Creating a Diet Intervention

• About Creating a Diet Intervention
• Creating the Diet Intervention Record
  • Adding a Personal Menu Item to a Diet Intervention
  • Adding a Fallback Substitute to a Diet Intervention
  • Adding Serving Size Adjustment to a Diet Intervention
  • Adding a "Do Not Serve" Customization to the Diet Intervention
• When a Diet Intervention with Personal Menu Item or Fallback Substitute is Assigned to a Resident/Patient

About Creating a Diet Intervention

Creating a diet intervention first involves creating the diet intervention record, explained below, and then adding the desired customization types to it. 

Creating the Diet Intervention Record

To create a diet intervention record, complete the following steps

1. From the left navigation sidebar, select Tools & Setup > Diet Orders. The Diet Order Setting screen appears.
    
2. Select the Interventions tab. The Interventions screen appears, listing any existing interventions.
   
   
    
3. Click the Add New Intervention button. The New Diet Intervention slide-out panel appears.
   
   
    
4. Enter the following:
   • Name - enter the name of the intervention. 
   • Display Name - enter a user-friendly name for the intervention. This name will appear on people reports and in the Standard Diet Intervention field on a person’s profile. 
   • Description - enter a description for the diet intervention.
      
5. The next steps are to select the diet type and texture type combinations the intervention is valid for by selecting the desired combinations on the grid. When doing so, note the following:
   • Do not select a diet type that is contradictory to the purpose of the intervention. For example, if you have a “Low Sodium” diet intervention, then it would be contradictory to apply it to the "No Added Salt" diet type because that diet type exists to support recipes with no added salt (via a recipe's diet order extension grid). As another example, if you have a “No Pork or Beef” diet intervention, then it would be contradictory to apply it to the "Vegetarian" diet type because that diet type exists to support recipes with no meat (via a recipe's diet order extension grid).
   • The regular diet type/regular texture type is selected by default.
   • You can select a whole diet type row or a whole texture type column by clicking the respective header.
   • If a diet/texture combination square is grey, it indicates that that diet/texture combination is not published in your account. However, you can still select the combination to be included in the menu report by clicking the square.
     • If the text is white, it indicates the diet/texture combination is selected. 
     • If the text is black, it indicates the diet/texture combination is not selected.
        
6. Click Save to save the diet intervention record.
    
7. The next steps are to add the customization(s) to the intervention. Depending on the customization types you want to add, refer to the appropriate instructions below: 
   • Adding a Personal Menu Item to a Diet Intervention
   • Adding a Fallback Substitute to a Diet Intervention
   • Adding Serving Size Adjustment to a Diet Intervention
   • Adding a "Do Not Serve" Customization to a Diet Intervention

Note: By default, a newly-created diet intervention is automatically published (i.e., active) in the system, meaning it is available to be assigned to resident/patient profiles. There is the ability to unpublish a diet intervention to not have it available for assignment if needed. See the following article for more information: Unpublishing or Publishing a Diet Intervention.

Adding a Personal Menu Item to a Diet Intervention

To add a personal menu item to a diet intervention: 

1. From the left navigation sidebar, select Tools & Setup > Diet Orders. The Diet Order Setting screen appears.
2. Select the Interventions tab. The Interventions screen appears, listing existing interventions.
3. Click the name of the intervention to edit. The Intervention slide-out panel appears.
4. Scroll down to the Customizations List section and click the Add New button and select Personal Item (first screenshot below). The Add Personal Menu Item window appears (second screenshot below). 
   
   
   
    
5. At this point, rather than repeat the instructions on adding a personal menu item, please refer to the existing article Adding a Personal Menu Item, starting at step 3.

After adding the item to the diet intervention, note the following: If the item is extended with therapeutic substitutes, it displays with the (Extended Recipe) text, and if an item is not extended with therapeutic substitutes, it displays with the (Extensions Not Complete) text (screenshot below). Clicking the text opens the recipe extension grid of the item in a separate browser tab for you to adjust as needed (see Working in a Recipe Extension Grid).



For details on how the system treats an extended or non-extended item in a diet intervention, see When a Diet Intervention with Personal Item or Fallback Substitute is Assigned to a Resident/Patient below. 

