Protein diet - high
This document is part of the ACI Diet Specifications for Paediatric Inpatients. It is not to be used for patient education.
To provide a diet containing approximately 120% protein (average 15g extra per day) than can be achieved on the full diet alone. This diet also provides approximately 125% energy of the full diet.
Full diet plus addition of extra high protein foods and supplements. Often combined with a high energy diet. Extra serves and large serves to be available. Mid meals should contain protein.
- AM: Half protein containing sandwich + full fat protein enriched milk + extra as desired
- PM: Cheese and biscuits + full fat protein enriched milk + extras as desired
- Supper: Yoghurt + extras as desired
Milk-based desserts should be available at both lunch and dinner.
- weight loss or decreased food intake
- protein energy malnutrition
- failure to thrive
- inability to eat sufficient volume (e.g. disability, may be combined with texture modified)
- respiratory conditions
- congenital cardiac anomalies
- liver failure.
For Cystic Fibrosis, see separate CF diet.
Dietitians may need to order high-protein nutritional supplements.
Specific menu planning guidelines
|Hot main dishes|
Extra serves to be available
Add cheese to main dishes where appropriate
Include white sauces/cheese sauces
|Starchy vegetables/pasta/rice||All. High-protein mashed potato made with skim milk powder and milk and/or cheese topping||-|
Cream soups, high-protein soups made on milk and added skim milk powder
Offer Band 1 soup containing at least 5g protein at 2 meals per day
All with protein containing filling such as meat, chicken, fish, eggs, cheese or peanut butter
All Band 1 sandwiches providing at least 10g protein per serve
|Salads, dressings||One Band 1 salad per day containing at least 20g protein, all others to be Band 2 providing at least 10g protein per serve||-|
|Hot breakfast choices||All to contain protein (e.g. eggs, baked beans, bacon, sausage)||-|
Preferably served with yoghurt or custard
High-protein custards made on milk and skim milk powder/egg
Offer one Band 1 dessert at 2 meals per day
|Fruit or jelly served without milk dessert, ice-cream|
|Milk and cheese|
Fortify milk with skim milk powder
Offer milk drink with every meal and at mid-meals
One choice per midmeal to contain protein (e.g. cheese/Band 1 dessert/milk/Band 1 sandwich)
Extra midmeals to be available
High-protein nutritional supplements
- Agency for Clinical Innovation. Nutrition standards for paediatric inpatients in NSW hospitals. Sydney 2011.
- Agency for Clinical Innovation. Nutrition standards for adult inpatients in NSW hospitals. Sydney 2011.
- Dietitians Association of Australia. 2009. Nutrition Manual 8th ed. Canberra: DAA.
- American Dietetic Association. Paediatric Nutrition Care Manual. Chicago: ADA.
- Iowa Dietetic Association. 2007. Simplified Dietetic Manual. 10th edition. Ames: Blackwell.
- Sydney Children’s Hospital Network factsheets: High Energy Eating for Infants and High Energy Eating for Children.
- Shaw V and Lawson M. 2007. Clinical Paediatric Dietetics. 3rd Edition. Blackwell Publishing.