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Modifications in food texture and consistency for patients with swallowing disorders

Modifications in food texture and consistency for patients with swallowing disorders
Texture/consistency Definition Example Indication
Puree Blenderized food with added liquid to form smooth consistency; no chewing necessary Applesauce, yogurt, moist mashed potatoes, puddings Reduced tongue function for chewing, impaired pharyngeal contraction, esophageal stricture, reduced laryngeal closure
Mechanically altered Ground, finely chopped, or minced foods that form a cohesive bolus with minimal chewing Orzo pasta, soft scrambled eggs, cottage cheese, ground meats Some limited chewing possible but protracted due to impaired tongue control
Soft, moist Naturally soft foods requiring some chewing; food is easily cut into small pieces; serve with gravy to moisten Soft meats, canned fruits, baked fish; avoid raw vegetables, bread, and tough meats Reduced endurance for prolonged meal due to tongue weakness for chewing, reduced attention span
Liquid Moderately thick (previously called nectar consistency) Similar in viscosity to gravy or honey; available in ready-to-serve packaging or use thickening agent Reduced oral or lingual control, premature spillage, delayed swallow initiation and airway closure
Nectar consistency Similar in viscosity to thick tomato juice or nectar juice; flows more slowly than water Reduced bolus control, premature spillage, delayed swallow and airway closure
Adapted by permission of Oxford University Press, USA. Dahlin CM, Cohen AK, Goldsmith T. Dysphagia, Xerostomia, and Hiccups. In: Oxford Textbook of Palliative Nursing, 3rd ed, Ferrell BR, Coyle N (Eds), Oxford University Press 2010. Copyright © 2010. www.oup.com.
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