Adding a Fallback Substitute to a Diet Intervention

To add a fallback substitute to a diet intervention: 

1. From the left navigation sidebar, select Tools & Setup > Diet Orders. The Diet Order Setting screen appears.
2. Select the Interventions tab. The Interventions screen appears, listing existing interventions.
3. Click the name of the intervention to edit. The Intervention slide-out panel appears.
4. Scroll down to the Customizations List section and click the Add New button and select Fallback Substitute (first screenshot below). The Add Fallback Substitute window appears (second screenshot below). 
   
   
    
5. At this point, rather than repeat the instructions on adding a fallback substitute, please refer to the existing article Adding a Fallback Substitute to a Day/Meal Period/Menu Category Instance, starting at step 3.

After adding the item to the diet intervention, note the following: If the item is extended with therapeutic substitutes, it displays with the (Extended Recipe) text, and if an item is not extended with extended with therapeutic substitutes, it displays with the (Extensions Not Complete) text (screenshot below). Clicking the text opens the recipe extension grid of the item in a separate browser tab for you to adjust as needed (see Working in a Recipe Extension Grid).

For details on how the system treats an extended or non-extended item in a diet intervention, see When a Diet Intervention with Personal Item or Fallback Substitute is Assigned to a Person below. 

Adding Serving Size Adjustment to a Diet Intervention

To add a serving size adjustment to a diet intervention:

1. From the left navigation sidebar, select Tools & Setup > Diet Orders. The Diet Order Setting screen appears.
2. Select the Interventions tab. The Interventions screen appears, listing existing interventions.
3. Click the name of the intervention to edit. The Intervention slide-out panel appears.
4. Scroll down to the Customizations List section and click the Add New button and select Serving Size Adjustment (first screenshot below). The Serving Size Adjustment pop-up appears (second screenshot below).
   
   
   
   
    
5. At this point, rather than repeat the instructions on adding a serving size adjustment, please refer to the existing article Adjusting Serving Size for a Resident/Patient's Personal Menu starting at step 3.

Adding a "Do Not Serve" Customization to the Diet Intervention

To add a "do not serve" customization to a diet intervention: 

1. From the left navigation sidebar, select Tools & Setup > Diet Orders. The Diet Order Setting screen appears.
2. Select the Interventions tab. The Interventions screen appears, listing existing interventions.
3. Click the name of the intervention to edit. The Intervention slide-out panel appears.
4. Scroll down to the Customizations List section and click the Add New button and select Do Not Serve (first screenshot below). The Do Not Serve pop-up appears (second screenshot below).
   
   
   
    
5. Your next steps are to configure the type of "do not serve" customization. Depending on the customization type, please refer to its appropriate separate article via the provided links. 
   • A meal period (breakfast, lunch, dinner) or snack time (snack am, snack pm, snack hs) can be marked as do not serve. See Marking a Meal Period or Snack Time as DNS for a Resident/Patient, starting at step 3. 
   • A menu category of a meal period or snack time can me marked as do not serve. See Marking a Menu Category (or Categories) of a Meal Period or Snack Time as DNS for a Resident/Patient, starting at step 3. 
   • A preference group can be marked as do not serve. See Marking a Preference Group as DNS for a Resident/Patient, starting at step 3. 

When a Diet Intervention with Personal Menu Item or Fallback Substitute is Assigned to a Resident/Patient

When a diet intervention with a personal menu item or fallback substitute is assigned to a resident/patient, then the following occurs:

• If the item is extended with therapeutic substitutes, then the item added to the personal menu is taken from the recipe extension grid of the item. For example, assume the intervention consists of the High Protein Muffin as an item (either personal menu item or fallback substitute), and that the High Protein Muffin is extended with the Pureed High Protein Muffin for the regular diet type/pureed texture type. When the intervention is assigned to a resident with the regular diet type/pureed texture type, then the Pureed High Protein Muffin is added to their personal menu and not the High Protein Muffin.
   
• If the diet type/texture type extension cell of an item is “Do not serve”, or is empty (i.e., still set as “Set Extension”), then the system assumes the item is not appropriate, and as such will not add the item to their personal menu.