Prepare a kitchen-based blenderised tube feed for a stroke patient and calculate its volume, energy, protein and kcal per mL.
How to lay out the answer. Follow the frame, then write it in your own words.
1 · Aim. To plan, prepare and calculate a blenderised feed for Mr. S (1800 kcal, 65-70 g protein).
2 · Principles.
Balanced; about 1 kcal/mL; about 15% of energy from protein
Smooth, strained, flows through the tube
Moderate sugar to avoid diarrhoea
Strict hygiene; fresh, labelled, used quickly
3 · Requirements. [Table: ingredients of Feed A and Feed B per 300 mL] Blender, fine sieve or muslin, measuring jug, 50 mL syringe, labelled flasks.
4 · Procedure.
Scald equipment; wash hands
Cook cereal, dal and vegetables soft
Cool, add curd, milk powder, oil, salt
Blend, strain, make up to 300 mL, test flow
Label and send at once
5 · Calculation. Feed A 295.7 kcal, 9.83 g protein; Feed B 297.2 kcal, 13.25 g; day 1778.7 kcal, 69.24 g; 1778.7 ÷ 1800 = 0.99 kcal/mL.
6 · Day plan. Feed A at 6 am, 12 noon, 6 pm; Feed B at 9 am, 3 pm, 9 pm; 300 mL each.
7 · Result. 1800 mL a day gives about 1779 kcal (0.99 kcal/mL) and 69 g protein, meeting the prescription.
8 · Precautions. Measure exactly, make fresh, no more than 2 hours at room temperature, refrigerate and use within 24 hours, serve at room temperature.
Scoring tip: Always state the final volume and the kcal per mL; a feed recipe without them loses easy marks.
