Method And System For Developing And Delivering A Therapeutic Meal Plan Program

  *US08731970B2*
  US008731970B2                                 
(12)United States Patent(10)Patent No.: US 8,731,970 B2
  et al. (45) Date of Patent:*May  20, 2014

(54)Method and system for developing and delivering a therapeutic meal plan program 
    
(75)Inventor: Therapease Cuisine, Inc.,  Greenfield, WI (US) 
(73)Assignee:Therapease Cuisine, Inc.,  Greenfield, WI (US), Type: US Company 
(*)Notice: Subject to any disclaimer, the term of this patent is extended or adjusted under 35 U.S.C. 154(b) by 0 days. 
  This patent is subject to a terminal disclaimer. 
(21)Appl. No.: 13/939,340 
(22)Filed: Jul.  11, 2013 
(65)Prior Publication Data 
 US 2013/0304492 A1 Nov.  14, 2013 
 Related U.S. Patent Documents 
(63) .
Continuation of application No. 12/133,025, filed on Jun.  4, 2008, now Pat. No. 8,510,127 .
 
Jan.  1, 2013 G 06 Q 50 24 F I May  20, 2014 US B H C
(51)Int. Cl. G06Q 050/24 (20120101)
(52)U.S. Cl. 705/3; 705/2
(58)Field of Search  None

 
(56)References Cited
 
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 2006//0053184  A1  3/2006    Grana     

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     * cited by examiner
 
     Primary Examiner —Michelle L Le
     Art Unit — 3686
     Exemplary claim number — 1
 
(74)Attorney, Agent, or Firm — Husch Blackwell LLP

(57)

Abstract

A system and method develops a customized meal plan for a patient based on a chemotherapy treatment regimen for the patient and delivers the corresponding food items of the meal plan to the patient. The customized meal plan is designed to mitigate the physical effects and nutritional losses associated with chemotherapy and other cancer related treatments, such as radiation therapy. As the medical condition of the patient changes, the meal plan can be revised to provide updated customization. The meal plan may be developed using information provided by the patient, a caregiver, such as a nurse or physician, or a combination thereof.
18 Claims, 3 Drawing Sheets, and 3 Figures


CROSS REFERENCE TO RELATED APPLICATIONS

[0001] This application claims priority to and is a continuation of U.S. patent application Ser. No. 12/133,025 filed Jun. 4, 2008, entitled “Method And System For Developing And Delivering A Therapeutic Meal Plan Program” said application is hereby incorporated by reference in its entirety to the extent permitted by law.

BACKGROUND OF THE INVENTION

[0002] The present invention relates generally to coordinating the nutritional needs of a patient based on an affliction of the patient and, more particularly, to a method and system for developing and delivering a customized therapeutic meal plan program for a patient that is designed to ease the side effects of chemotherapy, introduce cancer inhibiting foods, and improve general nutrition for cancer patients.
[0003] Chemotherapy agents are commonly used as part of a treatment regiment for several types of cancers as well as non-cancer conditions, such as multiple sclerosis, rheumatoid arthritis, and organ transplant. Generally, chemotherapy involves the delivery of toxic agents into the body intravenously, orally, or in another fashion that are designed to damage and ultimately destroy targeted cells within the patient. For example, chemotherapy is commonly used in a cancer treatment regiment to destroy or slow the growth of a malignant tumor located in the patient's body. Chemotherapy agents are also used after an organ transplantation to suppress the immune system to prevent rejection of the transplanted organ. Depending on the type and the dosage of the chemotherapy toxins, commonly patients suffer nausea and vomiting, which for some patients can be severe and ultimately debilitating.
[0004] As a result of this widespread reaction to chemotherapy, some oncologists are increasingly encouraging their patients to limit intake of certain types of food and emphasizing the benefits of other types of foods. This generally consists of the oncologist recommending classes of foods that have generally been found to be effective in reducing the effects of chemotherapy. From this generalized information, which generally does not take into account other food-related issues of the patient, such as allergies and intolerances, or other medical conditions, such as diabetes, the patient must then develop a customized meal plan that the patient believes is consistent with the generalized recommendations provided by the oncologist.
[0005] Some oncologists refer patients to, or the patients discover on their own, various other resources that provide information relating to recommended diets for patients undergoing a chemotherapy regiment. These references are generally are limited to print materials, DVDs, web pages, and the like, and while these resources contain information that may be generally helpful to a chemotherapy patient, the patient, in order to develop a customized meal plan, must coordinate the information from the various sources with the specifics of his or her cancer diagnosis, chemotherapy, and other medical/dietary conditions, if any.
[0006] Thus, in general, there is a dearth of practical information for dietary planning available to chemotherapy patients, and furthermore, there is certainly no “one-stop shop” for meal planning and fulfillment. Instead, the patient is required to do a significant quantity of research related to his or her specific diagnosis, physical condition, side effects, etc. in order to develop an appropriate meal plan and then purchase the appropriate foods and prepare the meals accordingly. As a result, many patients, even those who understand the benefits of nutritional well-being during a physically taxing therapy, are unlikely to maximize those benefits.
[0007] It is also worth noting that patients who participate in their own treatment plan may have a better attitude about the outcome, and such positive psychological effects are known to have positive physiological manifestations. Patients who have been diagnosed with cancer often feel particularly unable to control the treatment process, since treatment is typically mandated by specific standards of medical care based on the type and degree of the disease. This loss of control can produce a negative psychological effect. However, patients who address their body's unique, dynamic, and often demanding nutritional needs during chemotherapy may be able to regain a sense of control, diminishing the negative effects of an inability to participate in their treatment. The positive effect of daily, active, and thoughtful participation in the treatment process through commitment to a program of nutrition therapy is not insubstantial.
[0008] A number of web-based diet related systems have been developed that allow a user to customize a meal plan to meet specific health related goals, such as weight loss. Some of these systems take into account food allergies and intolerances, as well as diet-restrictive medical conditions, such as diabetes. These systems in general are designed to guide user selection of various proprietary foodstuffs that have been developed to meet the user's nutritional needs as well as their dietary needs, e.g., weight loss. One exemplary system is the “NutriSystem Advanced Men's Diabetic Program” commercially available through NutriSystem, Inc.
[0009] The customization of these types of programs is generally limited to user gender, weight, and food allergies/intolerances. The programs developed by these systems do not consider medications taken by the user and moreover, do not identify those foodstuffs that may be beneficial in combating or mitigating the side effects of those medications, such as chemotherapy agents, in developing a customized meal plan.

