By BWFH Dieticians and more
The Basics
Fortified Full Fat Milk
Perfect for
This is a great recipe to increase calories and protein throughout the day
This recipe is ideal for people who have experience weight loss recently and are struggling to either
intake enough calories and protein or are wanting to get back to their healthy weight with a bit of
support. Those who take a limited diet should aim to have 1 pint of fortified milk a day.
Ingredients
1 pint (568mls) Full fat milk
4 good tablespoons SKIMMED milk powder
Method
1. Mix the 4 tablespoons of dried skimmed milk powder with some of the full fat milk to make
a runny paste.
2. Add the rest of the pint of full fat milk.
3. Once made, store it in the fridge as normal and use during the day.
How to use Fortified milk
• Drink plain
• Make into a hot milky drink, e.g: Hot chocolate, Cocoa, Ovaltine, Horlicks, Coffee.
• Make into a cold milkshake by using Nesquick powder or Crusha Syrup to flavour. Available
in Strawberry, Raspberry, Banana and Chocolate flavours.
• Add to Cereals, Soups, Sauces, Puddings and use in cups of tea and coffee. For extra
nourishment, add 1 tablespoon of double cream or a scoop of ice cream
Nutritional Values
510 Kcals, 31g Protein in 568 mls (1 pint)
Recipe by Laura, Bethany & Charlotte (student dieticians with bfwhosptials 2017)
Fortified Fruit Juice
Perfect For
Fortified juice is a great accompaniment to any breakfast, but it is also a good go to when taking
medications.
Ingredients
200ml FRESH fruit juice with NO BITS (mango, pineapple, apple, cranberry, orange etc)
4 teaspoons of dried SKIMMED milk powder
Method
1. Mix the 4-5 teaspoons of dried skimmed milk powder with some of the fruit juice to make a
runny paste.
2. Add the rest of the 200 mls fruit juice
Once made, fortified juice is great in other recipes to add even more nutrition into a diet
Nutritional Values
150 Kcals, 5g Protein in 200 mls
Recipe by Laura, Bethany & Charlotte (student dieticians with bfwhosptials 2017)
Raspberry refresher
Serves 1
Nutritional Values
361 Kcals 11g Protein
Ingredients
• 100mls fortified milk (see recipe)
• 2 teaspoons honey
• Thick and creamy raspberry yoghurt
Method
1. Mix all the ingredients together. Stir until smooth. Serve Chilled
Perfect for
• Having alongside breakfast
• Afternoon Snack
Recipe by Laura, Bethany & Charlotte (student dieticians with bfwhosptials 2017)
www.bfwh.nhs.uk/communitydietetics
Choco-lat Milkshake
Serves 1
Nutritional Values
251 Kcals 15g Protein
Ingredients
200mls fortified milk (see recipe)
2 scoops Chocolate Ice cream
3 teaspoons chocolate milkshake powder
Method
1. Mix Chocolate milkshake powder with a little of the fortified milk to make a paste
2. Add rest of the milk and ice cream, stir until smooth and the ice cream has melted. Serve
chilled
Method 2
1. Place all ingredients into a blend and blend until smooth. Serve chilled.
Perfect for
• Having with a few cookies or a slice of cake
• At supper time
Recipe by Laura, Bethany & Charlotte (student dieticians with bfwhosptials 2017)
www.bfwh.nhs.uk/communitydietetics
Orange and Mango Cooler
Serves 1
Nutritional Values
270 Kcals 8g Protein
Ingredients
• 100ml fortified orange and mango juice
• 100mls lemonade
• 1 scoop vanilla ice cream
Method
2. Make up fortified juice by adding 1 tablespoon of SKIMMED milk powder to 50ml juice to
make a paste. Add in remaining juice and stir.
3. Add ice cream and lemonade and stir. Serve chilled.
Perfect for
• A morning pick me up
• Finishing of a hearty breakfast
• With a bit of fruit in the afternoon
Recipe by Laura, Bethany & Charlotte (student dieticians with bfwhosptials 2017)
www.bfwh.nhs.uk/communitydietetics
Iced Latte
Serves 1
Nutritional Values
370 Kcals 13g Protein
Ingredients
• 200mls fortified milk (see recipe)
• 1 teaspoon instant coffee powder
• 1 scoop vanilla ice cream (make it a mocha by switching to chocolate ice cream)
