You have been diagnosed with difficulty chewing regular textured foods by the healthcare professionals treating you. You will need to modify many of your daily foods by chopping, grinding, shredding, and/or cooking to make them easier for you to chew and swallow.
This diet is a transition from the pureed textures to more solid textures. Chewing ability is required. The textures on this level are appropriate for individuals with mild to moderate oral and/or pharyngeal dysphagia. Patients should be assessed for tolerance to mixed textures. It is expected that some mixed textures are tolerated on this diet.
As a speech language pathologist working with persons with dysphagia (difficulty swallowing) over the past 25 plus years, I find that I do a lot of counseling with people when their diet needs to be changed to accommodate to their difficulties. Sometimes it is hard for those I counsel to picture how to do this in a practical, day to day basis.
This diet is designed for people who have moderate to severe dysphagia, with poor oral phase abilities and reduced ability to protect their airway. Close or complete supervision and alternate feeding methods may be required.
This diet consists of pureed, homogenous, and cohesive foods. Food should be “pudding-like.” No coarse textures, raw fruits or vegetables, nuts, and so forth are allowed. Any food that require bolus formation, controlled manipulation, or mastication are excluded.
You have been diagnosed with a severe chewing and/or swallowing problem by the healthcare professionals treating you. You will need to puree your foods until your physician and other healthcare professionals feel comfortable advancing the texture of your diet. Be sure that any pureed foods prepared in advance are the consistency of pudding or moist mashed potatoes and are smooth and free of lumps.