SNACK CYCLE MENU 1

MON
A
M

REG

DB

SOFT DB

NO DAIRY
FOREIGNE
R

Jacobs
crackers w/
butter & jam
Jacobs
crackers w/
DB jam
French toast
Jacobs
crackers w/
jam
Jacobs
crackers w/
butter & jam

TUES

WED

THURS

FRI

SAT

SUN

Malunggay
cake

Vegetarian
pizza

Plain
ensaymada

Ensure Gold

Carrot cake

Malunggay
cake

Vegetarian
pizza

Plain
ensaymada

Glucerna SR

Carrot cake

Malunggay
cake

Vegetarian
pizza

Plain
ensaymada

Glucerna SR

Carrot cake

Egg sandwich

Vegetarian
pizza

Toast bread
w/ DB jam

Ensure Gold

Pancit
guisado

Fresh fruit
shake

Malunggay
cake

Vegetarian
pizza

Plain
ensaymada

Ensure Gold

Carrot cake

Ampalaya
bread w/
chicken

Ampalaya
bread w/
chicken
Ampalaya
bread w/
chicken
Ampalaya
bread w/
chicken

REG

Ensure Gold

Kutsinta

Pandan
chiffon

Puto

Pitchi-pitchi

Banana
muffin

Calabasa
cake

DB

Glucerna SR

Kutsinta

Pandan
chiffon

Puto

Pitchi-pitchi

Banana
muffin

Calabasa
cake

SOFT DB

Glucerna SR

Light cheese
sandwich

Pandan
chiffon

Puto

Fettuccine

Banana
muffin

Calabasa
cake

NO DAIRY

Ensure Gold

Kutsinta

Pesto panini

Puto

Fettuccine

Chicken
sandwich

Tuna
sandwich

FOREIGNE
R

Ensure Gold

Light cheese
sandwich

Pandan
chiffon

Cream of corn
soup

Fettuccine

Banana
muffin

Calabasa
cake

PM

SNACK CYCLE MENU 2

A
M

MON

TUES

WED

THURS

FRI

SAT

SUN

REG

Tuna
pandesal

Mamon

Carrot cake

Plain
ensaymada

Ensure Gold

Cinnamon roll

Malunggay
cake

DB

Tuna
pandesal

Mamon

Carrot cake

Plain
ensaymada

Glucerna SR

Cinnamon roll

Malunggay
cake

SOFT DB

Tuna
pandesal

Mamon

Carrot cake

Plain
ensaymada

Glucerna SR

Cinnamon roll

NO DAIRY

Tuna
pandesal

Egg sandwich

Jacobs
crackers w/
jam

Fresh fruit
shake

Ensure Gold

Boiled saba/
camote

FOREIGNE
R

Tuna
pandesal

Mamon

Carrot cake

Plain
ensaymada

Ensure Gold

Cinnamon roll

REG

Ensure Gold

Beef
empanada

Corn muffin

Vegetarian
pizza

Mocha chiffon

Pesto &
cheese panini

Calabasa
cake

DB

Glucerna SR

Beef
empanada

Corn muffin

Vegetarian
pizza

Mocha chiffon

Pesto &
cheese Panini

Calabasa
cake

SOFT DB

Glucerna SR

Nido soup

Corn muffin

Vegetarian
pizza

Mocha chiffon

Pesto &
cheese Panini

Calabasa
cake

Vegetarian
pizza

Jacobs
crackers w/
jam

Pesto pasta

Potato
chowder

Vegetarian
pizza

Mocha chiffon

Pesto &
cheese panini

Calabasa
cake

PM

NO DAIRY

Ensure Gold

Nido soup

Fresh fruit
shake

FOREIGNE
R

Ensure Gold

Beef
empanada

Corn muffin

Malunggay
cake
Jacobs
crackers w/
jam
Grilled
cheese
sandwich

SNACK CYCLE MENU 3

A
M

MON

TUES

WED

THURS

FRI

SAT

SUN

REG

Bibingkinitan

Kutsinta

Plain
ensaymada

Calabasa
cake

Ensure Gold

Pandan
chiffon

