A Caregivers Guide - Canadian Virtual Hospicevirtualhospice.ca/Assets/Caregivers_Guide-Cookbook -...
Transcript of A Caregivers Guide - Canadian Virtual Hospicevirtualhospice.ca/Assets/Caregivers_Guide-Cookbook -...
A Caregivers Guide
Cooking for Palliative Care and the Family
References• ThePalliumPocketbook(July2013),PalliumCanada• TheWayForwardIntegrationInitiative,ThePalliativeApproach:ImprovingCareforCanadianswith
Life-limitingIllnesses,www.hpcintegration.ca/media/38753/TWF-palliative-approach-report-English-
SupportResources•CanadianVirtualHospiceatwww.virtualhospice.ca•CaregiverExchangeatwww.caregiverexchange.ca•CarersCanadaatwww.carerscanada.ca•OntarioCaregiverCoalitionatwww.ontariocaregiverscoalition.ca•Canada’sCompassionateCareBenefitsatwww.servicecanada.gc.ca/eng/ei/types/compassionate_care.html•Patient-FamilyHandbook•https://web.cshospice.org/wp-content/uploads/2015/05/Patient-Family-Handbook_1216-web-Copy.pdf•Gluten-FreeCertificationProgramwww.glutenfreecert.com/•CanadianCeliacAssociation:HomePagehttps://www.celiac.ca/•TheCeliacScene:Gluten-FreeRestaurants,Stores&Newshttps://theceliacscene.com/•DiabetesCanadahttps://www.diabetes.ca/•DiabeticLivinghttp://www.diabeticlivingonline.com/diabetic-recipes•Recipes-DiabetesCanadahttp://www.diabetes.ca/diabetes-and-you/recipes•VeganandVegetarianRecipes-TorontoVegetarianAssociationhttp://veg.ca/eat-veg/vegetarian-recipes/•VeganRecipes-CanadianLivinghttp://www.canadianliving.com/food/subsection/collections•ProteinVegetarianMeals-FoodNetworkCanadawww.foodnetwork.ca/healthy-eating/photos/high-protein-vegetarian-meals/
Theinformationcontainedwithinthisbookisnotintendedto diagnose, treat, cure or prevent disease, illness orcondition. The information provided herein should notbe construed as personal medical advice or instruction.No action should be taken solely based on the contentsof this book. It is for informationalpurposes only and isnot a substitute for advice from your physician or otherhealthcareprofessionals.
Readerswhofailtoconsultappropriatehealthauthoritiesassume the risk of any injuries. The authors orcontributorsshallnotbeheldliableorresponsibleforanymisunderstandingormisuseof thematerialorforanyloss,damage,orinjurycausedorallegedtobecauseddirectlyorindirectlybyany treatment,action,orapplicationof anyfoodorfoodsourcediscussedinthisbook.Pleasevisithospiceniagara.catodownloadapdf versionof thisbook.
Contents
Forward 567
89
101112131415161718192022
AcknowledgementsIntroductionRecipes:
Caregiver TipsReferences
LemonandCranberryBreakfastCookie
SausageandBroccoliFrittata
PotatoandCornChowder
Beef andBarleyStew
ChickenandDumplingStew
ChickenEnchiladas
Meatloaf MeatballsandNoodles
Beef andBroccoliStirFry
ThreeCheeseMacaroniandCheese
CreamyPolentaPie
PeanutButterProteinBites
HoneyLemonLoaf
References• ThePalliumPocketbook(July2013),PalliumCanada• TheWayForwardIntegrationInitiative,ThePalliativeApproach:ImprovingCareforCanadianswith
Life-limitingIllnesses,www.hpcintegration.ca/media/38753/TWF-palliative-approach-report-English-
SupportResources•CanadianVirtualHospiceatwww.virtualhospice.ca•CaregiverExchangeatwww.caregiverexchange.ca•CarersCanadaatwww.carerscanada.ca•OntarioCaregiverCoalitionatwww.ontariocaregiverscoalition.ca•Canada’sCompassionateCareBenefitsatwww.servicecanada.gc.ca/eng/ei/types/compassionate_care.html•Patient-FamilyHandbook•https://web.cshospice.org/wp-content/uploads/2015/05/Patient-Family-Handbook_1216-web-Copy.pdf•Gluten-FreeCertificationProgramwww.glutenfreecert.com/•CanadianCeliacAssociation:HomePagehttps://www.celiac.ca/•TheCeliacScene:Gluten-FreeRestaurants,Stores&Newshttps://theceliacscene.com/•DiabetesCanadahttps://www.diabetes.ca/•DiabeticLivinghttp://www.diabeticlivingonline.com/diabetic-recipes•Recipes-DiabetesCanadahttp://www.diabetes.ca/diabetes-and-you/recipes•VeganandVegetarianRecipes-TorontoVegetarianAssociationhttp://veg.ca/eat-veg/vegetarian-recipes/•VeganRecipes-CanadianLivinghttp://www.canadianliving.com/food/subsection/collections•ProteinVegetarianMeals-FoodNetworkCanadawww.foodnetwork.ca/healthy-eating/photos/high-protein-vegetarian-meals/
Theinformationcontainedwithinthisbookisnotintendedto diagnose, treat, cure or prevent disease, illness orcondition. The information provided herein should notbe construed as personal medical advice or instruction.No action should be taken solely based on the contentsof this book. It is for informationalpurposes only and isnot a substitute for advice from your physician or otherhealthcareprofessionals.
Readerswhofailtoconsultappropriatehealthauthoritiesassume the risk of any injuries. The authors orcontributorsshallnotbeheldliableorresponsibleforanymisunderstandingormisuseof thematerialorforanyloss,damage,orinjurycausedorallegedtobecauseddirectlyorindirectlybyany treatment,action,orapplicationof anyfoodorfoodsourcediscussedinthisbook.Pleasevisithospiceniagara.catodownloadapdf versionof thisbook.
Contents
Forward 567
89
101112131415161718192022
AcknowledgementsIntroductionRecipes:
Caregiver TipsReferences
LemonandCranberryBreakfastCookie
SausageandBroccoliFrittata
PotatoandCornChowder
Beef andBarleyStew
ChickenandDumplingStew
ChickenEnchiladas
Meatloaf MeatballsandNoodles
Beef andBroccoliStirFry
ThreeCheeseMacaroniandCheese
CreamyPolentaPie
PeanutButterProteinBites
HoneyLemonLoaf
Foodislove.We’veusedthatsimpleexpressionaroundourhouseforaslongasIremember.Whetherit’saSundayroast,popcornduringamovie,extrablueberriesintheoatmealorchickensoupforthesoul;foodisthewayIshowmyfamilymylove.Asthechef atHospiceNiagara’sTheStablerCentre,Ihavethepleasureandthehonourof providingfoodforclientsandtheirfamilies.Foodislove,butitisalsocomfort,care,andnourishment.Andempowerment.In thecourseof navigating life-limitingprogressive illnesses,weoften feel sopowerless– relinquishingourcontrol tonurses,doctors,andspecialists–feelinglikepassengersonajourneyratherthanparticipantsinaprocess.Thisbookwascreatedwiththegoalof empoweringcaregiversinourpalliativecarecommunitytoengageinthehealthcareprocessandparticipateinanareawhereexpertiseisnotaprerequisite–thekitchen.Preparingmealsisanexpressionof love.Theserecipeswerecreatedwithboththeclientandthecaregiverinmind.Therecipesarewholesomeandeasytoprepare,andfeatureingredientsthatareeasytofind.Thefocusistoprovidenutritionallydense(highinproteinandvitamins,andrichinfats)andboldlyflavoureddishesappropriateforalldiets.Thisisn’thealthfood,butthisalsoisn’t‘sickfood’.Thisisfoodthatcanbecreatedeasilybycaregivers,butenjoyedbyall.
