Eating · Nutrition & Structure
Meal Plan Exchange Tracker
Prescribed vs completed exchanges — the number that predicts recovery
The exchange system (grain / protein / fat / dairy / fruit / vegetable) is how most PHP and residential programs prescribe adequacy without a calorie number. This one-page tracker mirrors what a dietitian hands a client: prescribed exchanges per meal, actual completion, and a running deficit that the clinical team reviews daily.
Prescribed meal plan (level / exchanges per day)
Dietitian / clinician on file
Daily exchange record
Meal / snack
Prescribed (G · P · F · Fr · V · D)
Completed
% completed
End-of-day summary
Total prescribed
Total completed
Deficit / surplus
Completion is the outcome — not weight
Weight lags meals by 5–10 days. The number that predicts recovery is percent completion. Track it honestly, review it with the team, replace what was missed rather than 'starting fresh' tomorrow.