Corn muffin

DB

Bibingkinitan

Kutsinta

Plain
ensaymada

Calabasa
cake

Glucerna SR

Pandan
chiffon

Corn muffin

SOFT DB

Corn soup

Light cheese
sandwich

Plain
ensaymada

Calabasa
cake

Glucerna SR

Pandan
chiffon

Corn muffin

NO DAIRY

Bibingkinitan

Kutsinta

Pumpkin soup

Boiled saba/
camote

Ensure Gold

Jacobs
crackers

Fresh fruit
shake

FOREIGNE
R

Bibingkinitan

Light cheese
sandwich

Plain
ensaymada

Calabasa
cake

Ensure Gold

Pandan
chiffon

Corn muffin

Pesto &
cheese panini

Cream of corn
soup

Vegetable
lomi

Sugar beet
bread w/ tuna

Chicken
sandwich

Pesto &
cheese panini

Cream of corn
soup

Vegetable
lomi

Sugar beet
bread w/ tuna

Chicken
sandwich

Pesto &
cheese panini

Cream of corn
soup

Vegetable
lomi

Sugar beet
bread w/ tuna

Chicken
sandwich

Pesto pasta

Puree of corn
soup

Vegetable
lomi

Jacobs
crackers w/
jam

Chicken
sandwich

REG

Ensure Gold

DB

Glucerna SR

SOFT DB

Glucerna SR

NO DAIRY

Ensure Gold

PM

Ampalaya
bread w/
chicken
Ampalaya
bread w/
chicken
Ampalaya
bread w/
chicken
Tuna
sandwich

FOREIGNE
R

Non Db
Db

Non Db
Db

Non Db
Db

Non Db

Ensure Gold

Ampalaya
bread w/
chicken

Pesto &
cheese panini

Cream of corn
soup

Toast bread
w/ jam &
butter

CLEAR LIQUID DIET

BREAKFAST
LUNCH
Clear soup
Clear soup
Tea/Decaf
Tea/Decaf
Jello
Jello
Bottled water
Bottled water
Ensure vanilla can
Sprite regular
Apple juice
Sprite lite
AM SNACKS
Gatorade
Apple juice

PM SNACKS
Clear soup
Clear soup

GENERAL LIQUID DIET

BREAKFAST
LUNCH
Strained oatmeal
Clear soup
Soft boiled egg
Strained congee
Tea/Decaf
Tea/Decaf
Jello
Jello
Ensure choco can
Canned fruit juice
Glucerna can
Uns. Canned fruit juice
AM SNACKS
Canned juice

PM SNACKS
Strained soup

Sugar beet
bread w/ tuna

Chicken
sandwich

DINNER
Clear soup
Tea/Decaf
Jello
Bottled water
Gatorade
Apple juice
HS SNACKS
Jello
Jello

DINNER
Clear soup
Strained congee
Tea/Decaf
Jello
Gatorade
Apple juice
HS SNACKS
Jello

Db

Uns. Canned juice

SNACKS
French toast
Toast bread
Light cheese
sandwich
Tuna sandwich
Chicken
sandwich
Egg sandwich
Grilled cheese
sandwich
Jacobs crackers
Malunggay cake
Carrot cake
Calabasa cake
Banana muffin
Pandan chiffon
Mocha chiffon
Cinnamon roll
Corn muffin
Plain ensaymada
Mamon
Tuna pandesal
Ampalaya bread
w/ chicken
Sugar beet bread
w/ tuna
Vegetarian pizza
Pesto Panini
Pesto & cheese
Panini
Beef empanada

DIABETIC

SOFT

HALAL

KOSHER

Strained soup
DIET
HYPOALLERGENIC

Jello
NDCF

RENAL

Ensure Gold
Glucerna SR
Pancit guisado
Vegetable lomi
Fettuccine
Fresh fruit shake
Boiled
saba/camote
Kutsinta
Puto
Pitchi-pitchi
Bibingkinitan
Cream of corn
soup
Nido soup
Potato chowder
Corn soup
Puree of corn
soup