SUMMARY OF THE INVENTION

[0010] The present invention is directed to a method and system that allows a patient or caregiver to interactively customize a therapeutic meal plan and that delivers the corresponding food items to the patient or caregiver. In one embodiment, the food items are pre-packaged in ready-to-cook or easy-to-prepare packages. The invention further allows the patient or caregiver to revise the meal plan as the dietary needs change across the span of treatment. However, an aspect of the invention is designed to be predictive of the patient's future dietary needs so that adjustments are kept to a minimum. In accordance with another aspect, patients undergoing chemotherapy are provided with research tools and specific information related to nutritional support, via an online database, customer call center, or other means, to provide the patient with additional information relating to the importance of nutrition during chemotherapy, and to provide support for the patient during the physically and emotionally draining process of chemotherapy.
[0011] It is therefore an object of the invention to provide an interactive tool that allows a patient or caregiver to customize a therapeutic meal plan that is tailored to the patient's cancer and chemotherapy treatment.
[0012] It is a further object of the invention to deliver foodstuffs for the meal plan in prepackaged ready-to-cook or easy-to-prepare packaging.
[0013] It is yet another object of the invention to allow the patient, caregiver, or physician to make changes to the patient's profile based on changes in the cancer, chemotherapy treatment, or other medical/health related condition of the patient, and to revise the meal plan accordingly.
[0014] It is a further object of the invention to automatically generate and display a list of foods and corresponding serving size on a computer screen and allow a user, such as a patient, to navigate through the list to select foods for a customized meal plan.
[0015] It is a further object of the invention to develop a customized meal plan for a cancer patient that takes into account the chemotherapy regimen of the patient as well as other medical/health related issues of the patient, such as food allergies or intolerances.
[0016] Other objects, features, and advantages of the invention will become apparent to those skilled in the art from the following detailed description and accompanying drawings. It should be understood, however, that the detailed description and specific examples, while indicating preferred embodiments of the present invention, are given by way of illustration and not of limitation. Many changes and modifications may be made within the scope of the present invention without departing from the spirit thereof, and the invention includes all such modifications.

BRIEF DESCRIPTION OF THE DRAWINGS

[0017] Preferred exemplary embodiments of the invention are illustrated in the accompanying drawings, in which like reference numerals represent like parts throughout, and in which:
[0018] FIG. 1 is a schematic block diagram of a computerized system for developing a customized therapeutic meal plan for a cancer patient based on inputs received from a user;
[0019] FIG. 2 is a flow chart setting forth the steps of developing a customized therapeutic meal plan for a cancer patient according to one embodiment of the present invention; and
[0020] FIG. 3 is a flow chart setting forth the steps of updating a meal plan.

