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Accommodating Special Dietary Needs

Accommodating Special Dietary Needs. National Food Service Management Institute The University of Mississippi. Objective 1. Be familiar with major legislation. Section 504 of the Rehabilitation Act of 1973. Prohibits discrimination against qualified handicapped persons in any

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Accommodating Special Dietary Needs

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  1. Accommodating Special Dietary Needs National Food Service Management Institute The University of Mississippi

  2. Objective 1 Be familiar with major legislation

  3. Section 504 of the Rehabilitation Act of 1973 Prohibits discrimination against qualified handicapped persons in any program or activity that receives federal financial assistance

  4. Section 504 of the Rehabilitation Act of 1973 Defines handicap as “…a physical or mental impairment which substantially limits one or more major life activities”

  5. Individuals with Disabilities Education Act (IDEA) Ensures that all children with disabilities receive a free appropriate public education

  6. Americans with Disabilities Act of 1990 (ADA) Prohibits discrimination against persons with disabilities in areas of employment, public services, public accommodations, transportation, and communication

  7. The Americans with Disabilities Amendments Act of 2008 • Expanded the definition of a disability • Became effective January 1, 2009 • New regulations for school foodservice have not yet been issued by USDA

  8. Objective 2 Identify legal, food safety, and financial considerations related to special needs

  9. Other Legal Considerations • Regulations • Guidance • State law • Case law • School policy and procedure • Documentation • Prescription/medical orders followed as written • Confidentiality

  10. Food Safety Considerations • Follow principles of food safety when preparing special needs foods • Maintain a separate area for allergenic foods

  11. Financial Considerations • Special foods, supplements, consultations • Equipment–may be funded through IDEA • Medicaid (varies from state to state) • Title 1 • PTA

  12. Objective 3 List required components of the diet prescription

  13. Disability • Accommodation must be made • No extra charge to student • Only a licensed physician can diagnose a disability

  14. Examples of Food Related Disabilities • Diabetes • Phenylketonuria (PKU) • Food anaphylaxis

  15. Statement for Children with Disabilities • What the disability is • Major life activity or ADL affected • How it restricts the diet • Complete diet order – including texture modifications • Foods to be omitted • Foods to be substituted

  16. Special Dietary Needs That Are NOT A Disability • Food allergies (unless anaphylactic) and intolerances • Accommodations may be made but are generally not required • In many cases, can be accommodated through offer vs. serve or by providing additional choices

  17. Statement for Children Who Are NOT Disabled • Signed by a recognized medical authority (physician, nurse, others specified by state agency) • Identify the medical/dietary condition that restricts the child’s diet • Foods to be omitted • Foods to be substituted

  18. Objective 4 Identify common dietary modifications

  19. Common Menu Modifications TextureCalories ground increased chopped decreased pureed Consistency of Liquids nectar honey pudding

  20. Food Allergy • A reaction between a food protein and the body’s immune system • Symptoms can range from mild to life-threatening

  21. Most Common Allergenic Foods • Milk • Eggs • Fish • Crustacean shellfish • Soy • Wheat • Peanuts • Treenuts

  22. Anaphylaxis A severe, life-threatening allergic response

  23. Objective 5 Describe effective and appropriate interaction with those with disabilities and their caregivers

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