower. Adults may need enough nourishment for weight gain. Again, if mobility is lower, their needs may also be lower
• Portion size will also depend on what the individual tolerates
• The dietitian will calculate individual nutritional requirements and provide guidance

Breakfast Ideas

1 x Weetabix 20g
Whole Milk 120ml 142 Kcal

1 x Weetabix 20g
Whole Milk 120ml 174 Kcal
½ Banana 40g

1 x Weetabix 20g
Whole Milk 120ml 515 Kcal
Smooth Peanut Butter 50g
Ella’s Kitchen Mighty Grains Fruit Pouch 120g
 
2 x Weetabix 40g 284 Kcal
Whole Milk 240ml

2 x Weetabix 40g
Whole Milk 240ml 316 Kcal
½ Banana 40g

Porridge Oats 50g
Whole Milk 150ml 272 Kcal

Porridge Oats 50g
Orange Juice 50ml 298 Kcal
Greek Yoghurt 50g

Porridge Oats 40g
Smooth Peanut Butter 50g 620 Kcal
Banana 60g
Whole Milk 200ml

Rice Krispies 30g
Whole Milk 150ml 207 Kcal

Lunch/Dinner Ideas

Chicken Tomato Pasta - 230ml - 347 Kcal
Pasta (Cooked) 100g
Tomato Pasta Sauce80g
Cooked Chicken 50g
Frozen or Fresh Peppers 30g
1 Tablespoon of Oil

Chicken Pesto Pasta – 200ml - 570 Kcal
Pasta (Cooked) 100g
Pesto 80g
Cooked Chicken 50g
Peas 30g
Full Cream Milk 120ml
Grated Cheese 20g

Shepherd’s Pie – 200ml - 484 Kcal
Minced lamb (Cooked) 80g
Peas 30g
Mashed Potato with butter & cheese 50g
Oil 15g
 
Sardines and Vegetables – 200ml - 339 Kcal
Tinned Sardines in Tomato Sauce 125g
Mashed Potato with butter & cheese 75g
Mixed Frozen/fresh Vegetables 25g
Full Cream Milk 50ml

Salmon and Vegetables – 300ml - 663 Kcal
Salmon (Cooked) 80g
New Potatoes 150g
Spinach 30g 663 Kcal
Full Cream Milk 150ml
Vegetable Oil 30ml

Beans on Toast – 200ml - 495 Kcal
Bread Crumbs 50g
Baked Beans 150g
Butter 20g
Full Cream Milk 75ml
 
Eggs on Toast – 150ml - 495 Kcal
Bread Crumbs 50g
2 Boiled Eggs 120g
Full Cream Milk 75ml
1 Tablespoon of Oil

Spaghetti on Toast – 200ml - 397 Kcal
Bread Crumbs 50g
Tinned Spaghetti 150g
Full Cream Milk 50ml
1 Tablespoon of Oil

Avocado & Egg on Toast – 150ml - 462 Kcal
Bread Crumbs 50g
Full Cream Milk 75ml
½ Avocado 80g
1 Egg

Beans & Sausage on Bread – 200ml - 433 Kcal
Brown Bread 60g
Tinned Baked Beans with Sausages 150g
Full Cream Milk 100ml
1 Tablespoon of Oil

Dessert Ideas

Sticky Toffee Pudding – 200ml - 516 Kcal
Sticky Toffee Pudding 110g
Ready-made custard 100ml

Banana & Custard – 120ml- 147 Kcal
Banana 60g
Ready-made custard 100ml

Strawberry Cheesecake – 300ml- 874 Kcal
Strawberry Cheesecake 100g
Double Cream 150ml
Full Cream Milk 100ml

Prunes, Apple & Pear – 150ml- 174 Kcal
Prunes, apples & pears 100g
Ready-made custard 100ml

Chocolate Brownie – 200ml- 655 Kcal
Chocolate Brownie 110g
Ready-made custard 100ml

