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MEAL PLANNING AND SHOPPING FOR OLDER
ADULTS
Home Skills Enhancement Project
Older Adults May Need Help
• Shopping
• Transportation
• Telephone use
• Preparation of meals
• Taking medications
• Managing money
• Cleaning, laundry
Dietary Guidelines 2005
• 2 cups of fruit, 2 ½ cups vegetables
• Meat/Protein-5.5 oz. per day
• Grains-6 servings, 3 whole grain
• Milk products-3 servings
• Fats-20-30% of calories
• Salt-less than 2300 mg or 1 tsp.
• Limit sugar to 4 grams = 1 tsp.
Body Composition and Aging
• Lean body mass decreases
• More fat and less water
• Thinning of limbs, fat deposits in stomach
• Don’t need as many calories
• Immune system not as efficient
• Don’t get enough key nutrients
• Nutrient dense foods important
Older Adults May Not Get Proper Nutrition
• Diminished sense of taste and smell
• Decrease in amount of saliva
• Reduced sense of thirst
• Medications
• Depression, isolation
• Swallowing or dental problems
Factors that Contribute to Poor Nutrition
• Refuse Home Delivered Meals
• Does not want food stamps
• Chronic diseases
• Dementia
• Poor appetite
• Difficulty walking and standing
• Eating alone
Key Nutrients
• Calcium-keeps bones strong, in dairy products, canned salmon, green leafy vegetables, grains, beans, fortified OJ
• Vitamin D-helps body absorb calcium and phosphorus, salmon, sardines, fortified milk, some brands of margarine
• Folate-guard against heart disease, green leafy vegetables, fortified foods
More Key Nutrients
• Zinc-promote healthy immune system, in protein like meats, eggs, beans, nuts
• Protein-immune system, prevents muscle loss and promotes healing, in lentils, tofu, nuts, beans
• Water prevents constipation, fecal impactions, 6-8 glasses/day
• Fiber-bowel health
Improved Nutrition
• Regular exercise helps appetite
• Eat frequent, small meals
• Plan meals ahead of time
• Dried or fresh herbs
• Fluids, fiber
• Healthy frozen meals
• Flavor enhancers like Mrs. Dash
More On Improved Nutrition
• Home delivered meals, supper, frozen meals
• Food stamps or Commodity foods
• Congregate meals provide socialization
• If lack of appetite, should be evaluated by a doctor
• Nutritionally balanced drinks
Shopping Can Be A Challenge
• Mobility issues, unable to leave home
• Lack of transportation
• Frail or lack energy to do shopping
• Problems with vision, unable to locate food or read labels
• May not like the food selected by worker
• May not have enough money for groceries
Food Preference Checklist
What are food and meal preferences?
• Likes and dislikes
• Allergies
• Daily eating routine/ special diet?
• How well balanced are meals?
• How much food prep can they do?
• Budget/ supplies on hand
Meal Planning and Shopping
• Ask the person what they like to eat
• Ask if there are any meals planned
• Check supplies, don’t buy what you have
• Go over store specials
• Put foods in groups on list
• Pick up cold and frozen foods last
• Stick to your list
Shopping Strategies
• Avoid buying extras
• Shop weekly, only buy what is on the list
• Don’t go to the store hungry
• Plan for leftovers
• Check high and low shelves
• Wrap raw meats in plastic
• Pay attention at checkout
FRESHNESS DATES• Expiration date- end of product’s useful life
or last date it can be used
• Sell By date-breads and baked goods-the last day an item can be sold as fresh
• Best if Used By date- cereals and dry goods
• Packaged date- good 12-18 months after