The day after your initial interview you visit with Mrs.Rale and you meet her daughter. Mrs. Rale is eatingbetter with the modified textures. The diet office iscalling Mrs. Rale to obtain her menu preferences and sheis pleased. You do NOT need to write a second ADIMEnote for this visit.Mrs. Rale's daughter tells you her Mom can usually chewthe food that she cooks for her Mom and Dad but shewould like some information on easy to chew food.Access an appropriate handout from the NCM andupload it to this assignment.Mrs. Rale's daughter also tells you her Mom's PCP wantsher Mom to maintain her current weight due to her age.Mrs. Rale's weight has been stable but the daughter isconcerned that her Mom might start to lose weight andasks for advice on how to make sure her Mom is eatingenough calories if her appetite decreases. Access asecond handout from the NCM and upload it tothis assignment.At the end of Part One (your ADIME note), writeone to two paragraphs about how you will provideeducation on both food textures and maintaining weight.What are the major nutrients of concern for weightmaintenance and to avoid malnutrition? Pick one or twotips from each handout and elaborate on how you willexplain them to Mrs. Rale and her daughter. 7 REGULAREASY TO CHEWLevel 7 Regular Easy to Chew for AdultsWhat is this food texture level?Level 7-Regular Easy to Chew Foods:✓ Normal, everyday foods* of soft/tender texture✓ Any method may be used to eat these foods (e.g.fingers, fork, spoon, chopsticks etc.)✓Food piece size is not restricted in Level 7, thereforefoods may be a range of sizes. Food pieces can besmaller or bigger than 1.5cm x 1.5cmDo not use foods that are: hard, tough, chewy,fibrous, have stringy textures, pips/seeds, bonesor gristle✓ You should be able to 'bite off pieces of soft and tender.food and choose bite-sizes that are safe to chew and swallow✓You should be able to chew pieces of soft and tender food, so they are safe toswallow without tiring easily✓Your tongue should be able to move food for chewing and apply pressure until the food is soft andmoist enough to be easily swallowed✓ You should e able to remove bone, gristle or other hard pieces that cannot be swallowed safelyfrom your mouth without help or direction from others*May include 'mixed thin and thick texture' food and liquids together - ask your clinician for direction onthis.Why is this food texture level used for adults?Level 7-Regular Easy to Chew food may be used if you have strong enough chewing ability to breakdown soft/tender foods into pieces without help, you have no increased risk of choking and do not haveswallowing problems. This texture may be right for you if you usually choose to eat soft food, havefor hard fiem tauturar hut can chow coft and tender food without tiring easily. ItIDDSIStandardaconInterational Dysphagia Dwww.iddsi.orgEat RightFood, Nutrition and Health Tips from the Academy of Nutrition and DieteticsEating Right for a Healthy WeightReaching or maintaining a healthy weightcan contribute to your overall health andwellbeing. Losing even a few pounds, if youare carrying extra weight, or preventingfurther weight gain, has health benefits.Are you ready to make changes in yourlifestyle and move toward a healthier weight?Here are some tips to get you started.Start with a plan for lifelong health. Focus on the bigpicture of achieving overall good health - not just short-term weight loss.Set healthy, realistic goals. You are more likely to succeed in reaching realistic goals when you makechanges step-by-step. Start with one or two specific, small changes at a time. Track your progress by keepinga food and activity log.Get a personalized eating plan. Go to MyPlate.gov for a plan that will give you the amounts of each foodgroup you need daily. If you have special nutrition needs, consult a registered dietitian nutritionist forpersonalized nutrition advice.Plan your meals ahead of time. Whether you're eating at home, packing a lunch or eating out, an overalleating plan for the day will help keep you on track.Balance your plate with a variety of foods. Half your plate should be filled with fruits and vegetables, onefourth with protein foods like lean meat, poultry, fish or beans, and one fourth with grains. To round out yourmeal, add fat-free or low-fat milk, yogurt or cheese.umoal with lower calorio foods like fruits vegetables and salads. These foods are packed withEat RightFood, Nutrition and Health Tips from the Academy of Nutrition and DieteticsEating Right for a Healthy WeightReaching or maintaining a healthy weightcan contribute to your overall health andwellbeing. Losing even a few pounds, if youare carrying extra weight, or preventingfurther weight gain, has health benefits.Are you ready to make changes in yourlifestyle and move toward a healthier weight?Here are some tips to get you started.Start with a plan for lifelong health. Focus on the bigpicture of achieving overall good health -not just short-term weight loss.Set healthy, realistic goals. You are more likely to succeed in reaching realistic goals when you makechanges step-by-step. Start with one or two specific, small changes at a time. Track your progress by keepinga food and activity log.Get a personalized eating plan. Go to MyPlate.gov for a plan that will give you the amounts of each foodgroup you need daily. If you have special nutrition needs, consult a registered dietitian nutritionist forpersonalized nutrition advice.Plan your meals ahead of time. Whether you're eating at home, packing a lunch or eating out, an overalleating plan for the day will help keep you on track.Balance your plate with a variety of foods. Half your plate should be filled with fruits and vegetables, onefourth with protein foods like lean meat, poultry, fish or beans, and one fourth with grains. To round out yourmeal, add fat-free or low-fat milk, yogurt or cheese....ith Ilaria fande lika fruite vanatables and calade. These foods are packed withREGULAREASY TO CHEWLevel 7 Regular Easy to Chew for AdultsWhat is this food texture level?7IDDSInational Dysphagia DStandardation invewww.iddsi.orgLevel 7-Regular Easy to Chew Foods:✓ Normal, everyday foods* of soft/tender texture✓ Any method may be used to eat these foods (e.g.fingers, fork, spoon, chopsticks etc.)✓ Food piece size is not restricted in Level 7, thereforefoods may be a range of sizes. Food pieces can besmaller or bigger than 1.5cm x 1.5cm✓ Do not use foods that are: hard, tough, chewy,fibrous, have stringy textures, pips/seeds, bonesor gristle✓ You should be able to 'bite off pieces of soft and tender.food and choose bite-sizes that are safe to chew and swallow.✓ You should be able to chew pieces of soft and tender food, so they are safe toswallow without tiring easily✓ Your tongue should be able to move food for chewing and apply pressure until the food is soft andmoist enough to be easily swallowed✓ You should be able to remove bone, gristle or other hard pieces that cannot be swallowed safelyfrom your mouth without help or direction from others*May include 'mixed thin and thick texture' food and liquids together - ask your clinician for direction onthis.Why is this food texture level used for adults?Level 7-Regular Easy to Chew food may be used if you have strong enough chewing ability to breakdown soft/tender foods into pieces without help, you have no increased risk of choking and do not haveswallowing problems. This texture may be right for you if you usually choose to eat soft food, haveweaker chewing muscles for hard/firm textures, but can chew soft and tender food without tiring easily. Itd choico if you have been sick and are recovering strength. Your clinician might

Question

Accepted Answer

In the follow-up visit with Mrs. Rale and the introduction of her daughter, we encounter a common…