Michelle Liz IFS Rotation: St. Francis Hospital One week Menu- Regular *Based on Avg.

2000kcal diet

Meal Breakfast

Sunday
1 plain Toasted bagel (cream cheese & jelly) 2 strips turkey bacon 1 scrambled egg cup Sliced peaches 1 cup Cranberry juice 1 cup Lentil soup cup Mashed potatoes 4 ozMeatloaf cup Peas & carrots 1 cup Sweetened iced tea

Monday
1 cup Oatmeal Fresh Banana 2 slices French toast 2 Tbsp maple syrup 1 cup Coffee

Tuesday
Fresh fruit cup 2 Waffles 1 Tbsp maple syrup 1/2 cup Raisin Bran cereal 4 oz milk 1 cup Orange juice 1 cup Tomato soup Grilled cheese on White bread ( 2 slices) 1 cup Fresh Pear 1 cup Iced Green tea

Wednesday
6 oz Strawberry yogurt 2 Slices White toast + butter 2 Scrambled eggs 1 cup Hot chocolate

Thursday
2 Buttermilk pancakes cup Fresh blueberries 2 Tbsp Maple syrup 1 cup Chamomile Tea

Friday
cup Cream Farina + mixed nuts (2 Tbsp) English Muffin + butter (1 tsp) 1 fresh orange Coffee 4 oz milk carton

Saturday
Cheese Omelet 2-Hash browns Blueberry muffin Banana 4 oz milk carton 1 cup Coffee 2-Corn Tacos filled with: grilled Tilapia (3 oz) Shredded lettuce& tomato, corn & black beans cheddar cheese (2 oz) 1 cup Sliced mangos 1-12 oz can Gingerale Spaghetti Meatballs (3/4 cup) 2oz-Garlic bread cup Roasted red peppers 1-12oz Soda can Carrot cake-1 piece

Lunch

1 cup Tossed garden salad + 1 Tbsp Italian dressing 2 slices Mushroom & Cheese Pizza 1- 12oz can Soda

Roasted Turkey (3 oz) Sandwich on white bread (2 slices) + lettuce & tomato cup Cole slaw + 2 Tbsp light mayo 1 cup Sliced apples 1- 12oz can Gingerale

4oz-Beef Burger patty White bun + lettuce & tomato cup Carrot sticks 2 Tbsp Ranch dressing 1-12oz can Soda

1 cup Chicken noodle soup 1 Flour Tortilla Wrap- Ham (2 oz) & Swiss Cheese + lettuce & tomato Mayonnaise -1 Tbsp 1 cup Berry Flavored seltzer water 4 oz Roasted Chicken cup Mashed potatoes 1 cup Green beans 1 cup Sweetened iced tea Cherry Pie-6oz

Dinner

cup Bacon Macaroni & Cheese 1 small Bread roll cup SteamedBroccoli 1 cup Apple juice

4 oz Grilled steak cup green bean Casserole 1 small Corn on the cob 1 cup Lemonade

Dessert

Cheesecake -1 piece

Fresh baked sugar cookies (4)

4 oz Baked Chicken 1 cup Roasted Sweet potatoes cup Sauted cauliflower 1 cup Cranberry juice Banana- Nut bread -1 slice

4oz Pineapple Glazed Pork cup Couscous 1 cup Grilled eggplant 1 cup Berry Flavored seltzer water Brownie-2 square

4 oz-Baked Salmon 1 cup White Rice Pilaf cup Sauted zucchini 1 cup Apple juice

Vanilla bean Ice cream (3/4 cup)

Bar Graph Report

The Bar Graph Report displays graphically the amount of the nutrient consumed and compares that to the dietary intake recommendations. Profile Info Personal: Regular diet Pt Female 43 yrs 5 ft 5 in 135 lb

Day(s): 2013 Oct 31, Nov 1, Nov 2, Nov 3, Nov 4, Nov 5, Nov 6 (All) Activity Level: Low Active (Strive for an Active activity level.) BMI: 22.5 Normal is 18.5 to 25. Weight Change: None Best not to exceed 2 lbs per week. Nutrient Basic Components Calories Calories from Fat Calories from SatFat Protein (g) Carbohydrates (g) Sugar (g) Dietary Fiber (g) Soluble Fiber (g) InSoluble Fiber (g) Fat (g) Saturated Fat (g) Trans Fat (g) Mono Fat (g) Poly Fat (g) Cholesterol (mg) Water (g) Vitamins Vitamin A - RAE (mcg) Vitamin B1 - Thiamin (mg) Vitamin B2 - Riboflavin (mg) Vitamin B3 - Niacin (mg) Vitamin B6 (mg) Vitamin B12 (mcg) Vitamin C (mg) Vitamin D - mcg (mcg) Vitamin E - Alpha Folate (mcg) Minerals Calcium (mg) Iron (mg) Magnesium (mg) Phosphorus (mg) Potassium (mg) Sodium (mg) Zinc (mg) 615.82 1,000.00 12.74 149.41 806.21 18.00 320.00 700.00 62 71 47 115 41 206 84 % % % % % % % 754.90 1.04 1.16 15.71 1.33 2.91 109.29 1.24 3.65 210.80 700.00 1.10 1.10 14.00 1.30 2.40 75.00 15.00 15.00 400.00 108 94 106 112 103 121 146 8 24 53 % % % % % % % % % % 1,988.90 2,041.27 624.69 200.86 77.12 272.87 127.28 16.88 2.18 4.05 69.41 22.32 0.95 13.15 8.36 318.76 22.68 20.41 300.00 58 41 106 48 % % % % 571.56 183.71 48.99 280.67 97 109 109 157 97 % % % % % Value DRI Goal Percent 0 50 100 150