SNACKS
Jello DB
Gatorade
Apple juice
Canned juice

GENERAL LIQUID

LIQUID DIET
CLEAR LIQUID
DIABETIC

RENAL

Unsweetened canned juice

Strained soup
Clear soup

INTRODUCTION
A skeleton in the closet can be found in the hospital setting. Hospital-acquired diseases,
poor appetite, taste alterations and fatigue may accompany a patient once admitted.
Because of the change in environment, it may or may not affect ones health status.
Food intake of the patient is a major consideration in the hospital. Some tests or
procedures may limit the diet of the patient to avoid interfering with the results. The
after-effects of other procedures can alter the patients sense of taste. Others just do not
have a big of an appetite to finish their food.
The goal of the clinical dietitians is to gradually help bring back the appetite of
hospitalized patients by providing nutritious and palatable meals with the proper
planning of dishes. Aside from offering food for breakfast, lunch and dinner, patients
with specific diets are also given snacks two or three times a day.
Snacks, as defined by the Oxford Dictionary, are a small portion of food eaten between
meals and, therefore, could technically include all types of food in small quantities.
The Ministry of Justice New Zealand has proposed a list of potential ready-to-eat
prepared foods for inclusion in the definition, but this will not be a prescriptive list.
The elements that are proposed to form the regulation defining snack food are:
a. has characteristics of a food normally considered to be a snack food (that is,
small proportions and eaten between meals) AND
b. is prepared food sold in a form for immediate consumption AND
c. includes but is not limited to:
potato chips, crisps, sticks or straws, corn crisps or chips, pretzels and other
similar products
bacon or pork crackling or prawn chips / and other similar products
ice-cream, ice-cream cakes, ice-creams and ice-cream substitutes, sold as
individual items
food known as muesli bars or health food bars, and similar foodstuffs sold as
individual items
food that is, or consists principally of, biscuits, cookies, crackers, pretzels,
cones or wafers sold as individual items or as part of a snack pack product
seeds or nuts that have been processed or treated by salting, spicing,
smoking or roasting, or in any other similar way sold in quantities less than
50gms
popcorn

BACKGROUND OF THE STUDY

(WHY IS THE HOSPITAL GIVING SNACKS FOR PATIENTS? CONCERNS IN GIVING
SNACKS TO PATIENTS ESP. THOSE WITH SPECIFIED DIETS. WHY IS THERE A
NEED TO REVIEW THE EXISTING SNACKS CYCLE MENU?)

THE IMPORTANCE OF SNACKS

Consuming snacks is an effective way to provide extra nutrients to your body and
prevent you for eating too much at mealtimes. Based on a study from The Journal of
Nutrition conducted in 2010, 97 percent of Americans snack, with almost 24 percent of
their calories coming from snacks.

WHAT ARE THE BENEFITS OF SNACKING?

Prevents Overeating
Snacking helps keep you from getting overly hungry in between meals and then
overeating at your next meal. So next time you start to feel hungry a couple
hours before lunch or dinner, don't try to wait until the meal. Instead, eat a small
healthy snack to tide you over.

Keeps Blood Sugar Levels Steady

Healthy snacking helps keep your blood sugar levels even, especially if you eat a
consistent amount of carbs at each meal or snack. This is especially helpful for
diabetics, but also beneficial for people without diabetes, since large spikes and
dips in blood sugar levels may make insulin resistance, Type 2 diabetes, obesity,
heart disease and high blood pressure more likely over time.

Provides Nutrients
As long as you choose nutritious snacks, snacking will also help you meet your
nutrient needs for the day. Most of your snacks should consist of nutrient-dense
foods like fruits, vegetables, whole grains, low-fat dairy and nuts or seeds.

Considerations
Don't snack right before a meal, and only eat a snack if you are truly hungry.
Snacking out of boredom or for other emotional reasons isn't healthy and can
lead to overeating and weight gain. Most snacks should be around 100 calories,

but if you need to use a snack in place of a meal, eat a slightly larger snack
containing about 250 calories, recommends MayoClinic.com.

WHO ARE GIVEN SNACKS IN THE HOSPITAL?

Diabetics

SNACKING WHEN YOU HAVE DIABETES

When you have diabetes, you need to control your blood sugar. Insulin or diabetes
medicines, as well as exercise, will lower your blood sugar.
To balance this, the food you eat will raise your blood sugar. The three major nutrients in
food are carbohydrates, protein, and fat.
Your body quickly turns carbohydrates into a sugar called glucose. This raises your
blood sugar level. Carbohydrates are found in fruit, cereal, bread, pasta, and rice.
Protein and fat can change your blood sugar too, but not as fast.
If you have diabetes, you need to know how to eat carbohydrate snacks during the day.
This will help balance your blood sugar. This is especially important if you have type 1
diabetes.
Learning how to count the carbohydrates that you eat helps you plan what to eat. It will
also keep your blood sugar under control.
Your health care provider may tell you to eat a snack at certain times of the day, most
often at bedtime. This helps keep your blood sugar from getting too low at night. Other
times, you may have a snack before or during exercise for the same reason. Ask your
health care provider about the snacks you can have.
You will also need to ask about what snacks to avoid. You also need to know how to
control your diabetes when you do snack.