DETAILED DESCRIPTION

[0021] Referring to FIG. 1, a computerized system 10 to facilitate customization of a meal plan designed to mitigate the effects of a chemotherapy treatment regiment in one embodiment is designed to be web-based and therefore includes a centralized facility 12 containing a computer 14 and a web server 16. The computer 14 is programmed to execute a meal plan customization program 18, which causes the web server 16 to display a series of windows (not shown) in a browser window (not shown) on a computer monitor 20 of a remote workstation 22. In a preferred embodiment, the remote workstation 22 communicates with the web server 16 via an internet connection 24, but is understood that other types of electronic communications could be used. The computerized system 10 also includes memory 26 containing a foodstuff database 28, a medical database 30, and a user profile database 32.
[0022] The foodstuff database 28 includes a list of foodstuffs available for inclusion in a customized meal plan. The list may include foodstuffs typically found at a grocery store which may be used to make one or more meals as well as pre-packaged proprietary meals. The medical database 30 contains information relating to the typical side effects of particular medicines as well as information regarding any dietary exclusions for particular medicines. For example, a patient taking Tamoxifen should not have flax seed or flax seed oil as part of his or her meal plan. The system 10 is designed to customize meal plans for multiple patients and, as such, the user profile database 32 may be used to store information for various users of the system, such as active or expired meal plans, health information, healthcare provider information, food allergies and intolerances, and contact information, for example.
[0023] In a preferred embodiment, the system 10 automates packaging and delivery of the food items of a customized meal plan directly to the patient. As such, a customized meal plan is transmitted to a food packaging and delivery center 34, that may be remote from the centralized facility 12, whereupon personnel at the center 34 assemble the food items contained in the customized meal plan, packages those items, and facilitates delivery of those items to the patient, or other designated individual, using a proprietary or common carrier.
[0024] The meal customization program 18 is designed to guide a user, such as a patient or the patient's caregiver or physician, through a meal customization process. The steps of that process are summarized in FIG. 2. As will be explained, the user is prompted to input patient physiological information and chemotherapy treatment information whereupon the program 18 identifies the daily nutritional needs of the patients and a list of food items that are believed to mitigate the effects of the chemotherapy treatment or otherwise improve the patient's readiness for the chemotherapy treatment.
[0025] The process 36 begins at block 38 whereupon the user is prompted to input data regarding the patient, such as age, gender, height, and weight at block 40. From this information, the program 18 identifies the patient's nutritional needs at block 42, such as daily caloric intake. The user is then prompted to identify the type of cancer and other related information for the patient at block 44. This may include the name as well as the stage of cancer, and those anatomical structures that are believed to contain cancerous cells. At block 46, the user is prompted to provide information regarding the chemotherapy treatment plan, such as type of chemotherapy agents, treatment schedule, and dosage. From this information, at block 48, the customization program accesses database 30 to determine what, if any, side effects may be experienced with the chemotherapy treatment plan and accesses database 38 to identify those foodstuffs that have been found to be effective in mitigating the identified side effects. The user is then prompted at block 50 to input any dietary restrictions or food allergies for the patient. The program 18 then integrates the identified food items that are believed to be successful in mitigating the anticipated side effects for the patient's chemotherapy treatment determined at block 48 and any dietary restrictions identified at block 50 to develop a list of recommend food items. The recommended list is then displayed at block 52 in a manner that allows a user to interactively select those food items the user wants included in the customized meal plan. This allows a user to customize the meal plan to account for any personal preferences of the patient. From the user selections provided at block 54 together with the nutritional needs information determined at block 42, a customized meal plan is developed at block 56.
[0026] It is contemplated that the meal plan may be presented as a list of ingredients and sample recipes using those ingredients that the patient or caregiver may purchase at the grocery store and prepare. Preferably, it is contemplated that the meal plan includes packaged meals that are delivered to the patient as ready-to-eat or ready-to-cook meals.
[0027] The program ends at block 58 with conveyance of the meal plan to the user or, if applicable, setting up payment and delivery of pre-packaged food items contained in the meal plan.
[0028] Referring now to FIG. 2, the present invention is designed to allow a user to dynamically customize a meal plan as changes in the patient's condition and/or treatment plan occur. In this regard, when appropriately instructed by a user input, the program recalls a patient profile at block 60 from the user profile database 32. The user is then prompted to provide updated information at block 62 regarding any changes in patient data, such as weight, changes in cancer information, such as stage, and changes in any food allergies or intolerances. Also, the initial meal plan is developed based on predicted side effects. The present invention also allows a user to identify specific side effects that have been experienced by the patient at block 64 so that the specifics of the patient's reaction to the chemotherapy treatment are considered in developing future meal plans. Similarly, the user can input information identifying the nutritional impact of the chemotherapy treatment at block 66. From this updated information, the program 18 applies compensation factors at block 68 to develop a revised meal plan at block 70.
[0029] While different patients' response to particular treatments varies, it has been found that an individual patient usually experiences the same side effects with each round of chemotherapy. Any major adjustment of the meal program created at block 56 therefore typically happens after the first round, and only fine tuning takes place in subsequent cycles.
[0030] In use and operation, after a patient receives his or her cancer diagnosis from a qualified physician, including type of cancer, stage of cancer, etc., an oncologist provides a treatment plan according to accepted standards of care. The treatment plan often includes one or more rounds of chemotherapy of variable intensity, radiation treatment, or a combination of the two, depending on the type and stage of cancer.
[0031] In a preferred embodiment, in preparation for and during chemotherapy, the patient uses a computer to access the program of the present invention. Alternately, the patient can call a participating registered dietitian or other program operator who uses a computer to access the program of the present invention. The program queries the patient for basic information such as height, weight, etc., as well as for health information that may impact a dietary plan, such as diabetes, food allergies, prescription medications that negatively interact with milk, antacids, etc. The program also prompts the patient to enter his or her specific diagnostic information and the date or dates for which chemotherapy has been scheduled. The program additionally requests patient food preferences such as, for example, “no fish” or “kosher” or “vegetarian.”
[0032] It should be noted that the program can request information from the patient in any suitable order. For example, although many health care forms and institutions request routine information regarding pre-existing information such a height and weight first, and information specific to a health condition such as type and degree of the health condition of concern last, it may be preferable to request the cancer specific information first in order to develop and maintain a patient's interest in the program.
[0033] After all required patient information is entered, the program compares the data input against a database containing dietary recommendations. The algorithm generates a recommended meal plan customized to the individual patient based on the input. For example, a patient taking Tamoxifen should not consume soy and most soy-based products; a patient who is preparing for a first round of chemotherapy may require additional antioxidant support in the form of a supplement or foods rich in antioxidants; a patient with esophageal cancer may require a bland, soft food diet; a patient with preexisting diabetes may have sugars restricted; a patient who is allergic to nuts will have products made on equipment that process nuts eliminated; etc.
[0034] The meal plan preferably incorporates a number of ready-to-eat meals, as well as a number of easy-to-prepare meals requiring the addition of a minimum of ingredients, and a minimum of time and effort to prepare. Fresh produce is also incorporated in the meal plan, as are “signature” or proprietary food items such as a day-of-chemo nutrition bar, an anti-nausea snack mix, teas formulated to combat specific side-effects, and others.
[0035] In a preferred embodiment, the program then requests a patient's meal plan choices. Specifically, the patient is provided with the option to purchase a full meal plan, a partial meal plan, and, if desired, add family portions of certain items to the meal plan. The meal plan may be selected for a number of days, a full week, or longer. Ideally, the patient preferably purchases a subscription for all or some portion of his or her chemotherapy treatment, since the advantages of dietary therapy are decreased when the plan is followed for only a short while or on a sporadic basis. Although it is hoped that patients will utilize dietary therapy throughout their chemotherapy regimen, preferably the patient orders frequently in order to report current side effects for which dietary therapy may be available. In a preferred embodiment, the patient orders at least once a week.
[0036] Access to the program may have other advantages, such as tools that provide and manage information relating to oncology and nutrition, specific side effects and treatments, nutritional recommendations, etc. These tools may be used merely as an education resource or may help a patient further fine tune his or her recommended nutrition plan.
[0037] The meal plan is then fulfilled in one or more stages by a service provider. In a first preferred stage, the service provider is at a first assembly location and receives the meal plan order after the patient's order has been placed online and payment has been verified. The foods called for in the patient's customized meal plan are supplied through a supply chain that may include contract food manufacturers, co-packers, food distributors, or other sources, and are delivered to the first assembly location. The supply chain may also include sources that deliver to a second assembly location or directly to the patient, such as one or more drop-ship distributors, retail outlets, or other suppliers.
[0038] The service provider preferably prepares, sorts and coordinates the foods called for in the patient's meal plan in a way that will increase the patient's ability to access, prepare, and eat the foods. For example, the foods could be arranged chronologically, e.g., Tuesday breakfast, Tuesday mid-morning snack, etc., or by category, e.g., all breakfast foods in one package, all interchangeable snacks in another, etc.
[0039] The service provider then ships the foods to the patient's home, or a location near the patient, or near the patient's cancer treatment center, or to another location convenient to the patient.
[0040] Because the meal plan comprises perishable foods, such as fruits, vegetables, fish, eggs, etc. and requires some mainstream ingredients found at any grocery store, such as safflower oil, peanuts, dried beans, etc., the service provider may supply the fresh foods and/or mainstream foods by first shipping the non-perishable prepackaged foods to a grocery store or other provider near the patient's pick-up location. The patient may then either purchase the fresh foods and/or mainstream ingredients at the time of pick-up, or a second assembly process, at the location nearer to the patient's pick-up location, can be employed to add the perishable foods and/or mainstream ingredients to the patient's order.
[0041] In another embodiment, the meal program queries the patient to determine whether necessary added ingredients such as oil are on hand. The program is preferably designed to offer the patient the option of adding the fresh foods and/or mainstream ingredients on his or her own, or of being supplied with those products by the service provider along with the pre-packaged food items, or of adding some fresh foods and/or mainstream ingredients on his or her own and being supplied with some fresh foods and/or mainstream ingredients based on preference, availability, seasonality, cost, or any other reason.
[0042] By way of example and not of limitation, a sample breast cancer case study is presented and a sample meal plan according to an embodiment of the program of the present invention is provided. Please note that the example assumes a typical treatment regimen but that a true treatment plan must be constructed in cooperation with an oncologist and oncology pharmacist. In no event should the materials set forth be construed as medical advice.
[0043] The tables set forth below contain sample data either provided by a user when prompted by the program or derived by the program using database information, as described above.
[0044] 
[00001] [TABLE-US-00001]
  TABLE 1
 
  patient physical data
 
 
    age   55 years
    sex   female
    height   5′ 5″
    current body weight   145# (65.9 kg)
    usual weight   140# (63.6 kg) - 3 months ago
    percent weight change   +3.5% × 3 months
    ideal body weight (IBW)   125# (56.8 kg)
    body mass index (BMI)   24.12
    current activity level   sedentary
    current medications   none
    past medical history (nutritional)   none
    nutritional supplements   multivitamin
    herbal supplements   none
   
[0045] 
[00002] [TABLE-US-00002]
  TABLE 2
 
  patient dietary data
 
 
    dietary restrictions   vegetarian
    food allergies   none
    nutrition-related symptoms   none at this time
   
[0046] 
[00003] [TABLE-US-00003]
  TABLE 3
 
  patient diagnosis data
 
 
    diagnosis   Invasive Ductal Carcinoma
    hormone status   Estrogen Receptor Positive (ER+)
      Progesterone Receptor Negative (PR−)
      HER2-neg
    tumor grade   T2N0M0 (Stage IIA)
   
[0047] 
[00004] [TABLE-US-00004]
  TABLE 4
 
  patient treatment plan
 
 
  lumpectomy   yes
    date = [1 week]
  radiation therapy   yes
    daily
    start date = [3 weeks]
    end date = [start date + 6 weeks]
  adjuvant chemotherapy   yes
    concurrent with radiation therapy: CMF
    (cyclophosphamide, methotrexate, fluorouracil)
  Tamoxifen   yes
    concurrent with radiation and chemotherapy
    continue for 5 years.
 
[0048] 
[00005] [TABLE-US-00005]
  TABLE 5
 
  action   recommendation
 
  nutritional needs   1650 calories (25 kcals/kg current body weight)
    57-85 g protein (1.0-1.5 g protein/kg IBW)
  nutritional needs   I   lumpectomy
    i   no dietary therapy known
    II   radiation therapy
    i   no dietary therapy known
    III   chemotherapy
    i   Cyclophosphamide
    (a)   anorexia
    1.   may require calorie/protein
      dense foods
    2.   wait for symptoms to start
    (b)   weight loss
    1.   may require calorie/protein
      dense foods
    2.   wait for symptoms to start
    (c)   fatigue
    1.   ready to serve meals
    2.   protein dense foods
    3.   wait for symptoms to start
    ii   Methotrexate
    (a)   nausea
    1.   bland, starchy foods
    2.   small, frequent meals
    3.   wait for symptoms to start
    (b)   vomiting
    1.   diet as tolerated
    2.   wait for symptoms to start
    (c)   anorexia
    1.   may require calorie/protein
      dense foods
    2.   wait for symptoms to start
    (d)   mucositis
    1.   bland, soft foods
    2.   wait for symptoms to start
    (e)   esophagitis
    1.   bland, soft foods
    2.   wait for symptoms to start
    (f)   diarrhea
    1.   starchy foods
    2.   low fiber (BRAT) diet
    3.   wait for symptoms to start
    (g)   taste changes
    1.   diet as tolerated
    2.   wait for symptoms to start
    iii   Fluorouracil
    (a)   anorexia
    1.   may require calorie/protein
      dense foods
    2.   wait for symptoms to start
    (b)   hand and feet neuropathy
    1.   glutamine supplementation, 10
      grams, three times daily
    2.   recommend prophylactic
      treatment
    (c)   mucocitis, esophagitis
    1.   glutamine supplementation, 10
      grams, three times daily
    2.   swish and swallow
    3.   recommend prophylactic
      treatment
    (d)   diarrhea
    1.   BRAT diet
    2.   glutamine supplementation, 10
      grams, three times daily
    3.   recommend prophylactic
      treatment
    iv   Tamoxifen
    (a)   nausea
    1.   bland, starchy foods
    2.   small, frequent meals
    3.   wait for symptoms to start
  oncology dietetic   I   glutamine
  recommendations   i   recommend prophylactic glutamine
      supplementation
    ii   10 g three times daily while on fluorouracil
      treatment
    II   Tamoxifen
    i   no flax seed or flax seed oil
    ii   no soy foods or soy supplements including
      tofu, soy milk, soy nuts, tempeh, miso, soy
      protein, soy protein isolate, soy flour
    iii   allowed: soy sauce, soy lecithin, soybean oil
    III   recommended food group servings based on 1600
      calorie diet.
    i   Grains: 5 oz
    ii   Vegetables: 2 cups
    iii   Dairy: 3 cups
    iv   Protein: 5 oz
    v   Fats: 5 tsp oil
    IV   calcium and vitamin D
    i   bone loss and decreased bone strength are
      significant long-term complications of
      chemotherapy
    ii   adequate intake of calcium and vitamin D is
      essential
    iii   recommended dietary intake for women age
      30 and older is 1,000-1,200 mg calcium and
      200-600 IU of vitamin D (Food and
      Nutrition Information
      Center; 2004)
    iv   many oncology dietitians feel that
      the RDI for vitamin D
      is set too low
    v   1000-1500 IU/day is a common
      recommendation in practice
    vi   2000 IU/day is the upper limit from all food
      and supplemental sources
    V   alcohol
    i   recommend less than 1 drink/day
    VI   weight
    i   maintenance is main nutritional goal
    ii   weight loss not advised during treatment
    iii   weight gain is a concern
    (a)   “Between 50%-96% of women who
      have adjuvant chemotherapy will gain
      weight, and many will maintain this
      potentially dangerous new weight”.
    (b)   weight gain may increase risk for
      recurrence
    iv   weight loss is acceptable after treatment is
      completed
  meal program   see meal plan at table 6 below
  generated   see supplement plan at table 7 below
    see beverage options at table 8 below
    1600 calorie diet
    vegetarian menu options (omitting flax and soy items)
    offer “day of chemo” menu during adjuvant
    chemotherapy cycles
 
[0049] 
[00006] [TABLE-US-00006]
  TABLE 6
 
              evening
              snack/
  day   breakfast   am snack   lunch   pm snack   dinner   dessert
 
   1   enriched   yogurt &   ALT   whole grain   mushroom   dark
    flake cereal,   fruit   (avocado,   crackers w/   barley soup,   chocolate
    skim milk,   smoothie   lettuce,   veggie   large garden   dipped
    berries   with whey   tomato   spread   salad   strawberries
      protein   sandwich),
        side salad
   2   baked French   hard boiled   tuna salad on   yogurt &   veggie wrap,   hot fruit
    toast, skim   egg, fruit   whole grain   fruit   spicy   compote
    milk, fruit     bread, baby   smoothie   Mexican
        carrots,   with whey   beans,
        cowboy bean   protein   vegetable
        salad     chips
   3 (c)   proprietary   yogurt &   peanut   roasted nut   vegetable   gingerbread
    breakfast   fruit   butter & jelly   meal, whole   soup, whole   cookies w/
    bar, skim   smoothie   sandwich,   wheat   grain   tea
    milk, fruit   with whey   berries,   crackers   crackers
      protein   pretzels with
        mustard dip
   4   apple bran   rice cakes   vegetable   yogurt &   curried   lemon pound
    muffin, hard   with fruit   chili, side   fruit   shrimp w/   cake w/
    boiled egg,   spread   salad   smoothie   basmati rice   raspberries
    skim milk,       with whey   & peas,
    fruit       protein   applesauce
   5   apple   yogurt &   fruity   hummus &   pumpkin   pear crisp
    cinnamon   fruit   couscous   veggies   soup, large
    oatmeal,   smoothie   salad, raw     garden salad
    skim milk,   with whey   broccoli &
    fruit   protein   cauliflower
   6   pumpkin &   bean dip w/   Moroccan   yogurt &   tomato &   dark
    bran   vegetable   stew, green   fruit   garlic bread   chocolate
    pancakes,   chips   vegetables   smoothie   gnocchi,   pudding
    skim milk,     with yogurt   with whey   steamed
    fruit     dip   protein   broccoli &
            cauliflower
   7   proprietary   yogurt &   black bean   brazil nuts,   salmon   dark
    breakfast   fruit   salad, whole   almonds and   cakes, Swiss   chocolate
    bar, skim   smoothie   grain   sunflower   chard, brown   dipped
    milk, fruit   with whey   crackers with   seeds   rice pilaf   strawberries
      protein   cheese
   8   blueberry   proprietary   sun dried   yogurt &   spinach &   hot fruit
    muffin,   dried fruit &   spinach &   fruit   ginger stir   compote
    scrambled   nut mix   tomato   smoothie   fry, brown
    eggs, fruit,     tortellini,   with whey   rice,
    skim milk     side salad   protein   applesauce
   9   enriched   yogurt &   pinto bean   whole grain   lemon baked   ginger
    flake cereal,   fruit   soup, side   crackers w/   cod w/   banana
    skim milk,   smoothie   salad   veggie   limonene,
    berries   with whey     spread   curried
      protein       cauliflower,
            sweet potato
            w/ ginger
  10   apple   guacamole   veggie wrap,   yogurt &   mushroom &   dark
    cinnamon   with   cole slaw   fruit   leek   chocolate
    oatmeal,   vegetable     smoothie   manicotti,   dipped
    skim milk,   chips     with whey   braised leeks   strawberries
    fruit       protein
  11   proprietary   yogurt &   barley stew,   bean dip w/   garlic sesame   sweet potato
    breakfast   fruit   zucchini bran   vegetable   salad,   pudding
    bar, skim   smoothie   bread   chips   blueberry
    milk, fruit   with whey       muffin
      protein
  12   baked French   huminus &   gazpacho   yogurt &   sweet potato   baked
    toast, skim   veggies   soup, whole   fruit   soup, large   cinnamon
    milk, fruit     grain   smoothie   garden salad   apple
        crackers with   with whey
        cheese   protein
  13   low fat   yogurt &   yam veggie   guacamole   tuna cakes,   pear crisp
    yogurt, oats,   fruit   wrap, bean   with   curried
    fruit,   smoothie   dip with   vegetable   carrots,
    pomegranate   with whey   vegetable   chips   quina
    juice   protein   chips
  14   blueberry   ripe cakes   spinach &   yogurt &   winter   chewy carrot
    muffin,   with fruit   tomato salad,   fruit   squash soup,   brownies
    scrambled   spread   whole grain   smoothie   large garden
    eggs, fruit,     crackers with   with whey   salad
    skim milk     cheese   protein
 
  (c) represents day of chemo menu
[0050] 
[00007] [TABLE-US-00007]
  TABLE 7
 
  daily supplementation
 
 
    10 g glutamine mixed in applesauce or juice three times/day
    proprietary multivitamin
    1000 IU vitamin D supplement
    Florajen3 Probiotic
    1 scoop whey protein
    1 g fish oil
   
[0051] 
[00008] [TABLE-US-00008]
  TABLE 8
 
  beverage options
 
 
    skim milk
    rice milk
    proprietary tea
    cranberry juice
    pomegranate juice
    proprietary vegetable juice
    Boost ®/Ensure ®
    proprietary lemonade
    proprietary bottled water
    fruit smoothies
    ginger ale
    watermelon slush
    cantaloupe banana smoothie
    green tea slush with apricot nectar
    whole milk
    proprietary hot cocoa mix
   
[0052] The embodiment described herein explains the best known mode of practicing the invention and will enable others skilled in the art to utilize the invention, but should not be considered limiting. Rather, it should be understood that the invention is not limited to the details and arrangements set forth herein, but is capable of other embodiments and of being practiced or carried out in various ways, and all such modifications and variations are within the scope of the present invention. For example, while the preferred embodiment calls for a patient's use of a computer having Internet access to enter data and order foods from the meal plan, the patient may telephone a nutritional counselor who requests the patient's information, enters the data into the computer program, and orders foods for delivery to the patient location.
[0053] Various elements or features discussed herein may also be combined in ways other than those specifically mentioned, and all such combinations are likewise within the scope of the invention. For example, while it is believed that maximum results are achieved by a full meal plan for the duration of his or her treatment course, the patient may instead choose to purchase for only one week, such as the week of chemotherapy, or the patient may choose to purchase “signature” food items a la carte, such as the day-of-chemo nutrition bar, or teas specially formulated to combat particular side effects, without purchase of a meal program.
[0054] Many other changes and modifications could be made to the invention without departing from the spirit thereof, and the scope of these changes will be apparent from the appended claims.
(57)