Itistheintentionforthisbooktogivepeoplethepowertocreatewholesomefood,theopportunitytosharemealsandmomentswithfamilyandfriends,andtomakeeverybitecount.Afterall–foodislove.
Wehopeyouenjoyeachrecipeandmakethemyourown.
PatrickEngelChef,HospiceNiagara
5
Foodislove.We’veusedthatsimpleexpressionaroundourhouseforaslongasIremember.Whetherit’saSundayroast,popcornduringamovie,extrablueberriesintheoatmealorchickensoupforthesoul;foodisthewayIshowmyfamilymylove.Asthechef atHospiceNiagara’sTheStablerCentre,Ihavethepleasureandthehonourof providingfoodforclientsandtheirfamilies.Foodislove,butitisalsocomfort,care,andnourishment.Andempowerment.In thecourseof navigating life-limitingprogressive illnesses,weoften feel sopowerless– relinquishingourcontrol tonurses,doctors,andspecialists–feelinglikepassengersonajourneyratherthanparticipantsinaprocess.Thisbookwascreatedwiththegoalof empoweringcaregiversinourpalliativecarecommunitytoengageinthehealthcareprocessandparticipateinanareawhereexpertiseisnotaprerequisite–thekitchen.Preparingmealsisanexpressionof love.Theserecipeswerecreatedwithboththeclientandthecaregiverinmind.Therecipesarewholesomeandeasytoprepare,andfeatureingredientsthatareeasytofind.Thefocusistoprovidenutritionallydense(highinproteinandvitamins,andrichinfats)andboldlyflavoureddishesappropriateforalldiets.Thisisn’thealthfood,butthisalsoisn’t‘sickfood’.Thisisfoodthatcanbecreatedeasilybycaregivers,butenjoyedbyall.
Itistheintentionforthisbooktogivepeoplethepowertocreatewholesomefood,theopportunitytosharemealsandmomentswithfamilyandfriends,andtomakeeverybitecount.Afterall–foodislove.
Wehopeyouenjoyeachrecipeandmakethemyourown.
PatrickEngelChef,HospiceNiagara
5
6 7
IntroductionAcknowledgements
Special thanks to:
Hospicepalliativecareisaphilosophyof carethataimstorelievesufferingandimprovequalityof livinganddying.Itstrivestohelpindividualsandfamiliesto:
• Addressphysical,psychological,social,spiritualandpracticalissues,andtheirassociatedexpectations,needs,hopesandfears
• Prepareforandmanageend-of-lifechoicesandthedyingprocess• Copewithlossandgrief• Treatallactiveissues• Preventnewissuesfromoccurring,and• Promoteopportunitiesformeaningfulandvaluableexperiences,andpersonalandspiritualgrowthSource:AdvancingHighQuality,HighValuePalliativeCareinOntario:ADeclarationof PartnershipandCommitmenttoActionHospiceNiagaraprovidespatient-centred, family-focusedhospicepalliativecare inNiagararegionof Ontario.Of interest tous,was thechallengeexpressedbycaregivers toprovidequality food for those theyarecaring for.Thisprojectaddressesthecreationof nutrient-richmealsandsnacksthathaveapleasantflavor,givenmedicationside-effects;areeasytopreparewithaccessibleandaffordableingredients;andmaybeconsumedinsmallquantitieswiththeoptiontofreezeforlateruse.Thedevelopmentof thisbookwasacollaborativeeffort,involvingamulti-disciplinaryprojectteammadeupof staffand students from theFood InnovationandResearchStudio (FIRSt),Centre forHospitalityandCulinaryArts atGeorgeBrownCollege,withinputfromanutritionist,HospiceNiagarastaff,caregivers,peoplereceivingpalliativecareandChef Patrick.Thisprojectwasmadepossiblebythefinancialgenerosityof TheHelderleighFoundation.Throughawell-developedprojectplan,prototyping,hands-ontesting,nutritionalanalysis(usingGenesisR&DSQLsoftware)andevaluation;12recipesarepresentedinthisguidethatisprimarilyforcaregiversof peoplelivingwithcancer.Theserecipesarenutritionally-balancedandspecifictopeoplelivingwithcancerastheyarehighinfat,proteinandfiber,yetaremadeavailableinsmallportions.Producttastecomplementsdruginteractionsandsideeffectssuchasdrymouth,constipationandeasyswallowing.Tocomplimenttherecipes,weaimtoprovidehelpfultipsandresourcesforthosewhoarenewtoprovidingpalliativecareforothers.
This book was made possible by the generous sponsorshipfromTheHelderleighFoundationandcollaborationbetweenGeorgeBrownCollegeandHospiceNiagara.
• LlewelynandSusanSmithof TheHelderleighFoundation• George Brown College - Food Innovation & Research
Studio(FIRSt)• Studentsof theculinaryprogramatGeorgeBrownCollege• HospiceNiagara’sclientsandtheirfamilies,volunteersand
stafffortheirinputandrecipetesting• MikeMcCollforhisphotographs• PamelaSzabo-Kode,RegisteredDietician,forprofessional
consultation
6 7
IntroductionAcknowledgements
Special thanks to:
Hospicepalliativecareisaphilosophyof carethataimstorelievesufferingandimprovequalityof livinganddying.Itstrivestohelpindividualsandfamiliesto:
• Addressphysical,psychological,social,spiritualandpracticalissues,andtheirassociatedexpectations,needs,hopesandfears
• Prepareforandmanageend-of-lifechoicesandthedyingprocess• Copewithlossandgrief• Treatallactiveissues• Preventnewissuesfromoccurring,and• Promoteopportunitiesformeaningfulandvaluableexperiences,andpersonalandspiritualgrowthSource:AdvancingHighQuality,HighValuePalliativeCareinOntario:ADeclarationof PartnershipandCommitmenttoActionHospiceNiagaraprovidespatient-centred, family-focusedhospicepalliativecare inNiagararegionof Ontario.Of interest tous,was thechallengeexpressedbycaregivers toprovidequality food for those theyarecaring for.Thisprojectaddressesthecreationof nutrient-richmealsandsnacksthathaveapleasantflavor,givenmedicationside-effects;areeasytopreparewithaccessibleandaffordableingredients;andmaybeconsumedinsmallquantitieswiththeoptiontofreezeforlateruse.Thedevelopmentof thisbookwasacollaborativeeffort,involvingamulti-disciplinaryprojectteammadeupof staffand students from theFood InnovationandResearchStudio (FIRSt),Centre forHospitalityandCulinaryArts atGeorgeBrownCollege,withinputfromanutritionist,HospiceNiagarastaff,caregivers,peoplereceivingpalliativecareandChef Patrick.Thisprojectwasmadepossiblebythefinancialgenerosityof TheHelderleighFoundation.Throughawell-developedprojectplan,prototyping,hands-ontesting,nutritionalanalysis(usingGenesisR&DSQLsoftware)andevaluation;12recipesarepresentedinthisguidethatisprimarilyforcaregiversof peoplelivingwithcancer.Theserecipesarenutritionally-balancedandspecifictopeoplelivingwithcancerastheyarehighinfat,proteinandfiber,yetaremadeavailableinsmallportions.Producttastecomplementsdruginteractionsandsideeffectssuchasdrymouth,constipationandeasyswallowing.Tocomplimenttherecipes,weaimtoprovidehelpfultipsandresourcesforthosewhoarenewtoprovidingpalliativecareforothers.