• 1 tablespoon double cream
Method
1. Mix all the ingredients together and stir well until ice cream has melted. Serve Chilled.
Method 2
1. Put all ingredients into a blender and blitz until smooth
Perfect for
• After tea
• Mid-morning indulgence
• A treat for supper
Recipe by Laura, Bethany & Charlotte (student dieticians with bfwhosptials 2017)
www.bfwh.nhs.uk/communitydietetics
Fruit Smoothie
Serves 1
Nutritional Values
561 Kcals 20g Protein
Ingredients
• 200mls fortified milk (see recipe)
• ½ carton thick and creamy, fruit yoghurt
• 1 scoop ice cream (vanilla or fruit)
• Strawberries, raspberries, banana, or any soft seasonal fruit (50g-80g)
Method
1. Place all ingredients into a blender and blend until smooth. Serve chilled
Perfect for
• Breakfast
• Pudding after dinner/tea
• Pamper day
Strawberry Milkshake
Serves 1
Nutritional Values
361 Kcals 15g Protein
Ingredients
• 200mls fortified milk
• 3 round teaspoons of strawberry milkshake powder
• 1 tablespoon double cream
Method
1. Mix strawberry milkshake powder with a little of the fortified milk to make a paste.
2. Add the rest of the milk and double cream. Stir well until smooth and then serve chilled.
Perfect for
• A morning treat
• Bringing sunshine to a gloomy day
• Pamper days
Recipe by Laura, Bethany & Charlotte (student dieticians with bfwhosptials 2017)
www.bfwh.nhs.uk/communitydietetics
Hot Mocha
Serves 1
Nutritional Values
498 Kcals 15g Protein
Ingredients
• 200mls fortified milk
• 3 teaspoons hot chocolate powder
• 1 teaspoon instant coffee powder
• 2 tablespoons double cream
Method
1. Mix fortified milk with double cream and warm up.
2. Add hot chocolate powder and instant coffee. Stir until dissolved.
Perfect for
• Late night suppers
• Rainy days
• Mondays
Recipe by Laura, Bethany & Charlotte (student dieticians with bfwhosptials 2017)
www.bfwh.nhs.uk/communitydietetics
Creamy Soup
Serves 1
Nutritional Values
464 Kcals 13g Protein
Ingredients
• 200mls fortified milk
• 2 table spoons double cream
• 1 sachet of cup a soup
Method
1. Mix fortified milk with double creams and warm.
2. Add to cup a soup powder. Stir until dissolved and warm slightly if needed.
Perfect for
• Saturday afternoons
• Warming the cockles
• Supper on dark and dismal evenings
Recipe by Laura, Bethany & Charlotte (student dieticians with bfwhosptials 2017)
www.bfwh.nhs.uk/communitydietetics
Luxury Hot Chocolate
Serves 1
Nutritional Values
611 Kcals 16g Protein
Ingredients
• 200mls Fortified Milk
• 3 teaspoons of hot chocolate powder
• 2 tablespoons double cream
• Whipped Cream
• Marshmallows
Method
1. Mix fortified milk with the double cream and warm
2. Add to hot chocolate powder. Stir well until dissolved
3. Top with whipped cream and marshmallows
Perfect for
• ANYTIME – Come on, hot chocolates like this are always perfect!
Recipe by Laura, Bethany & Charlotte (student dieticians with bfwhosptials 2017)
www.bfwh.nhs.uk/communitydietetics
Hot Malted Goodness
Serves 1
Nutritional Values
458 Kcals 14g Protein
Ingredients
• 200mls fortified milk
• 3-4 teaspoons of malt drink powder (e.g. Horlicks or Ovaltine)
• 2 tablespoons double cream
Method
1. Mix fortified milk with double cream and warm.
2. Add to malted drink powder. Stir well until dissolved.
Perfect for
• Autumn and winter evenings
• Helping you get nice and sleepy and cosy
Recipe by Laura, Bethany & Charlotte (student dieticians with bfwhosptials 2017)
www.bfwh.nhs.uk/communitydietetics
HIGH ENERGY, HIGH PROTEIN ORAL SHOTS
Oral shots are a simple way to provide lots of calories
and/or protein in a small volume, using everyday foods.
Oral shots are typically taken at 4 occasions throughout
the day, as a supplement to the diet.
Oral shots can be taken at medicine time.
Note: oral shots are not suitable for individuals with
dysphagia (swallowing difficulties).
SINGLE INGREDIENT ORAL SHOTS
4x 30ml = 120ml total
Evaporated Luxury Condensed Double Luxury Melted
Whole Milk Custard Whole Milk Cream Vanilla Ice
Cream
199 kcals 236 kcals 372 kcals 595 kcals
10g protein 3.9g protein 8.9g protein 1.9g protein 314 kcals
5g protein
“PUDDING-INSPIRED” FLAVOURED
ORAL SHOTS
“Bakewell Tart” “Sticky Toffee Pudding” “Lemon Sponge”
120ml double cream 120ml condensed whole 120ml luxury melted
2 tablespoons raspberry milk vanilla ice cream
milkshake syrup 2 teaspoons toffee sauce 2 teaspoons lemon curd
1 drop almond extract
Add the raspberry milkshake Mix toffee sauce with splash Add the lemon curd into the
syrup and almond extract to of water to a smooth, thin luxury melted ice cream. Stir
the double cream. Stir until paste. Add all the condensed until mixed. Keep chilled.
mixed. Keep chilled. whole milk and stir until
smooth. Keep chilled.