28.58

59

63.51 20.41

109 109

% %

1,284.76 2,700.00

1,948.00 4,700.00 3,093.48 1,500.00 6.70 8.00

Evaluation of Menu CHO: 2000x.55= 1100kcal Cho; 1100kcal/4kcal/g= 275g Cho Fat: 2000x .30= 600kcal fat; 600/9kcal/g=67g fat Pro: 2000x.15= 300kcal pro; 300/4kcal/g= 75g pro Macronutrients Calories: The daily reference intakes (DRI) have set the average standard of kcal for Americans at an intake 2000kcal/day. This regular diet menu does comply with the recommendations as it provides about 1988kcal/day. Calorie needs vary depending on the individual. Depending on a persons goal, it is possible to add 500kcal/day to increase weight, or lose 500kcal/day to decrease weight. CHO: According to the nutrient analysis, an average intake of 280g of cho/day is recommended to meet the general DRI goal. Although lower by 8g, this diet complies with these recommendations as it provides 272g of cho/day. Carbohydrates should provide 45-65% of total kcal intake. This regular menu provides 55% of total calories from carbohydrates. Pro: Protein is a macronutrient that most Americans are not deficient in, but instead they consume more than what they need. Protein is easily available in the diet; therefore it is common to go over the DRI goal. The adequate macronutrient distribution range (AMDR) for protein is about 10-20%. The DRI goal for this diet is at the lower 10% range at 49g of pro/day. This regular menu provides a patient with 15% of total calories coming from protein. Therefore, this menu provides 77g of pro/day. Fat: The AMDR for fat intake is 20-30% of total kcal needs/day. This menu provides 30% of total kcal from fat. The nutrient analysis shows the DRI goal for grams of fat per day at 63g. Although slightly over by 6g, this diet does comply with the 30% recommendation as it provides 69g of fat per day. Overall, Americans should strive for a lower fat diet to decrease the risk of heart disease. This menu may be modified to a low fat menu by replacing items such as whole milk and cheese with skim milk and low-fat cheese products. Substituting leaner meats into this menu can also achieve this goal of lowering overall intake of fat/day. Fiber: The average amount of fiber an individual should consume per day is 25g for woman and 38g for men. This nutrient analysis was conducted for the average woman, and it shows that this regular menu does not comply with the overall recommendation. This menu provides about 17g of fiber/day. Adding foods like fruits and vegetables as well as legumes can increase fiber intake.

Micronutrients *The micronutrients of most concern in the United States are: Vit. A, Vit. C, Fe and Ca+. For this reason, all Nutrition fact labels are required to state the amounts of these nutrients. Vitamin A: According to the nutrient analysis, the DRI goal for Vitamin A is 700mcg. This regular menu complies with the DRI goal by providing an average of 755g/day. However, Vitamin A is fat soluble vitamin that is stored. High doses of vitamin A for woman who may be pregnant can be detrimental. Therefore pregnant women should speak to their doctor if desiring to start a multivitamin while on this diet. Vitamin C: Vitamin C is essential for building the immune system as well as developing collagen in the bones and muscles. The DRI goal for vitamin C is 75mg. This menu meets the standards for the recommendations as it provides an average of 109mg of Vitamin C per day. Iron: Healthy iron levels are important for menstruating women. The DRI goal of daily iron for a female is 18mg/day. This menu falls short of the recommendation as it provides 12mg of iron/day. Ways to increase iron absorption are eating Vitamin C rich foods with foods that are high in heme iron; for example, using oranges to marinate lean beef, pork or chicken. Calcium: Calcium is reported on the label because it is an important nutrient for both growing teenage girls as well as menopausal women. Calcium gets absorbed with vitamin D and works with Phosphorus for bone strength and maintenance. The DRI for Ca for girls between the ages of 9-18 years is 1100mg/day. For women > 50years the DRI is 1000mg/day. This menu does not comply with recommendations as it only provides 615mg of Ca/day. Increasing calcium is of upmost importance especially to these at risk populations. Ways to increase calcium is by consuming 3-4 servings of calcium through low-fat dairy foods including low-fat milk, yogurt and cheese. Of new concern. Vitamin D: Vitamin D has been of concern to doctors in that individuals are not consuming or getting enough vitamin D. Vitamin D partners with calcium as it helps calcium absorption. The DRI for Vitamin D is about 600IU/day or 15mcg/day. This diet does not meet recommendation standards as it only provides 1.24mcg/day. Ways to increase absorption of Vitamin D is through adequate sun exposure, consuming vitamin D enriched foods such as milk, and consuming fatty fish such as salmon.