Nutrition services

Inpatient Nutrition Services | VA Madison Healthcare


Wound care

Did you know that proper nutrition is important for keeping your skin healthy and allowing it to successfully rebuild after a cut or any other type of damage? Your dietitian can help you make sure you are eating a healthy diet to promote rapid wound healing. A dietitian can also help you keep your blood sugar well under control, which also promotes proper wound healing. Dietitians at Madison VA Hospital are also part of a wound care committee that meets monthly to discuss wound care issues with nurses and physiotherapists.

Nutritional support

There are times when people may not be able to eat and drink enough to get enough food. When this happens, nutrition has to be provided in a different way. One method is “enteral nutrition” or “tube feeding”. When necessary, a temporary or permanent tube can be placed in your nose or in your abdomen. A special liquid food mix is ​​prescribed to flow through this tube and provide you with the protein, energy, vitamins and minerals you need.

If you are unable to eat at all or if you are not absorbing your food well, you may need “parenteral nutrition”. In this case, a special intravenous is placed in your area, neck or chest. Fluid designed for you will flow through this IV and meet your needs for protein, energy, vitamins, minerals and electrolytes.

With enteral nutrition and parenteral nutrition, your dietitian works with the doctor to make sure you are receiving the correct nutrients, electrolytes, and fluids. The dietitian will also work with you when you are ready to resume normal eating. If you request these home treatments, you will continue to be monitored by a dietitian to make sure they are working for you.

Diet Office

While you can’t choose your menu right now, it will happen next year!

You can request to see a dietitian or dietitian regarding your food preferences or other nutritional issues at any time during your stay at the VA. Notify your nurse or doctor so that a dietitian or technician can be contacted immediately.

There are many people involved in ensuring that you receive meals that are appetizing and appealing, and that meet any dietary restrictions, which can be ordered for you.

All orders that go through the diet office are reviewed by a nutritional professional (dietitian technician, dietitian) to ensure they match your diet, match dietary preferences which are recorded, and contain no ingredients. to which you are allergic. We also take care to honor special diets related to cultural and religious preferences.

Snacks and supplements

You may be provided with snacks or nutritional supplements between meals during your stay in the hospital to meet your nutritional needs. A clinical dietitian or dietetic technician can see you in the hospital as needed or requested to set up a personalized meal plan for special needs or to meet nutritional goals. Feedings or supplemental food can be provided up to three times a day between meals at 10 a.m., 2 p.m. and / or 8 p.m. while you are in the hospital if this is part of your nutritional plan or to meet your needs. Snacks or supplements can be beneficial if you have the following nutritional goals: to gain weight if you are underweight, to consume an adequate diet if you are filling up quickly or have a poor appetite, or have an increased need for healing, etc.

Liquid nutritional supplements like Boost Plus or TwoCal HN can be provided to you at home, if the following criteria are met:

  1. Significant unintentional weight loss, BMI
  2. Severe loss of appetite, intake and / or inability to consume enough calories and protein to meet nutritional needs.
  3. Medical conditions or diagnoses that interfere with adequate intake, digestion, or absorption.

If you qualify for the provision of high calorie / protein supplements at home, a nutritional plan and goals will be established by a registered dietitian. You will need to follow up at the nutrition clinic to receive refills as you work on these goals and to see if your plan is still working for you.

Meal times for inpatients

Our goal is to provide healthy and appetizing meals to our veteran patients.

Patient meal times

Breakfast is delivered between 7.20 am and 7.30 am
Lunch is delivered between 11:50 a.m. and 12:05 p.m.
Dinner is delivered between 5:10 p.m. and 5:20 p.m.

Meals are also offered throughout the day to meet the varied needs of our patients.

Early breakfast

Delivered at 7:00 a.m.

Late breakfast

For requests received before 8:30 a.m. – The patient receives the tray around 8:45 – 8:55 am
For requests received before 9.45 a.m. – The patient receives the tray around 10:00 a.m. – 10:05 a.m.

Late lunch

For requests received before 12:45 p.m. – The patient receives the tray around 1:00 p.m. – 1:05 p.m.
For requests received before 2:30 p.m. – The patient receives the tray around 2:45 p.m. – 2:55 p.m.
For requests received before 3:15 p.m. (Cold sack-lunch type meal) – The patient receives his meal around 3:30 p.m.

Late dinner (evening meal)

For requests received before 6:00 p.m. – The patient receives the tray around 6:15 p.m. – 6:20 p.m.


Between meals, snacks are also kept on patient floors and personalized snacks are delivered to patients who may benefit from them.

The Nutrition and Food Service Department at William S. Middleton Memorial VA Hospital strives to provide veterans with excellent nutritional care while staying in our Community Living Center (CLC). Our goals are to provide healthy foods that promote healing and recovery while meeting preferences and comfort needs. The dietitian and medical staff determine a veteran’s diet.

A weekly menu is displayed in the dining room. We provide three meals a day and snacks as needed. To support our goal of providing a healing home-like atmosphere, we encourage residents to enjoy all meals in the dining room with fellow CLC residents. Meals are delivered to the dining room at mealtimes. Lunch is served as a restaurant. If desired, Veterans can have dinner in their room and a nurse will deliver the meal. Snacks are available from the dietitian or CLC nurses. The CLC dietitian is available to answer any questions about nutrition and diet Monday through Friday, 7:30 a.m. to 4 p.m.

Meal times

Breakfast: 7.45 a.m.


Evening meal: 5:20 p.m.

Food Safety Guidelines for the Community Living Center

As a healthcare facility, we must ensure that all food is safe. To achieve this goal, we have some rules regarding food imported from outside the CLC:

  • Please do not bring home prepared food. Age, illness, and certain medications can make it harder to fight foodborne illnesses. These people are at higher risk of food poisoning. Grocery stores, bakeries, and restaurants must follow public health department rules, so these foods may be a safer choice.

  • Only packaged foods can be stored in the community refrigerator. It must be individual unopened foods. Good examples are single servings of juice or soda, yogurt, or TV dinners.

  • Please mark all items with the veteran’s name. All items need an expiration date. Our staff will be happy to assist you. Do not hesitate to ask.

  • Non-perishable items should be kept in a sealed container in the Veteran’s room.

  • Please do not share food with other CLC residents. Residents can follow special diets with limits on the foods they can eat. They may be at risk for choking due to swallowing problems.

Your support to help prevent foodborne illness is appreciated. Please follow these food safety rules to protect the health of our veteran patients.

Dining room

The dining room is available to veterans and their guests. A microwave is available for use in the kitchenette. Please ask the nurses for help when using the microwave. A dishwasher is also available for veterans and their visitors for personal dishes and utensils ONLY. Nutrition and Food Services dishes or utensils MUST NOT be washed in the dishwasher.