112. CCA Study Notes: Food Labels and Food Quality of Life in Long-Term Care

The Big Picture

Food labels give information that helps with healthy eating and special diets. They also help you compare foods and check what ingredients a product contains.

Food also affects quality of life in long-term care. Clients need food that meets their dietary and nutritional needs, and staff need to keep track of how well clients eat.

Look for Nova Scotia CCA Notes throughout this page for current provincial guidance.

Quick tip: Tap, click, or press Enter on any term with a dotted underline and an ⓘ icon to see its plain-English definition.

Jump to:

Course Notes: Key Ideas You Need to Know

Food Labels Have Three Main Parts

Food labels help with planning a healthy diet. They also help people follow special diets ordered by physicians, dietitians, or nurses.

Nutrition labels are mandatory on packaged food.

Food labels contain three main components:

  • a list of ingredients
  • nutrition facts
  • nutrition claims

The List of Ingredients

The ingredient list usually starts with the ingredient found in the largest quantity. The remaining ingredients appear in descending order according to how much of each ingredient the food contains.

You can use ingredient lists to compare products. For example, one product might list wheat flour first, while another lists bran first.

Ingredient lists also help you check for ingredients that a client has an allergy or intolerance to.

An allergy is a sensitivity to a substance that causes the body to react with signs or symptoms.

The Nutrition Facts Table

The Nutrition Facts Table contains information about calories and 13 nutrients. These nutrients include fat, carbohydrates, and protein.

Nutrients are substances that the body takes in, digests, absorbs, and uses.

A calorie is a unit used to measure the energy produced when the body burns food.

Understanding Daily Value

The daily value (DV) shows how one serving of food fits into an adult’s daily diet.

DV appears as a percentage. It uses recommended daily intake based on a 2,000-calorie-a-day diet.

Nutrition Claims

Food manufacturers sometimes place nutrition claims on their products. Examples include claims such as “low in fat” or “high in fibre.”

These nutrition claims must meet government requirements.

Allowed diet-related health claims include:

  • A healthy diet low in sodium and high in potassium may reduce the risk of high blood pressure.
  • A healthy diet with adequate calcium and vitamin D may reduce the risk of osteoporosis.
  • A healthy diet low in saturated fat and trans fat may reduce the risk of heart disease.
  • A healthy diet rich in vegetables and fruit may reduce the risk of some types of cancer.

Read Nutrition Claims Carefully

It is important to read the whole food label instead of relying on one claim.

For example, a manufacturer might describe a product as having “controlled” or “decreased” fat. That wording can be misleading if the label does not show how much the fat level has decreased, or whether it has decreased at all.

Be careful with products labelled “controlled sugar” or “added sugar.”

Some foods labelled “light,” “lite,” “fat-free,” or “sugar-free” may be higher in another ingredient, such as starches, thickeners, or sodium.

Food and Quality of Life in Long-Term Care

Food plays an important part in a long-term care client’s quality of life.

Legislation ensures that each client’s dietary and nutritional needs are met.

It also ensures that:

  • meals are nourishing, tasty, attractive, and well balanced
  • hot food is served hot
  • cold food is served cold
  • clients receive special diets when needed
  • clients receive special eating utensils when needed

Special Eating Utensils

Disease or injury may affect a client’s hands, wrists, or arms.

Special eating utensils help these clients eat with minimum assistance.

Dining With Guests

Some long-term care facilities allow clients to eat meals with guests.

Guests may include:

  • spouses
  • partners
  • family members
  • friends

The dietary department may provide the guest’s meal. The visitor may also bring the meal.

Tracking How Well a Client Eats

Staff are responsible for documenting how well each client has eaten after each meal.

This information usually goes into the client’s record. Recording it allows the client’s eating habits to be tracked and reported to the rest of the health care team.