This book was made possible by the generous sponsorshipfromTheHelderleighFoundationandcollaborationbetweenGeorgeBrownCollegeandHospiceNiagara.
• LlewelynandSusanSmithof TheHelderleighFoundation• George Brown College - Food Innovation & Research
Studio(FIRSt)• Studentsof theculinaryprogramatGeorgeBrownCollege• HospiceNiagara’sclientsandtheirfamilies,volunteersand
stafffortheirinputandrecipetesting• MikeMcCollforhisphotographs• PamelaSzabo-Kode,RegisteredDietician,forprofessional
consultation
Sausage and
Ingredients:
Method:
Broccoli Frittata
1tsp (5mL)2each1cup (250mL)6each¼cup (60mL)⅓cup (80mL)¼cup (60mL)1each1cup (250mL)¼tsp (1mL)Asneeded
OliveoilMildItaliansausage
Onion,choppedEgg
Chives,choppedMozzarellacheese,shredded
MilkPotato,grated
Broccoli,finelychoppedBlackpepper
Cookingspray
PrepTime:15minutesCookTime:1hourServings:6servings
1.Preheatovento375˚F(190˚C)andspray8in.x8in.bakingdishwithcookingspray.Setaside.2. Ina fryingpan,heatoil overmediumheat.Removerawsausagefromcasingandcookuntilnicelybrowned.3.Addonionsandcookuntilonionsaresoftened.Removefromheatandallowtocoolcompletely.4. Ina largebowl,whisk togethereggs, chives,mozzarellacheese,milk,gratedpotato,broccoliandblackpepper.Add thecooled sausageandonions,stirtocombineandpourintoprepareddish.5.Bakefor45-50minutesoruntilthemiddleof frittataisset.
Chef’s Tip: For a heartier meal, add 2 cups (500 mL) diced bread and 2/3 cup (160 mL) milk
into the mix. Bake until middle is set.
butter.988
Lemon and
Ingredients:
Method:
CranberryBreakfast Cookie
1cup (250mL)2cup (500mL)¼cup (60mL)1tbsp (15mL)¼tsp (1mL)2tsp (10mL)1each1tsp (5mL)¼cup (60mL)3tbsp (45mL)2tbsp (30mL)⅓cup (80mL)
RolledoatsAlmondflour
Driedcranberries,choppedLemonzest
SaltBakingpowder
EggVanillaextractAlmondbutter
HoneyButter,melted
Milk
PrepTime:20minutesCookTime:20minutes
Servings:12servings
1.Preheatovento350˚F (180˚C)andlineabakingsheetwithparchmentpaper.Setaside.2.Placeoatsinafoodprocessorandpulsetogroundtoapowder.3.Inalargebowlcombinegroundoats,almondflour,cranberries,lemonzest,saltandbakingpowder.4.Inaseparatebowlwhiskegg,vanillaextract,almondbutter,honey,meltedbutterandmilktogether.5. Fold wet ingredients into dry and using an icecreamscoop,portionontolinedbakingsheet.6. Lightly flatten and bake for 18-20minutes untilgoldenbrown.Cookieswillstillbesoft.
Chef’s Tips: • If you have a sweet tooth, increase honey to
suit your taste • Peanut butter can be used instead of almond
butter
Sausage and
Ingredients:
Method:
Broccoli Frittata
1tsp (5mL)2each1cup (250mL)6each¼cup (60mL)⅓cup (80mL)¼cup (60mL)1each1cup (250mL)¼tsp (1mL)Asneeded
OliveoilMildItaliansausage
Onion,choppedEgg
Chives,choppedMozzarellacheese,shredded
MilkPotato,grated
Broccoli,finelychoppedBlackpepper
Cookingspray
PrepTime:15minutesCookTime:1hourServings:6servings
1.Preheatovento375˚F(190˚C)andspray8in.x8in.bakingdishwithcookingspray.Setaside.2. Ina fryingpan,heatoil overmediumheat.Removerawsausagefromcasingandcookuntilnicelybrowned.3.Addonionsandcookuntilonionsaresoftened.Removefromheatandallowtocoolcompletely.4. Ina largebowl,whisk togethereggs, chives,mozzarellacheese,milk,gratedpotato,broccoliandblackpepper.Add thecooled sausageandonions,stirtocombineandpourintoprepareddish.5.Bakefor45-50minutesoruntilthemiddleof frittataisset.
Chef’s Tip: For a heartier meal, add 2 cups (500 mL) diced bread and 2/3 cup (160 mL) milk
into the mix. Bake until middle is set.
butter.988
Lemon and
Ingredients:
Method:
CranberryBreakfast Cookie
1cup (250mL)2cup (500mL)¼cup (60mL)1tbsp (15mL)¼tsp (1mL)2tsp (10mL)1each1tsp (5mL)¼cup (60mL)3tbsp (45mL)2tbsp (30mL)⅓cup (80mL)
RolledoatsAlmondflour
Driedcranberries,choppedLemonzest
SaltBakingpowder
EggVanillaextractAlmondbutter
HoneyButter,melted
Milk
PrepTime:20minutesCookTime:20minutes
Servings:12servings
1.Preheatovento350˚F (180˚C)andlineabakingsheetwithparchmentpaper.Setaside.2.Placeoatsinafoodprocessorandpulsetogroundtoapowder.3.Inalargebowlcombinegroundoats,almondflour,cranberries,lemonzest,saltandbakingpowder.4.Inaseparatebowlwhiskegg,vanillaextract,almondbutter,honey,meltedbutterandmilktogether.5. Fold wet ingredients into dry and using an icecreamscoop,portionontolinedbakingsheet.6. Lightly flatten and bake for 18-20minutes untilgoldenbrown.Cookieswillstillbesoft.
Chef’s Tips: • If you have a sweet tooth, increase honey to
suit your taste • Peanut butter can be used instead of almond
butter
Potato and CornChowder
Ingredients:
Method:
4slices1each1each½tsp (2mL)¼tsp (1mL)4cup (1L)2each1cup (250mL)½cup (125mL)2each1cup (250mL)¾cup (180mL)
Bacon,choppedOnion,diced
Redpepper,dicedSalt
BlackpepperChickenstock,lowsodium
Potatoes,dicedCorn,frozenPeas,frozen
Greenonion,choppedTablecream,18%
Cheddarcheese,shredded
PrepTime:25minutesCookTime:45minutes
Servings:6servings
1.Inlargepot,cookbaconovermediumheatuntilcrispy.2.Addonions,redpepper,saltandpepper.Cookuntilonionshavesoftened.3.Stirinchickenstockandpotatoes.Bringtoaboilandreducetoasimmer.Continuesimmeringfor20minutesoruntilpotatoesaretender.4.Addcorn,peasandgreenonionandreturntoasimmer.5. Stir in cream and simmer until your desiredthickness.Servewithshreddedcheddarcheese.