Renal patients
Small Frequent Feeding
Liquid diet
Computed diet

JACOBS LOW SALT HI-FIBRE

Nutrition Facts
Serving Size 30 g (3 pcs)
Amount per serving
Energy

139 kcal

Carbohydrate

20.7 g

Total sugar

1.2g

Dietary fibre

1.8g

Sodium

36mg

Protein

2.7 g

Fat

4.9 g

Cholesterol

0 mg

Vitamin A

45 g

Calcium

45 mg

Iodine

9 g

Iron

0.9mg

Vitamin B1

0.1mg

Vitamin B2

0.1mg

Vitamin B3

1.0mg

Vitamin B6

0.1 mg

Vitamin B12

0.1 g

INGREDIENTS: Wheat flour, Wholemeal flour, Non-hydrogenated vegetable oil (palm),

Wheat germ, Vitamins & minerals (A, B1, B2, B3, B6, B12, Calcium carbonate, Iodine
(Potassium Iodide) 7 Iron (Ferric pyrophosphate)), Leavening/raising agents
(Ammonium hydrogen bicarbonate (E503ii), Sodium hydrogen bicarbonate (E500ii),
Potassium bicarbonate (E501ii)), Yeast, Emulsifier (Sodium stearoyl lactylate (E481i)),
Salt and enzyme/flour treatment agent (Amylase). May contain milk.

ANALYSIS: Jacobs cracker is initially good to use as a snack for therapeutic

patients. Based from the current cycle menu, Jacobs cracker is given to all patients
who have snacks specifically to those with dairy restrictions. However, as seen on
the packaging of the product, it is produced in a factory handling milk and can
therefore be mixed with the product itself, which is contradicting to the planning on
no dairy patients.
STRAWBERRY SUGAR FREE/ LOW CALORIE GELATIN DESSERT

Nutrition Facts
Serving Size 2.5 G
Servings Per Container 4
Amount Per Serving
Calories 10CAL
Total Fat 0g
Saturated Fat 0G

0%
0%

Trans Fat 0G
Sodium 55mg

2%

Total Carbohydrate 0g

0%

Sugars 0G
Protein 1g
INGREDIENTS
GELATIN, ADIPIC ACID (FOR TARTNESS), DISODIUM PHOSPHATE (CONTROLS
ACIDITY), MALTODEXTRIN (FROM CORN), FUMARIC ACID (FOR TARTNESS),
ASPARTAME** (SWEETENER), CONTAINS LESS THAN 2% OF ARTIFICIAL FLAVOR,

ACESULFAME POTASSIUM (SWEETENER), SALT, RED 40.

**PHENYLKETONURICS: CONTAINS PHENYLALANINE.

ANALYSIS: Jello sugar-free gelatin dessert is a very good snack for all therapeutic
patients as it is low in calories and sodium. This is especially recommended for
diabetic patients who are currently in liquid diets.

STRAWBERRY GELATIN DESSERT

Nutrition Facts
Serving Size 22 G
Servings Per Container 4
Amount Per Serving
Calories 80CAL
Total Fat 0g
Saturated Fat 0G

0%
0%

Trans Fat 0G
Sodium 90mg

4%

Total Carbohydrate 19g

6%

Sugars 19G
Protein 2g

INGREDIENTS
SUGAR, GELATIN, ADIPIC ACID (FOR TARTNESS), CONTAINS LESS THAN 2% OF
ARTIFICIAL FLAVOR, DISODIUM PHOSPHATE AND SODIUM CITRATE (CONTROL
ACIDITY), FUMARIC ACID (FOR TARTNESS), RED 40.

ANALYSIS: Jello gelatin dessert is for patients in regular liquid diets. However, it is
not recommended for those who are diabetic since it has sugar as its ingredients. If
used as snacks for patients who are in regular diets, it would be better if cooked
fruits are incorporated in the jello to make it more appetizing for patients.

SPRITE ZERO

Nutrition Facts
Serving Size 12 fl oz
Amount Per Serving
Calories 0CAL
Total Fat 0g
Saturated Fat 0G

0%
0%

Trans Fat 0G
Sodium 35mg
Total Carbohydrate 0g

0%

Sugars 0G
Protein 0g

INGREDIENTS
CARBONATED WATER, CITRIC ACID, POTASSIUM CITRATE, NATURAL FLAVORS,
POTASSIUM BENZOATE (TO PROTECT TASTE), ASPARTAME, ACESULFAME
POTASSIUM.

