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Food texture alteration guide

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  • 1. Your Wellbeing, LLC Food Texture Alteration Guide The following are a list of educational material available to Your Wellbeing, LLC patients. This information (including diet plans) can be found on Your Wellbeing’s health portal under the Diet section tab. Please note that each educational listing is specifically designed to assist a patient’s eating habits based off the correlating condition specified in the diet. These diets may not be used by anyone and everyone. If you have other health related issues that might be affected by our diet plans please contact a doctor for further guidance. MECHANICALLY SOFT DIET Purpose: This diet is designed to minimize the amount of chewing necessary for the ingestion of food. It consists of foods that are easy to chew and swallow. Use: It is used for individuals who have difficulty in chewing and or swallowing who can tolerate foods of a more solid texture than a pureed or blended diet. The foods recommended on this diet are blended, chopped, ground, or pureed and prepared with added liquids to make them easier for you to eat. DIETARY GUIDELINES • Buy or prepare bread products without seeds, dried fruit, or nuts. • Soften waffles, pancakes, and other bread products in syrups or honey. • Season vegetables with butter or margarine and ground spices for added flavor • Soften vegetables in soups and sauces. • Blend fruit in milkshakes or yogurt. • Pour fruit juice or pureed fruit over desserts such as cakes or soft cookies. • To boost calories, pour cheese sauce over vegetables, noodles, and rice. • Do not add raw eggs to milkshakes or drinks for food safety reasons. • For food safety reasons, cook eggs until yolks and whites are set. • Moisten ground meats or poultry with gravy, broth, or sauces. • For added flavor, add ground meats and soft vegetables to soups, stews, and casseroles. • Avoid any foods containing raw fruit and vegetables or seeds, nuts, dried beans, coconut, and dried fruits. • Scan cookbooks for recipes like cream soups or whipped fruit desserts to add variety to your menu. • Relax at mealtime and eat slowly. BREADS AND GRAINS 6-11 servings each day • Soft breads, tortillas, or other breads softened in soup or beverage, pancakes, muffins, and soft waffles • Cooked cereals without added fruit, ready- to-eat cereal softened in milk • Enriched rice, spaghetti, macaroni, or other type of soft pastas • Crackers such as graham or soda type varieties softened in soup or beverage VEGETABLES 3-5 servings each day
  • 2. • Mashed carrots, yams and turnips • Finely chopped cooked greens • Well-cooked soft vegetables without the skin • Mashed, baked, or creamed potatoes • All vegetable juices FRUIT 2-4 servings each day • Canned or cooked chopped fruit without seeds and skin • All fruit juices and nectars MILK AND DAIRY 2-3 servings each day • All varieties of milk, eggnog, malted milk, or milkshakes • Soft cheese such as grated Parmesan or ricotta, cheese sauces, and cottage cheese • Plain or flavored yogurt without chunks or seeds MEATS & MEAT SUBSTITUTES 2-3 servings or total of 6 oz. daily • Ground meat, poultry, soft flaked fish without bones • Soft scrambled eggs and egg substitute • Cooked dry beans and peas • Smooth peanut butter or nut butters FATS & SNACKS • Butter or fortified margarine, cream, cream substitutes, cooking fats and oils, mayonnaise, gravy, salad dressing, and whipped topping • Plain custards, puddings, tapioca, sherbet, ice cream, frozen yogurt, fruit whip, flavored gelatin, cakes, and soft cookies without fruits or nuts • Soft drinks, coffee, tea, mineral water MISC. • Broth, bouillon, consommé, and blended strained soups • Seedless jellies, honey, sugar, sugar substitute, and syrup • Seasonings such as salt, pepper, and ground spices WIRED JAW DIET Purpose: This diet is designed to minimize the amount of chewing and increase the ease of swallowing food. This diet consists of foods that pass easily through a straw or syringe. Use: This diet is designed for persons who have undergone oral surgery, or has had their jaw wired. Various types of food are important to maintain your nutritional health, promote healing and assure minimal weight loss. You will need adequate amounts of carbohydrates, protein and fat. These same nutrients affect the health of your teeth, but in different ways. Sugar and concentrated sweets tend to stick to the teeth and cause rapid breakdown of the tooth enamel. Proteins sticking to the teeth may also provide an environment that promotes tooth decay but not as quickly as the concentrated sweets. Fats, on the other hand, may coat the surface of the teeth and provide protection.
