Diet supporting patient consumption - large

Aim

To provide additional food for patients with greater energy and nutrient needs.

Characteristics

This diet allows patients to receive additional food items to the standard full diet, including a hot meal, bread and spreads, salad or sandwich at main meals, and high-energy snacks at mid-meals.

Indications

Patients with higher energy requirements, e.g.

• young adult males
• patients with hyper-metabolism.

Nutritional adequacy

Nutritionally adequate. Nutritionally adequate diets can provide sufficient nutrition to patients without the need for supplementation.

Precautions

Some food service systems will require an additional tray to provide large serves.

Paediatrics

Suitable for use in paediatrics when combined with an age-appropriate diet.

Specific menu planning guidelines

Food types	Allowed	Examples of food items not allowed
Hot main dishes	All, larger serves provided	-
Sauces, gravies	All, larger serves provided	-
Starchy vegetables / pasta / rice	All, larger serves provided	-
Vegetables	All, larger serves provided	-
Soups	All	-
Sandwiches	All, six-point sandwiches	-
Salads, dressings	All	-
Breads, cereals	All	-
Spreads	All	-
Hot breakfast choices	All	-
Fruit	All	-
Yoghurt	All	-
Desserts	All	-
Milk and cheese	All	-
Drinks	All	-
Biscuits	All	-
Miscellaneous	All	-
Celebratory foods / special occasions	All	-

References

1. Agency for Clinical Innovation. Nutrition standards for adult patients. Sydney: ACI; 2024.

Change log

Change date	Section updated	Change
February 2025	Menu planning guides	Added 'Larger serves provided' 'six-point sandwiches'  Updated table headings Added celebratory foods / special occasions
	References	Updated
	General - language	Updated to be consistent with ACI writing style guide