ANALYSIS:

SPRITE REGULAR

Nutrition Facts
Serving Size 12 fl oz
Amount Per Serving
Calories 140CAL
Total Fat 0g
Saturated Fat 0G

0%
0%

Trans Fat 0G
Sodium 65mg
Total Carbohydrate 38g
Sugars 38G
Protein 0g

INGREDIENTS
CARBONATED WATER, HIGH FRUCTOSE CORN SYRUP, CITRIC ACID, NATURAL
FLAVORS, SODIUM CITRATE, SODIUM BENZOATE (TO PROTECT TASTE)

ANALYSIS:

GATORADE

Nutrition Facts
Serving per pack 1.6
Serving Size 250ml
Amount Per 100ml
Calories 25CAL
Total Fat 0g
Saturated Fat 0G

0%
0%

Trans Fat 0G
Sodium 41mg
Total Carbohydrate 6g
Sugars 6G
Protein 0g
Potassium 11.7mg
Magnesium 0mg

INGREDIENTS
WATER, SUCROSE, DEXTROSE, CITRIC ACID, SODIUM CITRATE, SODIUM
CHLORIDE, MONOPOTASSIUM PHOSPHATE, FLAVOR, GUM ARABIC, SUCROSE
ACETATE ISOBUTYRATE, SUNSET YELLOW

ANALYSIS:

DEL MONTE 100% PINEAPPLE JUICE FIBER-ENRICHED

Nutrition Facts
Serving Size 240ml
Servings per container 1
Amount Per Serving
Calories 120CAL
Total Fat 0g
Saturated Fat 0G

0%
0%

Trans Fat 0G
Sodium 5mg

0%

Potassium 290mg

8%

Cholesterol 0mg

0%

Total Carbohydrate 29g

10%

Sugars 22g
Dietary fiber 4g

16%

Protein less than 1g

Calcium

4%

Magnesium

10%

Phosphorus

2%

Vitamin C

100%

Iron

6%

Copper

8%

Zinc
4%
Percent daily values are based on a 2,000 calorie diet
INGREDIENTS
NATURAL PINEAPPLE JUICE, VEGETABLE GUM, ASCORBIC ACID (VITAMIN C)
ANALYSIS:

DEL MONTE SWEETENED ORANGE JUICE DRINK

Nutrition Facts
Serving Size 240ml
Servings per container 1
Amount Per Serving
Calories 110CAL
Total Fat 0g
Saturated Fat 0G

0%
0%

Trans Fat 0G
Sodium 10mg

0%

Cholesterol 0mg

0%

Total Carbohydrate 30g

10%

Sugars 22g
Dietary fiber 0g

16%

Protein less than 1g

Vitamin C

100%

INGREDIENTS
WATER, SUGAR, ORANGE JUICE CONCENTRATE, CITRIC ACID, ASCORBIC ACID,
BETA CAROTENE, NATURAL FLAVOR

ANALYSIS:

HARVEY FRESH APPLE JUICE

Nutrition Facts
Serving Size 250ml
Servings per container 1
Amount Per Serving
Calories

500kJ

Total Fat

<0.3g

Saturated Fat

<0.3g

Sodium

15mg

Total Carbohydrate

30g

Sugars
Protein

27.5g
0.3g

INGREDIENTS
RECONSTITUTED APPLE JUICE (99%), VITAMIN C, FLAVOUR, ACID (330)

ANALYSIS:

FEEDBACK
COMMENT
RECOMMENDATIONS
1. CARRS TABLE WATER BANQUET CRACKERS FOR JACOBS CRACKERS

Carrs table water crackers are dairy-free, sugar-free and are okay for vegan and kosher
diets. It contains wheat flour, palm oil and salt. There is only an allergen alert on wheat
and sesame seeds.

REFERENCES
Theurer, Vanessa A., "Improving Patient Satisfaction in a Hospital Foodservice System
Using Low-Cost Interventions: Determining Whether a Room Service System is the
Next Step" (2011). All Graduate Plan B and other Reports. Paper 32.
http://digitalcommons.usu.edu/gradreports/32
http://www.oxforddictionaries.com/definition/english/snack
New Zealand Ministry of Justice, Alcohol New Laws Regulations (2013). Public
Consultation Paper. http://www.justice.govt.nz/publications/global-publications/a/alcoholnew-laws-regulations-public-consultation-paper/4-defining-grocery-stores/definingsnack-foodh
http://healthyeating.sfgate.com/healthy-snacks-important-6727.html
Piernas, C, Popkin, B. Snacking Increased among U.S. Adults between 1977 and 2006.
The Journal of Nutrition. February 2010 vol. 140 no. 2 325-332
American Diabetes Association. Nutrition recommendations and interventions for
diabetes: a position statement of the American Diabetes Association. Diabetes Care.
2008;31:S61-S78.
http://www.jello.com/product/sugar-free-desserts/strawberry-low-calorie

http://productnutrition.thecoca-colacompany.com/
http://www.jello.com/product/jello-desserts/strawberry
http://www.carrscookies.com/ProductDetail.aspx?ID=22891