  • 3. The goal is to eat adequate amounts of calorie and protein in order to maintain a desirable weight and promote healing and to promote optimal oral health. DIETARY RECOMMENDATIONS • Your tongue may be used to clear the inside area of your teeth. • Eat or drink milk products with your meals rather than at snack time. The sugar in milk (lactose) tends to stick to teeth and may provide an environment to stimulate teeth breakdown. • Eat or drink sugar sweetened foods at meal times. Try to use unsweetened or naturally sweetened fruit or vegetable juices at snacks. • Dry milk may be added to most liquids to increase calories and protein. • One or two tablespoons of bran may be added to liquids or cereal to increase fiber in the diet. Prune juice may be used as a laxative. • Rinse your mouth with water following each meal or snack, also a Water Pik may be used to help remove food materials that may lead to tooth decay. • Weigh yourself weekly and check with your physician if weight loss becomes a problem. • Season vegetables with butter or margarine and ground spices for added flavor • Add seasonings often; use salt, pepper, spices, catsup, mustard, mayonnaise, steak sauce, barbecue sauce. • Puree vegetables in soups and sauces. • Puree fruit in milkshakes or yogurt. • To boost calories, pour cheese sauce over vegetables, noodles, and rice. • Do not add raw eggs to milkshakes or drinks for food safety reasons. • For food safety reasons, cook eggs until yolks and whites are set. • Moisten pureed meats or poultry with gravy, broth, or sauces. • For added flavor, add pureed meats and soft vegetables to soups, stews, and casseroles. • Avoid any foods containing raw fruit and vegetables or seeds, nuts, dried beans, coconut, and dried fruits. • Scan cookbooks for recipes like cream soups or whipped fruit desserts to add variety to your menu. • Relax at mealtime and eat slowly. WIRED JAW DIET FOODS ALLOWED FOODS TO AVOID
  • 4. MILK & DAIRY 2-3 servings each day All varieties of milk, milkshakes Eggnog (put egg in boiling water for thirty seconds to kill bacteria) MILK & DAIRY None BREADS & GRAINS 6-11 servings each day Cooked rice and pasta, and puree. Add cheese sauce or tomato sauce for variety Refined or strained cooked cereals, thinned with milk or cream. Add sugar, brown sugar, honey, syrup, if desired BREADS & GRAINS All breads and rolls Any dry cereals FRUIT 2-4 servings each day All fruit juices without pulp, canned fresh, or frozen fruits Commercially prepared baby foods, blended smooth and thinned with fruit juice or water. FRUIT Any other VEGETABLES 3-5 servings each day Blended vegetables or baby food, strained and thinned with vegetable Juice, tomato juice, limit to ½ cup of carrot juice per day Mashed potatoes may be mixed with hot milk, butter, broth, or large amounts of gravy VEGETABLES Any whole or raw
  • 5. MEATS & MEAT SUBSTITUTES 2-3 servings or total of 6 oz. daily Blended and strained meat or baby food, thinned with broth, gravy, tomato sauce, vegetable juices Cottage cheese (can be liquefied in blender) Peanut butter (can be added to milk drinks and shakes) Bouillon, clear broth, consommé Any soup blended until smooth MEAT & MEAT SUBSTITUTES Raw eggs or raw eggs in cracked shell FATS & SNACKS Butter, margarine, cream, cream sauce, whipped cream, whipped topping ( this is an easy way to increase calories without increasing the amount you are eating) Liquid or semi-solid gelatin, ice cream, fruit ice, sorbet, ice milk, soft custard, frozen or regular yogurt-thinned, thinned puddings Carbonated beverages, flavored waters, coffee, tea FATS & SNACKS Any desserts prepared with coconut, seeds, or nuts. Very greasy foods PREPARATION AND STORAGE TIPS FOR WIRED JAW DIET • Blended food increases its volume depending on how long you blend, how much food you blend, and how much liquid is needed to blend the food to an acceptable thickness. • There is a limit to how much fluid a person wants to (or is able to) drink at one meal. Also, since fluids pass fairly quickly through the stomach, you may feel full after a meal, yet be hungry only a few hours later. • Try eating small, more frequent meals to keep from feeling empty, and to provide sufficient calories to maintain body weight. Six to eight meals are recommended daily. • Leftovers should be refrigerated immediately. To be on the safe side, do not keep blended foods longer than a day unless they are kept frozen. • Commercial liquid supplements are available, and may be used in addition to blended foods. They are available in grocery and drug stores; some examples are Sustacal, Ensure, Carnation Instant Breakfast, Meritene, and Ensure Plus. They should not be used as your only source of food.

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