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Cooking With a Dash of Laws, a Pinch Regulations, and a Smidgen of Restrictions |
I will be honest - making this change was not easy. Try making a great N.E clam chowder without bacon, butter, cream, or salt. We need to be more creative: fresh clams, butter alternatives without trans fat, soy sauce as a nice lower sodium alternative, skim milk instead of cream with a corn starch slurry to thicken because that butter based roux will not do. You would be surprised how clean and full flavored chowder can taste without bacon, butter, cream or salt.
The most important thing is to provide the proper nutrition for a person in their eighties or nineties. Also, it is paramount to follow the doctor ordered diet. Since there wasn’t a tremendous amount of knowledge on trans fats and sodium back in the twenties and thirties, a lot of our residents are on restricted diets. LF/LC (low-fat, low-cholesterol) and NAS (no-added-sodium) to name a couple are very common to see. The trick is to keep the menus interesting and exciting while keeping with nutritional guidelines. As I stated earlier, we are restricted to a specific amount of sodium or fat we can serve in a day. When you pay attention to that, you will appreciate how hard it can be. You may want to serve fried shrimp for dinner on Friday, but since you have 16 residents on LF/LC diets you also need to offer a shrimp scampi with a butter alternative.
We do have guidelines and laws to live by, but with careful planning we are able to offer comfort foods on our seasonal menu - more 'guilty pleasures.' With in our structured menu, we always offer a fish, poultry and beef protein accompanied with a green vegetable, potato and non-potato starches. The seasonal side of our menu is always loaded with comfort foods so if the daily offerings do not appeal we have a backup menu built in. This past Friday our menu looked like this:
Seasonal Offerings [on the left side of our menu]:
Catch of the Day: Grilled Pesto-Encrusted Salmon with citrus compound butter (it is a zero trans fat, or ZTF item)
*dill cream sauce available upon request (yes it is made with skim milk)
Poultry: Braised Stuffed Pork Chop with cranberry-sage-bacon stuffing
Beef: Traditional Baked Meatloaf with portabella mushroom gravy
Seasonal Vegetable: Sautéed Haricot Vert with fresh garlic
Potato starch: Mashed Potatoes
Non-Potato Starch: Mac-n-Cheese
And…
The Daily Offerings [on the right side of the menu]:
Haddock Fish Fry: Battered in homemade beer batter fried to a golden brown. Served with coleslaw
French Dip: Served over crusty bread with rosemary au jus
Grilled Balsamic Chicken Breast: marinated in garlic balsamic vinaigrette
Vegetable: Glazed Baby Carrots with Bok Choy
Starch: Steak-Cut French Fries
When all is said and done, we have six entrée offerings on any given day. We vary our cooking methods - something fried (every so often), something baked, something braised, something borrowed and something blue. We have to make sure that there are not too many sauces or gravies, to offer a green veggie and a non-green veggie, to make sure to have potato and non-potato starches on the menu. Also make sure the menu fits - if you are serving Sesame Chicken make sure you’ve got some fried rice and brown rice for your special diets!
Each menu is geared toward diets and company guidelines. Some days it’s easy and some it’s tough. No matter the challenge, it is always rewarding. It means a great deal when you are helping a resident achieve a higher quality of living so they can keep visiting those grand kids. Offering these options and this kind of clean cooking is appreciated. We often hear from the residents and their families just how much they appreciate how healthful - and yet flavorful - the food is that we serve.
We basically cater to the special diets so everyone can maintain their dignity. We don’t want to deny someone the cream soup or the sugary pie because they are not allowed by their physician. So, simply put, we cater to the minority. To be honest, I like it because I end up eating healthier! More importantly so do our residents. Years ago when a person reached 80, it seemed like the attitude was, “well I’ve made it this far bring on the empty calories!” Now the pendulum has swung and the attitude is more geared toward optimum life and healthful living. After all the entire nonagenarian age group is the fastest growing in America. The 90 and over according to the census bureau increased a little over 30% from 2000-2010.
Keep in mind the state and physician regulations can further complicate that with what people actually want. This may all seem obvious and second nature to the more traditional ala cart restaurant cooks, but - trust me - it isn’t when you have to keep under a certain number of milligrams of sodium during the course of the day. Every pinch of salt you use is measured - think about how many boxes of Morton's you go through a week. It is a challenge but just to prove that it can be done we have some tricks. For example to replace salt just take some sesame or (salt-free) sunflower seeds, robo coupé and add to bread crumbs for coating baked fish or poultry. Fresh ground pepper, onion powder and fresh roasted garlic work as a nice salt alternative for a variety of items, stocks, sauces, soups etc.. For lunch “deli” salads I use mustard or pickle juice to get that salty zing with a fraction of the sodium.
Geriatric cookery does not allow for as much freedom and flexibility a more traditional restaurant cook has. However, this also keeps things interesting, forces you to be creative and more skilled in your technique. You have to coax every bit of flavor from each product without relying on butter, salt, or cream. Instead rely on marinades, spice blends with dried citrus fruits, and fresh-as-can-be items. There are many more tricks and substitutes for almost any “unhealthy” item.
All the LCFL-ers are creative; this just forces you to be creative in a different way.
All the LCFL-ers are creative; this just forces you to be creative in a different way.
Thanks for the time!
Matthew Janish
Matthew Janish