Chef’s Tip: For a higher calorie and creamy meal, stir 2 tbsp (30 mL) cream into 1 cup (250
mL) of soup when serving.
Beef and BarleyStew
Ingredients:
Method:
1tbsp (30mL)1lb (454g)1each4cloves2tbsp (30mL)½tsp (2mL)2cup (500mL)3cup (750mL)1each1tsp (5mL)1each½cup (125mL)¼cup (60mL)¼cup (60mL)2tbsp (30mL)
1.Inmediumsizedpot,heatoliveoilonhighheatandaddbeef.Cookbeef untilnicelybrowned.2.Reduce heat tomedium, stir in onions andgarlicandcookuntilonionshavesoftened.3. Stir in tomato paste and salt. Cook for 2minutesbeingcarefulnottoburn.4.Addbeef stock,water,potato,thyme,bayleaf andbarley.Coverandsimmerfor40-45minutesuntilbeef istender.Addmorewaterif necessary.5.Stir in frozencarrotsandpeas.Removebayleaf andstirinbalsamicvinegar.
OliveoilDicedbeef,½in.Onion,choppedGarlic,mincedTomatopaste
SaltBeef stock
WaterPotato,diced
ThymeBayleaf
PealbarleyCarrots,frozen
Peas,frozenBalsamicvinegar
PrepTime:20minutesCookTime:1hourServings:4servings
11Chef’s Tips: Serve with cooked shredded chicken for a more substantial meal.
Potato and CornChowder
Ingredients:
Method:
4slices1each1each½tsp (2mL)¼tsp (1mL)4cup (1L)2each1cup (250mL)½cup (125mL)2each1cup (250mL)¾cup (180mL)
Bacon,choppedOnion,diced
Redpepper,dicedSalt
BlackpepperChickenstock,lowsodium
Potatoes,dicedCorn,frozenPeas,frozen
Greenonion,choppedTablecream,18%
Cheddarcheese,shredded
PrepTime:25minutesCookTime:45minutes
Servings:6servings
1.Inlargepot,cookbaconovermediumheatuntilcrispy.2.Addonions,redpepper,saltandpepper.Cookuntilonionshavesoftened.3.Stirinchickenstockandpotatoes.Bringtoaboilandreducetoasimmer.Continuesimmeringfor20minutesoruntilpotatoesaretender.4.Addcorn,peasandgreenonionandreturntoasimmer.5. Stir in cream and simmer until your desiredthickness.Servewithshreddedcheddarcheese.
Chef’s Tip: For a higher calorie and creamy meal, stir 2 tbsp (30 mL) cream into 1 cup (250
mL) of soup when serving.
Beef and BarleyStew
Ingredients:
Method:
1tbsp (30mL)1lb (454g)1each4cloves2tbsp (30mL)½tsp (2mL)2cup (500mL)3cup (750mL)1each1tsp (5mL)1each½cup (125mL)¼cup (60mL)¼cup (60mL)2tbsp (30mL)
1.Inmediumsizedpot,heatoliveoilonhighheatandaddbeef.Cookbeef untilnicelybrowned.2.Reduce heat tomedium, stir in onions andgarlicandcookuntilonionshavesoftened.3. Stir in tomato paste and salt. Cook for 2minutesbeingcarefulnottoburn.4.Addbeef stock,water,potato,thyme,bayleaf andbarley.Coverandsimmerfor40-45minutesuntilbeef istender.Addmorewaterif necessary.5.Stir in frozencarrotsandpeas.Removebayleaf andstirinbalsamicvinegar.
OliveoilDicedbeef,½in.Onion,choppedGarlic,mincedTomatopaste
SaltBeef stock
WaterPotato,diced
ThymeBayleaf
PealbarleyCarrots,frozen
Peas,frozenBalsamicvinegar
PrepTime:20minutesCookTime:1hourServings:4servings
11Chef’s Tips: Serve with cooked shredded chicken for a more substantial meal.
Chicken and
Ingredients:
Dumplings
Method:
Dumpling Stew
1tbsp (15mL)3tbsp (45mL)1lb (454g)Asneeded½cup (125mL)2cloves½cup (125mL)½cup (125mL)1each1tsp (5mL)¼tsp (1mL)3cup (750mL)⅓cup (75mL)
ButterVegetableoil
Chickenthigh,bonelessandskinlessFlour
Onion,choppedGarlic,chopped
Carrot,dicedParsnip,diced
BayleafSageSalt
ChickenstockFrozenpeas
⅔cup (160mL)½tsp (2mL)½tsp (2mL)¼tsp (1mL)Pinch2tbsp (30mL)⅓cup (80mL)
FlourParsleyflakes
BakingpowderBakingsoda
SaltButterMilk
PrepTime:20minutesCookTime:45minutes
Servings:4servings
1.Inlargepanwithatightfittinglid,heatbutterandoiltomediumheat.2.Seasonchickenwithsaltandblackpepperanddustinflour.Panfrychickenuntilgoldenbrown.Removefrompanandsetaside.3.Insamepan,reduceheatandcookonionsandgarlicuntilonionshavesoftened.4. Stir in carrots and parsnips and cook untilparsnipshavesoftened.5.Addbayleaf,sage,saltandchickenstock.Addbrownedchickenandsimmerfor15minutes.6. For dumplings, mix together flour, parsley,bakingpowder,bakingsodaandsalt ina largebowl.7.Rubbutterintoflourandstirinmilktoformsoftdough.8.Drop1 inchdumplings intosimmeringstewand cover. Simmer for another 15 minutes.Dumplingswilldoubleinsize.9.Remove fromheat and gently stir in frozenpeas.
1312
ChickenEnchiladas
Ingredients:
Method:
Chef’s Tips: • Customize to your taste. Try using different veggies or remove beans and peppers for a simpler meal.• This is a great recipe for batch cooking. Double the recipe and freeze pulled chicken for later use!
4eachbonelessandskinless½tsp (2mL)½tsp (2mL)½tsp (2mL)4cloves1each1cup (250mL)1cup (250mL)½cup(125mL)8each½cup (125mL)¼cup (60mL)¼cup (60mL)
ChickenthighPaprikaCumin
ChilipowderGarlic,crushedOnion,diced
Redpepper,dicedCanof blackbeans,drainedandrinsed
Tomatoes,canned,diced6”Flourtortilla
Montereyjackcheese,shreddedSourcream
Cilantro,chopped
PrepTime:15minutesCookTime:2hoursServings:4servings
1.Preheatovento325˚F(160˚C).2. Rubchicken thighswithpaprika, cumin, chilipowderandcrushedgarlicandplaceinovenproof dish.3.Add onions, red peppers, black beans and topwithtomatoes.4.Covertightlywithfoilandplaceinovenfor1½hoursoruntilchickenbeginstofallapart.Pouroutandsaveanyliquidfromdish.5.Using2forks,shredchickenanddividemixtureintoandplaceintocleanbakingdish.6.Pourremainingliquidontopof rolledtortillasandsprinklewithcheese.Coverandreturntotheovenfor15minutesuntilcheeseismelted.7.Topwithsourcreamandgarnishwithchoppedcilantro.