References: BAPEN (2016) Oral Nutritional Supplements; Public Health England (2015) McCance
and Widdowson’s composition of foods integrated dataset
Created by Alice (student dietitian, 2018)
Community Nutrition and Dietetics, tel: 01253 957871, email: [email protected]
HIGH CALORIE FINGER FOODS
For those people with Dementia who struggle to Breakfast food ideas
use cutlery or wander at mealtimes, finger foods
can prolong independence & dignity.
The use of finger foods can improve a poor
appetite & increase food intake between meals.
Finger foods are also ideal for people who require Buttered toast or bread fingers with jam,
longer to eat. They can eat at their own pace & marmalade, hummus, peanut butter,
because they are served at room temperature, honey, chocolate spread or lemon curd
they don’t go cold.
Buttered crumpets or muffins with jam
If finger foods are initially rejected, offer them Buttered scotch pancakes with jam
again at other mealtimes, over several days. Brioche, Croissants, Pastries
Buttered hot cross buns
Tips for preparing finger foods Waffles with syrup
Buttered teacakes, Fruit loaf, Malt loaf
Choose variety of finger foods for meals, Buttered scone with jam
puddings & snacks to prevent repetition & Eggy bread squares
ensure meals are nutritionally balanced. Mini sausages
Dried fruit – dates, apricots
Use foods that are robust & easy to hold. Soft cereal bars
Choose foods that are moist & not too Cheese on toast slices
Boiled egg, cut into quarters
messy.
Serve finger foods in small pieces. Main meal ideas
Finger foods can easily be prepared in
Meat, sliced & cut into pieces e.g: beef,
advance & serve at room temperature. pork or lamb (meat that is dry may be
Be creative difficult to eat, so try to keep it moist).
-Make sure finger foods look attractive Chicken or turkey breast (moist) cut into
on the plate. pieces.
-Make mini versions of food rather
than cutting up larger versions. Small beef burgers, meatballs, sausages,
Offer finger foods of correct texture. If a chipolatas or hotdogs.
person manages more easily with soft
foods, do not offer raw vegetables !! Slices of meatloaf
Establish food likes & dislikes.
Community Nutrition & Dietetics, Tel: 01253 957871, email: [email protected] (created 16.05.2017)
Gammon pieces with pineapple chunks Fruit and Vegetables
Pieces of fish fillet (boned), fish fingers, small
Not high in calories or protein but an important
fishcakes. part of the diet to give variety & vitamins and
Chicken nuggets or scampi pieces minerals.
Hard boiled eggs, quartered
Scotch eggs - Vegetables can be steamed, roasted, boiled or
Bhajis & mini samosas served raw.
Slices of quiche or pizza - Fruit can be peeled if preferred. The peel may
Finger slices of toast or bread with pate make it easier for the person to grip the pieces
Sandwiches – egg or tuna mayonnaise, soft especially if slippery fruit as peach or nectarine.
or sliced cheese, sliced ham or other meat, Banana – whole, chunks or slices
peanut butter, meat or fish paste. Melon chunks
Buttered bread rolls
Slices of cheese on toast Orange segments
Kebabs Apple or Pear slices
Potato wedges, chunky chips or sweet potato Strawberries, Raspberries
wedges. Dried apricots, Apple rings or Pears
Small roast potatoes, Boiled potatoes halved Pineapple chunks or rings
or Mini new potatoes.
Potato waffles Slices kiwi fruit
Buttered crackers with soft cheese, pate or Nectarine or Peach slices (stone removed)
meat paste.
Cheese cubed or sliced Seedless grapes
Carrot & Parsnip fingers
Dessert ideas Cauliflower or Broccoli florets
Cherry tomatoes, Cucumber slices or sticks
Slice of fruit cake or gingerbread
Small cakes or buns, slices of cake Button mushrooms
Fancy biscuits – chocolate, caramel & Brussel sprouts
cream/jam varieties Courgette, Celery, Pepper slices or sticks
Ice cream in a cone, Ice lolly Green beans or Mange tout
Mini fruit pies, Tarts, Egg custard Vegetable crisps
Chocolate
Pieces of flapjack, Cookies References:
Mini sweet muffins or Doughnut Alzheimer’s Society (2009) Alzheimer’s Society guide to
Cereal & fruit/nut bars catering for people with dementia
Pancake rolled with filling – chocolate spread, Caroline Walker Trust (2011) Eating Well: Supporting
older people & older people with dementia
syrup, peanut butter
Sponge or bread & butter pudding chunks
with creamy custard dip
Fruit wedges with a thick & creamy yogurt dip
Community Nutrition & Dietetics, Tel: 01253 957871, email: [email protected] (created 16.05.2017)