Nutrition & Swallowing Tips that Support Energy, Strength & Dignity

Eating well is about more than calories—it’s about strength, confidence and dignity at home. If you (or someone you support) is finding meals harder, these practical, evidence-informed tips from our dietitians and speech pathologists can help.

Spot issues early

• Clothes/watch/rings suddenly loose, or >2–3 kg unintentional weight loss

• Poor appetite, “I’m full after a few bites”

• Fatigue, more falls, slower wound healing

Swallowing (dysphagia) red flags

• Coughing, throat-clearing or a “wet” voice during/after meals

• Taking a long time to eat, avoiding certain foods, chest infections

• Unexplained fever or weight loss

If any red flags are present, book a review with a dietitian (nutrition) and a speech pathologist(swallowing safety).

2) Build an “energy & strength” plate

Older adults often need more protein to maintain muscle (commonly ~1.0–1.2 g/kg/day your clinician can individualise). Aim for protein at every meal + 1–2 protein snacks.

Easy protein boosts (mix & match)

• Eggs, Greek yoghurt, cottage cheese, tuna/salmon, lean meats, tofu/tempeh

• Milk powder stirred into oats/soups (1–2 Tbsp = extra protein)

• Nut butters, hummus, cheese on crackers, high-protein custard or puddings

• Ready-to-drink oral nutrition supplements if recommended by your clinician

  
  

Fortify for extra energy

• Enrich soups/mashed foods with olive oil, cream, cheese, avocado or skim milk powder

• Choose full-fat dairy unless medically advised otherwise

• Small, frequent meals beat large, overwhelming plates

3) Hydration without hassle

• Keep water, milk or fortified smoothies within reach; use a two-handle mug if helpful

• Aim for regular sips across the day (fluid targets vary by person—ask your clinician)

• Include hydrating foods: stewed fruit, custard, soups, yoghurt, jelly (use thickened fluids if prescribed—see below)

  
  

4) Swallowing-smart habits (safety + dignity)

These general strategies improve safety for many people. A speech pathologist can tailor them.

• Upright posture: sit tall, feet supported; remain upright 30 minutes after meals

• Small mouthfuls; one sip at a time; slow, steady pace

• No talking while chewing; avoid distractions for those who fatigue

• Clear your mouth before the next bite (alternate bite–sip if it helps)

• Avoid mixed textures (e.g., thin soup with chunky solids) unless advised

• Oral care twice daily—clean mouth = safer swallow and better taste

Techniques like a chin-tuck or head turn are individualised—only use if prescribed by your speech pathologist.

5) Texture-modified meals that still look and taste great

If an assessment recommends texture modification (IDDSI levels), you can keep meals appealing:

• Flavour first: season well; use herbs, citrus, gravy

• Colour contrast on the plate (e.g., pumpkin + peas + chicken)

• Shape & presentation: use food molds or neat scoops for purees; separate components so meals look intentional

• Moisture matters: add sauces/gravies to help form a cohesive bolus

If fluids are prescribed thickened, chill them well and serve in an attractive cup. Offer favourites—choice supports dignity.

6) Make the mealtime environment work for you

• Adaptive equipment: Non-slip mats, plate guards, angled cutlery, lidded cups, long straws

• Lighting & setup: Good lighting, items within easy reach, stable chair with armrests

• Routine with choice: A simple menu board (“Porridge or eggs?”) maintains control and appetite

7) Quick wins: snack ideas (5 minutes or less)

• Greek yoghurt + honey + soft berries

• Whole-egg mayonnaise tuna on soft crackers

• Peanut butter banana smoothie (milk + milk powder for extra protein)

• Scrambled eggs with cheese on soft toast

• Hummus with soft pita; custard with stewed fruit

8) When to escalate

Seek professional help if you notice:

• Ongoing weight loss, dehydration, or recurrent chest infections

• Pain when swallowing, food sticking, frequent coughing/choking

• New difficulties after illness, dental changes or medication changes

A dietitian can individualise energy/protein plans and supplements; a speech pathologist can assess swallow safety, recommend textures/strategies, and train carers.

The dignity piece

Dignity is built into how we offer food: real choices, culturally loved dishes, attractive presentation, unhurried pacing and the right tools to eat independently. Small changes here often lift appetite, confidence and connection.

General information only: Always follow advice from your healthcare professional. If symptoms worsen or choking occurs, seek urgent care. In an emergency in Australia, call 000.