Chicken and
Ingredients:
Dumplings
Method:
Dumpling Stew
1tbsp (15mL)3tbsp (45mL)1lb (454g)Asneeded½cup (125mL)2cloves½cup (125mL)½cup (125mL)1each1tsp (5mL)¼tsp (1mL)3cup (750mL)⅓cup (75mL)
ButterVegetableoil
Chickenthigh,bonelessandskinlessFlour
Onion,choppedGarlic,chopped
Carrot,dicedParsnip,diced
BayleafSageSalt
ChickenstockFrozenpeas
⅔cup (160mL)½tsp (2mL)½tsp (2mL)¼tsp (1mL)Pinch2tbsp (30mL)⅓cup (80mL)
FlourParsleyflakes
BakingpowderBakingsoda
SaltButterMilk
PrepTime:20minutesCookTime:45minutes
Servings:4servings
1.Inlargepanwithatightfittinglid,heatbutterandoiltomediumheat.2.Seasonchickenwithsaltandblackpepperanddustinflour.Panfrychickenuntilgoldenbrown.Removefrompanandsetaside.3.Insamepan,reduceheatandcookonionsandgarlicuntilonionshavesoftened.4. Stir in carrots and parsnips and cook untilparsnipshavesoftened.5.Addbayleaf,sage,saltandchickenstock.Addbrownedchickenandsimmerfor15minutes.6. For dumplings, mix together flour, parsley,bakingpowder,bakingsodaandsalt ina largebowl.7.Rubbutterintoflourandstirinmilktoformsoftdough.8.Drop1 inchdumplings intosimmeringstewand cover. Simmer for another 15 minutes.Dumplingswilldoubleinsize.9.Remove fromheat and gently stir in frozenpeas.
1312
ChickenEnchiladas
Ingredients:
Method:
Chef’s Tips: • Customize to your taste. Try using different veggies or remove beans and peppers for a simpler meal.• This is a great recipe for batch cooking. Double the recipe and freeze pulled chicken for later use!
4eachbonelessandskinless½tsp (2mL)½tsp (2mL)½tsp (2mL)4cloves1each1cup (250mL)1cup (250mL)½cup(125mL)8each½cup (125mL)¼cup (60mL)¼cup (60mL)
ChickenthighPaprikaCumin
ChilipowderGarlic,crushedOnion,diced
Redpepper,dicedCanof blackbeans,drainedandrinsed
Tomatoes,canned,diced6”Flourtortilla
Montereyjackcheese,shreddedSourcream
Cilantro,chopped
PrepTime:15minutesCookTime:2hoursServings:4servings
1.Preheatovento325˚F(160˚C).2. Rubchicken thighswithpaprika, cumin, chilipowderandcrushedgarlicandplaceinovenproof dish.3.Add onions, red peppers, black beans and topwithtomatoes.4.Covertightlywithfoilandplaceinovenfor1½hoursoruntilchickenbeginstofallapart.Pouroutandsaveanyliquidfromdish.5.Using2forks,shredchickenanddividemixtureintoandplaceintocleanbakingdish.6.Pourremainingliquidontopof rolledtortillasandsprinklewithcheese.Coverandreturntotheovenfor15minutesuntilcheeseismelted.7.Topwithsourcreamandgarnishwithchoppedcilantro.
Meatloaf Meatballs
Ingredients:
Tomato Sauce
Method:
and Noodles
1lb (454g)1cup (250mL)2cloves¼tsp (1mL)¼tsp (1mL)1tbsp (15mL)2tbsp (30mL)½tsp (2mL)1each¼cup (60mL)3tbsp (45mL)1tbsp (15mL)
Groundbeef,leanOnion,gratedGarlic,minced
SaltBlackpepper
WorcestershiresauceParsley,dried
Oregano,driedEgg
BreadcrumbsKetchup
Cidervinegar
2tbsp (30mL)½cup (125mL)3cloves2cup (500mL)1tsp (5mL)½tsp (2mL)340g
OliveoilOnion,choppedGarlic,chopped
Tomatopuree,cannedHoney
Oregano,driedEggnoodles,cookedaccording
toinstructiononpackage
PrepTime:25minutesCookTime:45minutes
Servings:6servings
1.Preheatovento425˚F(218˚C).2. In largebowl,mixgroundbeef withgratedonion,garlic,salt,blackpepper,Worcestershiresauce,parsley,oregano,eggandbreadcrumbs.3.Forminto12ballsandplaceinbakingdish.Bakeinpreheatedovenfor5minutes.4. Mix ketchup together with cider vinegarand brush intomeatballs. Return to oven andcontinuebakingfor10minutesoruntilinternaltemperaturereaches160˚F(71˚C).5.Fortomatosauce,heatoliveoilinlargesaucepanandcookonionsuntilsoftened.Addgarlicandcookuntilfragrant.6.Addtomatopuree,honeyandoregano.Reduceheattoasimmerandcookfor15minutes.7.Stircookedeggnoodlesintohottomatosauceandservewithmeatloaf meatballs. Beef and Broccoli
Stir Fry
Ingredients:
Method:
200g1tbsp (15mL)2tbsp (30mL)2tbsp (30mL)1tsp (5mL)⅛tsp (½mL)2cloves1tbsp (15mL)1tbsp (15mL)3tbsp (45mL)1lb (454g)2cup (500mL)½each½each1tbsp (15mL)3each
Chowmiennoodles,dryVegetableoil
SoysauceSesameoil
Chiliflakes(optional)Blackpepper
Garlic,mincedGinger,minced
HoneyVegetableoil
Beef,⅓in.stripsBroccoli,cutintosmallflorets
Redpepper,thinlyslicedOnion,sliced
Sesameseeds(optional)Greenonion,sliced
PrepTime:25minutesCookTime:15minutes
Servings:6servings
1.Cook chowmiennoodles perpackage instructions.Drainandtosswith1tbsp(15mL)vegetableoiltocoat.Setaside2.Inasmallbowl,mixsoysauce,sesameoil,chiliflakes,black pepper, garlic, ginger and honey together. Setaside.3. In a large frying pan or wok heat 3 tbsp (45mL)vegetableoilonhighheat.4.Frybeef whilestirringfor1minute.5.Addbroccoli,redpeppersandonionswhilestirring.Cookuntilonionshavesoftened.6.Stirinsoysaucemixtureandaddcookedchowmien.Tosstocoatandwarmnoodles7.Addsesameseedsandgreenonions.
14
Chef’s Tips: This recipe is great with a mixture of ground pork and beef or
even ground turkey.
