mechanical soft vs. modified mechanical soft diets · mechanical soft vs. ... april 2015 ....
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MECHANICAL SOFT VS.
MODIFIED MECHANICAL SOFT
DIETS Prepared by:
Emily Cook, OHSU Dietetic Intern
April 2015
DEFINITION
The mechanical soft diet includes any foods that have been mechanically altered to aid in chewing and swallowing
Ways foods are prepared to become mechanically soft include: Chopped
Ground
Pureed
Boiled
Steamed (long enough for food to become soft)
Tools used to mechanically alter the foods include, but are not limited to: Blender ● Potato Masher
Meat grinder ● Fork
Knife
This diet only limits texture and consistencies
PURPOSE OF THESE DIETS
Ensure the patient is safely and successfully
swallowing foods and liquids
Avoid aspiration
Avoid pocketing food
Foods on these diets require little chewing and
are soft in texture
BARIUM SWALLOW STUDY
https://www.youtube.com/watch?v=Ri8bBhw9msQ
IMPORTANT NOTE
These diets can be modified for the individual
patient based on the Speech Pathologist’s
recommendations!
WHEN ARE THESE DIETS PRESCRIBED?
Speech Pathologist (SLP) will come evaluate the
patient
Assist patient in trialing different textures and
thicknesses of foods and liquids
Make recommendations based on the patient’s:
Physical ability to chew
Ability to safely swallow
KEY FOODS ALLOWED
Mechanical Soft Modified Mechanical Soft
Meat & Meat
Substitutes Ground and tender-baked meats Ground and tender-baked meats
Eggs Scrambled, poached, or hard boiled Scrambled, poached, or hard boiled
Cheese Cottage and mild cheeses Cottage and mild cheeses
Peanut Butter Smooth Smooth
Lentils and Beans Soft-cooked lentils, beans, peas, tofu
mashed by fork
Soft-cooked lentils, beans, peas, tofu
mashed by fork
Casseroles All soft and moist Soft and moist without stringy veggies
Fruits & Fruit
Juices
All juices. Soft fruits without tough skins
or seeds Fruit approved by SLP
Vegetables &
Vegetable Juice
All Juices. Well-cooked veggies able to be
mashed by fork. Fresh tomato.
Well-cooked veggies able to be mashed by
fork
Breads & Other
Starches
Soft breads including waffles, pancakes,
French toast and muffins. Dry cereals
without dried fruit. Oatmeal. Pasta and
potatoes
Cream of Wheat/Rice. Oatmeal.
Blenderized pancakes, muffins, toast. Soft
pasta, mashed potatoes with gravy.
Desserts Cakes, puddings, Jello, ice cream, cookies Pudding, custard, ice cream, Jello, Katie
whips
Soups All Thickened, strained, cream soups.
FOODS TO AVOID
Mechanical Soft Modified Mechanical Soft
Meat & Meat
Substitutes Meats that aren't ground
Those with stringy, dry, doughy
components
Eggs Fried eggs Fried eggs
Cheese Hard cheeses & cheeses containing
particles that are difficult to chew Hard cheeses & cheeses containing
particles that are difficult to chew
Peanut Butter Crunchy nut butters Crunchy nut butters
Casseroles -- Dry, doughy, crumbly
Fruits & Fruit
Juices Fruits with tough skins or seeds, raw,
hard fresh fruits, dried fruit, coconut Fruits with tough skins, raw, hard fresh
fruits, dried fruit, coconut
Vegetables &
Vegetable Juice
Whole kernel corn/corn on the cob, peas,
lima beans, raw vegetables except fresh
tomato and lettuce as liners for salads
Vegetable juices, peas, lima beans, whole
kernel corn/corn on the cob, spinach,
green beans, cooked greens, celery
Breads & Other
Starches
Hard, crusty breads or rolls, English
muffins, bagels, hard/coarse/dry cereals,
crisply fried potatoes, fried rice, baked
potato with skin
Dry cereals, whole wheat, coarse textured
cereals, breads
Fats & Oils Nuts Nuts, peanut butter, bacon
Desserts Any containing coconut, nuts, or dried
fruit Cake, cookies, pastries, pie, candy
Condiments Whole pickles and pickled vegetables,
coarse pepper, marmalade Pickles, marmalade
Soups Soup containing whole kernel corn or peas Broth, unthickened blenderized soups
SPECIAL CIRCUMSTANCES: MODIFIED
MECHANICAL SOFT
Veggies prepared on this diet in the hospital will
always be pureed
WHEN TO ADD EXTRA SAUCE AND GRAVY?
Most modified mechanical soft foods will be
prepared with added gravy or sauce
Sometimes, SLP will assign the Slick diet in
addition to the soft diets
Patients and providers can always ask for a side
of gravy to be sent on meal trays
LIQUIDS
Thickened liquid consistencies:
Nectar-thick
Honey-thick
Pudding-thick
The thickness of the liquid will be assigned by
the SLP based on the patient’s ability to safely
swallow
Thickness of liquid is at room temperature
Jell-O
Soup
Milkshakes/Ice Cream
QUESTIONS?
Speech Pathologists are now on Vocera!
Feel free to call them with additional questions
during ‘normal business hours’
REFERENCES
Academy of Nutrition and Dietetics. Nutrition Care Manual. Dysphagia level 2: Mechanically Altered.
https://www.nutritioncaremanual.org/client_ed.cfm?ncm_client_ed_id=44. Accessed April 2, 2015.
Academy of Nutrition and Dietetics. Nutrition Care Manual. Head and Neck Cancer Nutrition Therapy.
https://www.nutritioncaremanual.org/client_ed.cfm?ncm_client_ed_id=135. Accessed April 2, 2015.
Academy of Nutrition and Dietetics. Nutrition Care Manual. Mechanically Altered Foods Nutrition Therapy.
https://www.nutritioncaremanual.org/client_ed.cfm?ncm_client_ed_id=40. Accessed April 2, 2015.
Academy of Nutrition and Dietetics. Nutrition Care Manual. Soft Foods Nutrition Therapy.
https://www.nutritioncaremanual.org/client_ed.cfm?ncm_client_ed_id=39]. Accessed April 2, 2015.
Amanda Brown, SLP. Kaiser Sunnyside Medical Center
Aurora Health Care. Mechanical Soft Foods. Version current March 2012. Internet:
http://www.aurorahealthcare.org/fywb_pdfs/x26790.pdf. (accessed 2 April 2015).
KP Diet Manual: Mechanical Soft Diet
KP Diet Manual: Mechanical Soft Diet, Modified
KP Diet Manual: Slick Diet
KP PolicyTech: Inpatient Evaluation of Speech, Language, Cognitive, and/or Swallowing Skills
Jackson Siegelbaum Gastroenterology. Jackson, FW. Soft and Mechanical Soft Diet. Internet:
http://gicare.com/diets/soft-and-mechanical-soft-diet/. (accessed 2 April 2015).
Memorial Sloan Kettering Cancer Center. Patient Education: Eating Guide for Pureed and Mechanical Soft Diets.
Version current 1 March 2013. Internet: http://www.mskcc.org/cancer-care/patient-education/resources/eating-guide-
pureed-and-mechanical-soft-diets. (accessed 2 April 2015).
Wikipedia, The Free Encyclopedia. Soft diet. Version current 31 December 2013. Internet:
http://en.wikipedia.org/wiki/Soft_diet. (accessed 2 April 2015).
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