9.4.4-Step 4-Discuss ‘Food First’ dietary advice
Step 4: Discuss ‘Food First’ Dietary Advice (reinforce food fortification advice at each review)
See ‘Food First’ advice leaflets for community and care home settings.
Promote and encourage the inclusion of:
- one pint of fortified milk per day (use with caution in CKD Stage 3 with hyperkalaemia and under guidance of dietitian in CKD Stage 4&5)
- two nourishing snacks per day
- three fortified meals per day
- four week review if MUST score of ≥ 2, or 2-3 months for those with a MUST score of 1, as per PGN guidance