Meatloaf Meatballs
Ingredients:
Tomato Sauce
Method:
and Noodles
1lb (454g)1cup (250mL)2cloves¼tsp (1mL)¼tsp (1mL)1tbsp (15mL)2tbsp (30mL)½tsp (2mL)1each¼cup (60mL)3tbsp (45mL)1tbsp (15mL)
Groundbeef,leanOnion,gratedGarlic,minced
SaltBlackpepper
WorcestershiresauceParsley,dried
Oregano,driedEgg
BreadcrumbsKetchup
Cidervinegar
2tbsp (30mL)½cup (125mL)3cloves2cup (500mL)1tsp (5mL)½tsp (2mL)340g
OliveoilOnion,choppedGarlic,chopped
Tomatopuree,cannedHoney
Oregano,driedEggnoodles,cookedaccording
toinstructiononpackage
PrepTime:25minutesCookTime:45minutes
Servings:6servings
1.Preheatovento425˚F(218˚C).2. In largebowl,mixgroundbeef withgratedonion,garlic,salt,blackpepper,Worcestershiresauce,parsley,oregano,eggandbreadcrumbs.3.Forminto12ballsandplaceinbakingdish.Bakeinpreheatedovenfor5minutes.4. Mix ketchup together with cider vinegarand brush intomeatballs. Return to oven andcontinuebakingfor10minutesoruntilinternaltemperaturereaches160˚F(71˚C).5.Fortomatosauce,heatoliveoilinlargesaucepanandcookonionsuntilsoftened.Addgarlicandcookuntilfragrant.6.Addtomatopuree,honeyandoregano.Reduceheattoasimmerandcookfor15minutes.7.Stircookedeggnoodlesintohottomatosauceandservewithmeatloaf meatballs. Beef and Broccoli
Stir Fry
Ingredients:
Method:
200g1tbsp (15mL)2tbsp (30mL)2tbsp (30mL)1tsp (5mL)⅛tsp (½mL)2cloves1tbsp (15mL)1tbsp (15mL)3tbsp (45mL)1lb (454g)2cup (500mL)½each½each1tbsp (15mL)3each
Chowmiennoodles,dryVegetableoil
SoysauceSesameoil
Chiliflakes(optional)Blackpepper
Garlic,mincedGinger,minced
HoneyVegetableoil
Beef,⅓in.stripsBroccoli,cutintosmallflorets
Redpepper,thinlyslicedOnion,sliced
Sesameseeds(optional)Greenonion,sliced
PrepTime:25minutesCookTime:15minutes
Servings:6servings
1.Cook chowmiennoodles perpackage instructions.Drainandtosswith1tbsp(15mL)vegetableoiltocoat.Setaside2.Inasmallbowl,mixsoysauce,sesameoil,chiliflakes,black pepper, garlic, ginger and honey together. Setaside.3. In a large frying pan or wok heat 3 tbsp (45mL)vegetableoilonhighheat.4.Frybeef whilestirringfor1minute.5.Addbroccoli,redpeppersandonionswhilestirring.Cookuntilonionshavesoftened.6.Stirinsoysaucemixtureandaddcookedchowmien.Tosstocoatandwarmnoodles7.Addsesameseedsandgreenonions.
14
Chef’s Tips: This recipe is great with a mixture of ground pork and beef or
even ground turkey.
16 17
Creamy Polenta
Ingredients:
Creamy Polenta Topping
Method:
Pie
1lb (454g)¼tsp (1mL)¼tsp (1mL)1each3cloves1tbsp (15mL)½tsp (2mL)2tbsp (30mL)¼cup(60mL)¼cup (60mL)1cup (250mL)
1½cup(375mL)2cup (500mL)⅛tsp (½mL)½cup(125mL)2tbsp(30mL)2tbsp(30mL)
Groundbeef,leanSalt
BlackpepperOnion,diced
Garlic,choppedFlour
OreganoWorcestershiresauce
FrozencarrotsFrozenpeas
Half andhalf cream
Chickenstock,lowsodiumHalf andhalf cream
SaltCornmeal
ButterParmesancheese,grated
PrepTime:20minutesCookTime:45minutes
Servings:8servings
1.Preheatovento350˚F(180˚C).2. In large pan overmediumheat brown groundbeef andseasonwithsaltandpepper.3.Addonions,garlic,flourandoreganotopotandcookuntilonionshavesoftened.StirinWorcestershiresauce.4.Stirincreamandfrozenvegetables.Cookfor2minutestoreducethecreambyhalf andpourinto8in.x8in.bakingdish.5.Inalargepotbringchickenstock,half andhalf andsalttoasimmer,whiskincornmeal.Reducetoasimmerandcookfor15minuteswhilestirring.6. Stir in butter and parmesan cheese. Cook for anadditional2minutes.7.Spreadontopof cookedgroundbeef.Placeintoovenandbakefor15minutes.
Three Cheese
Ingredients:
Method:
Macaroni andCheese
2tbsp (30mL)2tbsp (30mL)3cup (750mL)1tsp (5mL)½tsp (2mL)¼tsp (1mL)½tsp (2mL)2tbsp (30mL)2tbsp (30mL)½cup (125mL)¼cup(60mL)3cup (750mL)
ButterFlourMilk
OnionpowderGarlicpowderThyme,dried
SaltDijonmustardCreamcheese
Cheddarcheese,shreddedMozzarellacheese,shredded
Cookedmacaroni
PrepTime:15minutesCookTime:30minutes
Servings:4servings
1.Inamediumsaucepanmeltbutterandstirinflour.Toastflourwhilestirringtoavoidburning.Slowlyaddmilkandstirtocombine.2.Addonionpowder,garlicpowder,thymeandsalt.Bringtoasimmerandcookfor5minutes.3.AddDijonmustardandcreamcheese,stiruntilmelted.Add shredded cheddar andmozzarellacheeseandstiragainuntilmelted.4.Foldincookedmacaroniandseasontotaste.
16 17
Creamy Polenta
Ingredients:
Creamy Polenta Topping
Method:
Pie
1lb (454g)¼tsp (1mL)¼tsp (1mL)1each3cloves1tbsp (15mL)½tsp (2mL)2tbsp (30mL)¼cup(60mL)¼cup (60mL)1cup (250mL)
1½cup(375mL)2cup (500mL)⅛tsp (½mL)½cup(125mL)2tbsp(30mL)2tbsp(30mL)
Groundbeef,leanSalt
BlackpepperOnion,diced
Garlic,choppedFlour
OreganoWorcestershiresauce
FrozencarrotsFrozenpeas
Half andhalf cream
Chickenstock,lowsodiumHalf andhalf cream
SaltCornmeal
ButterParmesancheese,grated
PrepTime:20minutesCookTime:45minutes
Servings:8servings
1.Preheatovento350˚F(180˚C).2. In large pan overmediumheat brown groundbeef andseasonwithsaltandpepper.3.Addonions,garlic,flourandoreganotopotandcookuntilonionshavesoftened.StirinWorcestershiresauce.4.Stirincreamandfrozenvegetables.Cookfor2minutestoreducethecreambyhalf andpourinto8in.x8in.bakingdish.5.Inalargepotbringchickenstock,half andhalf andsalttoasimmer,whiskincornmeal.Reducetoasimmerandcookfor15minuteswhilestirring.6. Stir in butter and parmesan cheese. Cook for anadditional2minutes.7.Spreadontopof cookedgroundbeef.Placeintoovenandbakefor15minutes.
