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PUREED DIET
Besides soft, moist and smooth, pureed diet also should be something which have the same size, no lumps or visible particles. Pureed diet can be as thick as pudding (solid) and hold their shape when mounded on a spoon and also can be as thin as fluids.

PREPARATION TIPS:
If product is TOO THIN:
- Use commercial thickener to thicken the product to the desired consistency

If product is TOO THICK:
- Use cooking liquids, gravy, milk, juice or sauce to enhance color, flavor and the nutrient value of the food (Do not use water)
- Add 1 Tbsp/15 ml liquid at time, to avoid adding too much, which could result in runny food
- Use hot liquids for hot foods and cold liquids for cold foods

For PREPARATION of pureed diet you can refer to this article:
http://www.albertahealthservices.ca/assets/info/nutrition/if-nfs-slides-preparing-texture-modified-foods-a-training-program-for-supportive-living-sites.pdf

This video will show you how to prepare simple pureed diet:
https://www.youtube.com/watch?v=cIOzZXf2QlU

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Full liquid diet is a kind of diet that can be made up of clear, blurry or opaque liquid foods and should have a smooth consistency. People in this can take all sorts of foods as long as it is in a liquid form. In order to sustain essential nutrients that a person needs on this kind of diet, the main goal of the meals is to provide 1300 to 1500 calories and 45 grams of protein per day.

Foods and drinks allowed when on full liquid diet:
-water, fruit juices, plain ice cream sherbet,  frozen yogurt, sugar, honey, syrup, gelatin, sodas such as Sprite, milk, tea, coffee, liquid supplements,  cream, margarine

Foods and drinks to be avoided when on full liquid diet:
-meat, cereal, fruit, cheese, vegetables, mashed foods such as mashed potato, ice cream or other frozen desserts with any type of toppings such as chocolate chips

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Pureed diet is needed for people who have trouble chewing or swallowing. Pureed foods are soft, moist and smooth. They have the look and texture of a pudding or house and they hold together. Pureed foods should not be lumpy, thin or runny. Here I want to share a video about pureed diet and this website http://www.netwellness.org/healthtopics/diet/pureedentreesalads.cfm provides recipes about pureed diet.

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Eat well nutrition provides all Australians with the ingredients to live healthy and happier lives.

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Pureed diet is needed for people who have trouble chewing or swallowing. Pureed foods are soft, moist and smooth. They have the look and texture

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Liquid diet usually done before a medical test or procedure, or person who undergo certain kinds of surgery. It is important to follow the diet exactly to avoid problems with your procedure or surgery or your test results.
I want to share an interesting video about liquid diet that can make your skin clear and hair glow

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FATHEEN AMNI BINTI ABDUL RAHIM BN13110045

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FATHEEN AMNI BINTI ABDUL RAHIM BN13110045

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I think this video is interesting as they show the full recipes about dysphagia diet..you can easily make it as easily as ABC..enjoy the video...

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Dysphagia & