Dietary advice should intclude the following -Eat meals when energy levels are at their highest, which usually in the morning -Eat several smallenergy dense meals to avoid becoming breathless while eating -Eat slowly and chew foods thoroughly to avoid swallowing while eating -Choose foods that are easy to chew or change the tood consistency if the patient reports fatigue on eilling This can be dore by using energy dense liquids to create a softer texture, g adding full-fat milk and butter to mashed potato or meat based gravy to cottage pie Awoid the use of water or clear fluids such as stock and broth as these will increase the volume of food but decrease the energy content further theneby increasing the risk of decreased calotie intake -Choose loodi that are easy to pare this conserves energy or eating Eat while sitting up to ease pressuim on the lungs -Drink fuids at the ind of the meal rather than during -this will lessen the aikelihood of the patient tireline