Rice Pudding – 200ml - 170 Kcal
Rice pudding 200g
 
Apple Crumble – 200ml- 323 Kcal
Apple Crumble 110g
Ready-made custard 100ml

Shop-bought Easy Snack Ideas

Please note there are other products available)

Yoghurt – 125g
Tesco Greek Style Natural Yoghurt 155 Kcal
Onken Mango & Passion Fruit Yoghurt 126 Kcal
Onken Raspberry Yoghurt 125 Kcal
Sainsbury’s Greek Style Natural Yoghurt 150 Kcal
Sainsbury’s Mixed Red Fruit Yoghurt 107 Kcal

Yoghurt Drink
Frubes Strawberry Yoghurt Drink 180g 126 Kcal
Petits Filous Yoghurt Smoothie Strawberry & Banana 170g 116 Kcal
 
Rice Pudding – 100g
(Please note this food needs to be blended before administering)
Ambrosia Rice Pudding 96 Kcal
Tesco Creamed Rice Pudding 94 Kcal
Muller Rice Strawberry Dessert 106Kcal
Muller Rice Original 101 Kcal
Sainsbury’s Rice Pudding, Creamed 94 Kcal
Sainsbury’s Rice Pudding, Basics 86 Kcal
ASDA Creamed Rice Pudding 94 Kcal

Custard – 150g
Ambrosia Devon Custard 147 Kcal
Tesco Ready to Serve Custard 144 Kcal
Sainsbury’s Custard, Basics 109 Kcal
ASDA Custard 145 Kcal

Fruit Pot – 100g
Heinz By Nature – Apple, Banana & Apricot b
Heinz By Nature – Mango fruit pouch 70 Kcal
Heinz By Nature – Pear fruit pouch 59 Kcal
Ella’s Kitchen - Banana & Coconut 147 Kcal
Cow & Gate – Apple, Orange & Banana fruit pot 72 Kcal

Food Fortification

Iron Shot

50g Lentils 50 Kcal 1.20mg Iron
50g Fortified Cereal 187 Kcal 5.50mg Iron
100g Spinach 19 Kcal 1.60mg Iron
100g Lean Beef Mince 137 Kcal 2.30mg Iron

Fat Shot

50ml Double Cream 248 Kcal 26.9g Fat
50g Butter 370 Kcal 40.9g Fat
50ml Olive Oil 450 Kcal 50g Fat
50g Peanut Butter 304 Kcal 25.9g Fat
50g Avocado 95 Kcal 9.8g Fat

Protein Shot

1 Medium Egg 70 Kcal 6g Protein
15g Peanut Butter 92 Kcal 3.7g Protein
30g Cottage Cheese 24 Kcal 3.7g Protein
30g Chickpeas (tinned) 92 Kcal 4.8g Protein 30g
Salmon 62 Kcal 6.6g Protein
100g Greek Yoghurt 91 Kcal 4g Protein

Allergies

If an individual has never had any food by mouth, it may be unclear whether they have any food allergies. We recommend starting any allergens in small amounts, and leaving 3 days before introducing any other new food. This allows monitoring for any potential symptoms. Offer early in the day and when the individual is well.

Please speak to your Dietitian if you suspect an allergy.

Some common foods which may cause an allergic reaction include: Milk, Egg, Fish, Nuts, Wheat, Soya, Sesame.

www.food.gov.uk/business-guidance/allergen-guidance-for-food- businesses

Cow’s milk protein allergy

For children with cow’s milk protein allergy, the following swaps could be made to blends:

100ml Alpro growing up soya milk - 64kcals
100ml Asda oat drink long life - 55kcals
50g Koko plain coconut yoghurt - 39kcals
10g Vitalite dairy free spread - 50kcals
30g Cathedral city dairy free grated cheese - 107kcal

Most supermarkets have suitable own brand dairy free alternatives, please look at labels for accurate nutritional information. We would suggest using fortified alternatives – this means they have added calcium and iodine in for growth and brain development.