Three Cheese
Ingredients:
Method:
Macaroni andCheese
2tbsp (30mL)2tbsp (30mL)3cup (750mL)1tsp (5mL)½tsp (2mL)¼tsp (1mL)½tsp (2mL)2tbsp (30mL)2tbsp (30mL)½cup (125mL)¼cup(60mL)3cup (750mL)
ButterFlourMilk
OnionpowderGarlicpowderThyme,dried
SaltDijonmustardCreamcheese
Cheddarcheese,shreddedMozzarellacheese,shredded
Cookedmacaroni
PrepTime:15minutesCookTime:30minutes
Servings:4servings
1.Inamediumsaucepanmeltbutterandstirinflour.Toastflourwhilestirringtoavoidburning.Slowlyaddmilkandstirtocombine.2.Addonionpowder,garlicpowder,thymeandsalt.Bringtoasimmerandcookfor5minutes.3.AddDijonmustardandcreamcheese,stiruntilmelted.Add shredded cheddar andmozzarellacheeseandstiragainuntilmelted.4.Foldincookedmacaroniandseasontotaste.
18
Peanut Butter
Ingredients:
Method:
Protein Bites
Chef’s Tip: Place in freezer for a great snack at anytime!
1cup (250mL)⅓cup (80mL)5each¾cup (180mL)2tsp (10mL)Pinch¼cup(60mL)
Almonds,wholeandroastedPumpkinseeds,roasted
Prunes,pittedPeanutbutterVanillaextract
SaltChocolatechips,melted
PrepTime:15minutesServings:6servings
1.Linebaking traywithparchmentpaperandsetaside.2.Placeroastedalmondsandroastedpumpkinseedsinafoodprocessorandpulseuntilalmondsarefinelychopped.3.Addprunes,peanutbutter,vanillaextractandsalt.4.Blend justuntilmixturecomes together inalargeballandpeanutbutterismixedin.Donotoverblend.5. Roll into 1 tbsp (15mL) balls and dip intomelted chocolate. Immediately place ontoparchment linedtrayand letsituntilchocolateisfirm.
Chef’s Tips: If you have a sweet tooth, add a glaze or serve with your favourite
jam.
Honey LemonLoaf
Ingredients:
Method:
1½cup(375mL)¼tsp(1mL)½tsp(2mL)Pinch2each½cup(125mL)⅓cup(80mL)¼cup(60mL)2tsp(10mL)1each
FlourBakingsoda
BakingpowderSaltEgg
HoneyButter,melted
MilkVanillaextract
Lemon,juiceandzest
PrepTime:15minutesCookTime:40minutes
Servings:12servings
1.Preheatoven to375˚F (180˚C).Line loaf panwithparchmentpaperandsetaside.2.Inalargebowlcombineflour,bakingsoda,bakingpowderandsalt.Setaside.3. In a separate bowl whisk eggs, honey,meltedbutter,milk,vanilla, lemonjuiceandzestuntilwellincorporated.4. Fold wet ingredients into dry ingredientsuntiljustcombined.Donotovermix.5.Pourbatterintolinedpanandbakefor35-40minutesoruntilinsertedtoothpickcomesoutclean.
19
18
Peanut Butter
Ingredients:
Method:
Protein Bites
Chef’s Tip: Place in freezer for a great snack at anytime!
1cup (250mL)⅓cup (80mL)5each¾cup (180mL)2tsp (10mL)Pinch¼cup(60mL)
Almonds,wholeandroastedPumpkinseeds,roasted
Prunes,pittedPeanutbutterVanillaextract
SaltChocolatechips,melted
PrepTime:15minutesServings:6servings
1.Linebaking traywithparchmentpaperandsetaside.2.Placeroastedalmondsandroastedpumpkinseedsinafoodprocessorandpulseuntilalmondsarefinelychopped.3.Addprunes,peanutbutter,vanillaextractandsalt.4.Blend justuntilmixturecomes together inalargeballandpeanutbutterismixedin.Donotoverblend.5. Roll into 1 tbsp (15mL) balls and dip intomelted chocolate. Immediately place ontoparchment linedtrayand letsituntilchocolateisfirm.
Chef’s Tips: If you have a sweet tooth, add a glaze or serve with your favourite
jam.
Honey LemonLoaf
Ingredients:
Method:
1½cup(375mL)¼tsp(1mL)½tsp(2mL)Pinch2each½cup(125mL)⅓cup(80mL)¼cup(60mL)2tsp(10mL)1each
FlourBakingsoda
BakingpowderSaltEgg
HoneyButter,melted
MilkVanillaextract
Lemon,juiceandzest
PrepTime:15minutesCookTime:40minutes
Servings:12servings
1.Preheatoven to375˚F (180˚C).Line loaf panwithparchmentpaperandsetaside.2.Inalargebowlcombineflour,bakingsoda,bakingpowderandsalt.Setaside.3. In a separate bowl whisk eggs, honey,meltedbutter,milk,vanilla, lemonjuiceandzestuntilwellincorporated.4. Fold wet ingredients into dry ingredientsuntiljustcombined.Donotovermix.5.Pourbatterintolinedpanandbakefor35-40minutesoruntilinsertedtoothpickcomesoutclean.
19
20 21
Caregiver Tips
• Educateyourself.Learnabouttheroleof thecaregiverandyourlovedone’sillness,medicationsideeffectsandtheillnesstrajectory.Knowledgecanbringafeelingof peace.
• Caregivingisateameffort.Makealistof peoplewhoarecommittedtohelping.Identifythetasks,scheduleandconsiderthetalents,availabilityandtreasuresthatothersmayprovide.Don’tbeafraidtocalluponyourteamwhenneeded.
• Communication is key. Encourage your loved one to share his/her emotions, thoughts, symptoms andchallenges. Be supportive by listening and try to understand through his/her perspective. Having a safe,trustingrelationshiphelpsopendialogue.Apalliativecarecounsellorcanprovideguidanceintothesetypesof conversations.
• Acceptandrollwithchange.Changesmayincludephysicalability,emotionalstatus,appetite,energy,sensory,moodandmotivation.Bereadytoadapt.
• Connectwithothers.Checkouthospicepalliativecareandanyothercaregiverresourcesinyourcommunitythatcanassistyoualongtheway.Welcomebothprofessionalandpalliativecarevolunteersupport.
• Involveyour lovedone. Even if he/shecannotphysicallycommunicate,giveopportunity to involvehim/herbylisteningtoconversations.Thisprovidesasenseof somepersonalcontrolandhelpscommunicationbetweenyou.Maybehe/shecanguideyouonhowtomaketheirfavouritedish.
• Findotherswho“getit”.Beingaroundotherswhohaveexperiencedasimilarsituationcanprovidethekindof supportyoumayneed.ConnectwithaCaregiverSupportGroupatyourlocalhospiceorothercommunityorganizations.
• Largemealsmayneedtobereplacedbysmallsnacksenjoyedthroughouttheday.Largemealsmayproducefeelingsof fullnessandnausea.
• Careshouldfocusonwhatyourlovedoneenjoyenjoyseatingandcanreadilytolerate.Foodandfluidsshouldneitherbeactivelyforcednoractivelywithheld.
