Fueling Recovery: An SLP-Led Protein Program Supporting Resident Health

By Tawnya Reid, Therapy Program Manager, Legend Oaks of New Braunfels, TX

At Legend Oaks of New Braunfels, TX, our goal was to address growing concerns surrounding residents with decreased PO intake, delayed wound healing, and unintentional weight loss. Many of our long-term care residents face barriers, including dysphagia, fatigue, cognitive declines, and reduced appetite, placing them at higher risk for decline. We saw an urgent need for a structured, resident-friendly way to increase protein intake safely and consistently.

Team and Credentials

The initiative was developed and led by our very own Crista Lindsey, Speech-Language Pathologist, whose training in dysphagia and mealtime success positioned her to identify swallow-related or cognitive barriers to adequate nutrition. Collaboration with Nursing, Dietary, and Wound Care ensured that recommendations were clinically sound, safe, and sustainable.

Process and Challenges

Crista implemented a Protein Program focused on identifying residents at risk, evaluating swallow safety, and expanding access to high-protein foods that matched texture needs and preferences.

Challenges included taste fatigue, limited options for residents on modified textures, and inconsistent intake due to cognition or medical changes. Crista responded by diversifying options with protein-fortified puddings, yogurts, smoothies, shakes, frozen treats, and texture-modified choices, introducing supplementation into daily care and therapy activities.

Impact and Outcomes

The program produced meaningful improvements, including:

● Improved wound healing

● Stabilized or increased weight

● Greater energy and endurance during therapy

● Higher mealtime participation

Staff engagement also grew. Nursing became more proactive in reporting intake concerns, and expanded fortified choices were offered based on resident preferences. The program reinforced the importance of interdisciplinary communication and highlighted the SLP’s role in whole-person wellness.

Carrying Out the Mission

Team members supported our mission by offering protein options during care, reinforcing safe swallow strategies, and addressing preferences. Their dedication ensured that the program remained reliable, individualized, and resident-centered.

Future Impact

This initiative will continue benefiting residents through stronger nutrition foundations, improved healing, and enhanced independence. Plans include adding seasonal recipes, increasing family education, and sharing program outcomes with other facilities.

This success story demonstrates how innovation and teamwork can transform resident care and encourages others to explore new ways SLPs can lead meaningful clinical initiatives.