Claims

1. A method comprising:
receiving, on a processor, cancer-identifying information relating to a cancer that has stricken a patient;
receiving, on the processor, chemotherapy information of the patient including a type of chemotherapy agent associated with a chemotherapy treatment, a treatment schedule associated with the chemotherapy treatment, and dosage associated with the chemotherapy treatment;
determining, on the processor, a list of recommended food items for the patient based on the cancer-identifying information and the chemotherapy information;
receiving, on the processor, a food item selection among the list of recommended food items; and
developing, on the processor, a meal plan for the patient based on the food item selection.
2. The method of claim 1, further comprising:
generating a display based on the list of recommended food items,
wherein receipt of the food item selection is in response to generation of the display.
3. The method of claim 1, further comprising:
generating a display based on development of the meal plan.
4. The method of claim 1, further comprising:
transmitting a meal plan notification based on development of the meal plan.
5. The method of claim 1, further comprising:
assembling a plurality of food items included on the meal plan; and
delivering the plurality of food items in accordance with the meal plan.
6. The method of claim 1, wherein the food item selection includes a plurality of food items, and wherein developing the meal plan includes determining a recommended caloric need for the patient and determining serving sizes for the plurality of food items based on the recommended caloric need.
7. The method of claim 1, further comprising:
receiving information regarding non-cancer related health issues of the patient,
wherein a determination of the list of recommended food items for the patient is based on the information regarding non-cancer related health issues of the patient, the cancer-identifying information and the chemotherapy information.
8. The method of claim 1, further comprising:
determining potential side effects associated with the chemotherapy treatment,
wherein a determination of the list of recommended food items for the patient is based on determined potential side effects, the cancer-identifying information, and the chemotherapy information.
9. The method of claim 1, wherein the chemotherapy information includes medications taken by the patient.
10. The method of claim 1, further comprising:
receiving a modification to a patient profile based on an actual side effect of the chemotherapy treatment, a predicted site effect of the chemotherapy treatment, or both the actual side effect and the predicted side effect of the chemotherapy treatment; and
updating the patient profile to create a modified patient profile in response to receipt of the modification to the patient profile; and
wherein development of the meal plan is based on the food item selection and the modified patient profile.
11. The method of claim 1, further comprising:
determining daily nutritional needs of the patient,
wherein determining the list of recommended food items is based on the daily nutritional needs of the patient, the cancer-identifying information, and the chemotherapy information.
12. The method of claim 11, wherein a determination of the daily nutritional needs of the patient is based on age of the patient, gender of the patient, height of the patient, and weight of the patient.
13. The method of claim 1, wherein the cancer-identifying information includes a type of the cancer, a stage of the cancer, and anatomical structures of the patient that are believed to contain cancerous cells, or combinations thereof.
14. The method of claim 1, further comprising:
receiving food restriction information that identifies a food restriction associated with the patient,
wherein a determination of the list of recommend food items is based on the food restriction information, the cancer-identifying information, and the chemotherapy information.
15. The method of claim 1, wherein the meal plan includes a list of ingredients and a plurality of recipes based on the list of ingredients.
16. The method of claim 1, wherein the meal plan includes a plurality of packaged meals.
17. A non-transitory machine-readable medium comprising instructions, which when executed by one or more processors, cause the one or more processors to perform the following operations:
receive cancer-identifying information relating to a cancer that has stricken a patient;
receive chemotherapy information of the patient including a type of chemotherapy agent associated with a chemotherapy treatment, a treatment schedule associated with the chemotherapy treatment, and dosage associated with the chemotherapy treatment;
determine a list of recommended food items for the patient based on the cancer-identifying information and the chemotherapy information;
receive a food item selection among the list of recommended food items; and
develop a meal plan for the patient based on the food item selection.
18. A system comprising:
a computer configured to:
receive cancer-identifying information relating to a cancer that has stricken a patient;
receive chemotherapy information of the patient including a type of chemotherapy agent associated with a chemotherapy treatment, a treatment schedule associated with the chemotherapy treatment, and dosage associated with the chemotherapy treatment;
determine a list of recommended food items for the patient based on the cancer-identifying information and the chemotherapy information;
receive a food item selection among the list of recommended food items; and
develop a meal plan for the patient based on the food item selection.
*****

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