• Beintunewithsubtleindicators.Forexample,youmaynoticeachangeinhis/herappetitepost-treatmentsorupontakingcertainmedications.Encourageyourlovedonetohelpyouunderstandwhatisdifferent.Bybetterunderstandingtheirreasoning,youwillbemoreequippedtoremedytheunderlyingcauseforthechange.
• Constipation,weight loss (cachexia) and appetite loss (anorexia) are some of themost common problemsencounteredinpalliativecareandshouldberoutinelyassessed.Offersof smallportionsof nutrientrichfoodsmayhelp.
• Bemindfulof howmedication(i.e.chemodrugs)impactsensitivelytothesmellandtemperatureof food(i.e.holdingcoldbeverages,strongsmellslikefish).
• Focus should be on keeping his/her the mouth clean and moist; to increase comfort and prevent oralcomplications.
• Adrymouthcanbehelpedwithmeasuressuchas oGoodoralhygiene oOfferchewinggum(sugar-free),icecubesandfrozenfruit,suchaspineapple,tosuckon,orsour candiestohelpproducesaliva. oOralbalancegel,drymouthspraysorrinses
• Uncontrollednauseaandvomiting.• Coughingorchokingonfluidsoccurs.Thiscouldmeanthatyourlovedoneneedsadifferenttextureof food.• If yoususpectathrushinfection.Lookforwhitepatchesonthetongue.• Yourlovedonecomplainsof asoremouth,sorethroat,dryscratchythroat,hoarsenessorproblemsswallowing.• If younoticeanyopen,bleedingorpainfulsoresorcutsintheirmouth
• Cookinbatches.Prepareandfreezemealsinsmallcontainers,sotheyareavailablewheneveryouneedthem.• Prepareamixof favourites,comfort/cravingfoods,easytodigest,fun;optionsthatsuitsyourneeds.• Increasecalorie,nutrientandfatcontentif thereisalackof appetite,sothatasmallportionprovidesmaximum
nutrition.• Servesmallerportionsmorefrequentlyratherthanthree largemeals.Serve largerportionswhenenergy is
mostavailable(likelyearlierintheday).• Presentingfoodinapleasantmannerhelpscreateinterest;usegarnish,coloursandaccents.• Servefoodinaninvitingenvironment.Diningwithothersmakeseatingmoreenjoyable.• Trytoavoidprocessedfoods,preservativesandadditivesaswholefoodhasmorenutrients.
Self-care
Body Issues and Nutrition
Oral Care
When you may need to call your health care team
Cooking and Serving Tips
20 21
Caregiver Tips
• Educateyourself.Learnabouttheroleof thecaregiverandyourlovedone’sillness,medicationsideeffectsandtheillnesstrajectory.Knowledgecanbringafeelingof peace.
• Caregivingisateameffort.Makealistof peoplewhoarecommittedtohelping.Identifythetasks,scheduleandconsiderthetalents,availabilityandtreasuresthatothersmayprovide.Don’tbeafraidtocalluponyourteamwhenneeded.
• Communication is key. Encourage your loved one to share his/her emotions, thoughts, symptoms andchallenges. Be supportive by listening and try to understand through his/her perspective. Having a safe,trustingrelationshiphelpsopendialogue.Apalliativecarecounsellorcanprovideguidanceintothesetypesof conversations.
• Acceptandrollwithchange.Changesmayincludephysicalability,emotionalstatus,appetite,energy,sensory,moodandmotivation.Bereadytoadapt.
• Connectwithothers.Checkouthospicepalliativecareandanyothercaregiverresourcesinyourcommunitythatcanassistyoualongtheway.Welcomebothprofessionalandpalliativecarevolunteersupport.
• Involveyour lovedone. Even if he/shecannotphysicallycommunicate,giveopportunity to involvehim/herbylisteningtoconversations.Thisprovidesasenseof somepersonalcontrolandhelpscommunicationbetweenyou.Maybehe/shecanguideyouonhowtomaketheirfavouritedish.
• Findotherswho“getit”.Beingaroundotherswhohaveexperiencedasimilarsituationcanprovidethekindof supportyoumayneed.ConnectwithaCaregiverSupportGroupatyourlocalhospiceorothercommunityorganizations.
• Largemealsmayneedtobereplacedbysmallsnacksenjoyedthroughouttheday.Largemealsmayproducefeelingsof fullnessandnausea.
• Careshouldfocusonwhatyourlovedoneenjoyenjoyseatingandcanreadilytolerate.Foodandfluidsshouldneitherbeactivelyforcednoractivelywithheld.
• Beintunewithsubtleindicators.Forexample,youmaynoticeachangeinhis/herappetitepost-treatmentsorupontakingcertainmedications.Encourageyourlovedonetohelpyouunderstandwhatisdifferent.Bybetterunderstandingtheirreasoning,youwillbemoreequippedtoremedytheunderlyingcauseforthechange.
• Constipation,weight loss (cachexia) and appetite loss (anorexia) are some of themost common problemsencounteredinpalliativecareandshouldberoutinelyassessed.Offersof smallportionsof nutrientrichfoodsmayhelp.
• Bemindfulof howmedication(i.e.chemodrugs)impactsensitivelytothesmellandtemperatureof food(i.e.holdingcoldbeverages,strongsmellslikefish).
• Focus should be on keeping his/her the mouth clean and moist; to increase comfort and prevent oralcomplications.
• Adrymouthcanbehelpedwithmeasuressuchas oGoodoralhygiene oOfferchewinggum(sugar-free),icecubesandfrozenfruit,suchaspineapple,tosuckon,orsour candiestohelpproducesaliva. oOralbalancegel,drymouthspraysorrinses
• Uncontrollednauseaandvomiting.• Coughingorchokingonfluidsoccurs.Thiscouldmeanthatyourlovedoneneedsadifferenttextureof food.• If yoususpectathrushinfection.Lookforwhitepatchesonthetongue.• Yourlovedonecomplainsof asoremouth,sorethroat,dryscratchythroat,hoarsenessorproblemsswallowing.• If younoticeanyopen,bleedingorpainfulsoresorcutsintheirmouth
• Cookinbatches.Prepareandfreezemealsinsmallcontainers,sotheyareavailablewheneveryouneedthem.• Prepareamixof favourites,comfort/cravingfoods,easytodigest,fun;optionsthatsuitsyourneeds.• Increasecalorie,nutrientandfatcontentif thereisalackof appetite,sothatasmallportionprovidesmaximum
nutrition.• Servesmallerportionsmorefrequentlyratherthanthree largemeals.Serve largerportionswhenenergy is
mostavailable(likelyearlierintheday).• Presentingfoodinapleasantmannerhelpscreateinterest;usegarnish,coloursandaccents.• Servefoodinaninvitingenvironment.Diningwithothersmakeseatingmoreenjoyable.• Trytoavoidprocessedfoods,preservativesandadditivesaswholefoodhasmorenutrients.
Self-care
Body Issues and Nutrition
Oral Care
When you may need to call your health care team
Cooking and Serving Tips
A Caregivers Guide:Cooking for Palliative Care and the Family
Food is LoveIt is the intention for this book to give people the power to create wholesome food, the opportunity to share meals and moments with family and friends, and to make every bite count.
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