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Food-Service-Manual-for-Health-Care-Institutions

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<strong>Food</strong> <strong>Service</strong> <strong>Manual</strong> <strong>for</strong> <strong>Health</strong> <strong>Care</strong> <strong>Institutions</strong><br />

476<br />

Table 15.1. Serving Sizes <strong>for</strong> Use with the <strong>Food</strong> Guide Pyramid<br />

<strong>Food</strong> Group Serving Size<br />

Bread, cereal, rice, and pasta 1 slice bread<br />

1 ounce ready-to-eat cereal<br />

1<br />

⁄2 cup cooked cereal, rice, or pasta<br />

5–6 small crackers<br />

Vegetables 1 cup raw, leafy vegetables<br />

1<br />

⁄2 cup cooked or chopped raw vegetables<br />

3<br />

⁄4 cup vegetable juice<br />

Fruit 1 medium apple, banana, or orange<br />

1<br />

⁄2 cup chopped, cooked, or canned fruit<br />

3<br />

⁄4 cup fruit juice<br />

Milk, yogurt, and cheese 1 cup milk or yogurt<br />

11 ⁄2 ounces natural cheese<br />

2 ounces processed cheese<br />

Meat, poultry, fish, dry beans, eggs, and nuts 2–3 ounces cooked lean meat, poultry, or fish<br />

<strong>Food</strong>s that count as 1 ounce of meat:<br />

1<br />

⁄2 cup cooked dried beans<br />

1 egg<br />

2 tablespoons peanut butter<br />

1<br />

⁄3 cup nuts<br />

Research Council in 1989. The RDAs specify nutritional requirements <strong>for</strong> individuals based on<br />

gender and age. Menu planners should evaluate regular patient menus to determine that they<br />

indeed satisfy the RDAs. In cases where a patient’s medical condition requires modifications to<br />

the regular menu, the menu planner should refer to the health care operation’s dietary manual.<br />

Budget Allocations<br />

The menu is the major factor in establishing and controlling food costs. With some ef<strong>for</strong>t and<br />

imagination, a skilled menu planner can design a menu that offers variety, interest, and appeal<br />

and still remains within most budgets while being planned around up-to-date, tested recipes.<br />

Keeping a running total of the cost of items on the menu as it is being planned allows the planner<br />

to balance high-cost items with low-cost items so that total daily costs can be kept within<br />

the limits of the budget. However, the same cost level should be maintained from day to day<br />

rather than balancing over-budget days with days on which the cost is considerably less than<br />

the budgeted daily average.<br />

This approach works fairly well <strong>for</strong> controlling costs with nonselective menus, provided<br />

the cost in<strong>for</strong>mation is current and projected market conditions are considered when menus are<br />

planned far in advance. When a selective menu is offered, a <strong>for</strong>ecast of the demand <strong>for</strong> each<br />

item must be determined be<strong>for</strong>e total cost per meal or patient day is computed.<br />

When menus are planned <strong>for</strong> employees and guests, cost and selling price must be considered.<br />

The selling price should cover ingredients, labor, specified overhead, and profit. (Specific<br />

pricing techniques are discussed later in this chapter.) Accurately <strong>for</strong>ecasting demand is<br />

difficult because the selling price itself affects the demand <strong>for</strong> individual items on the menu.

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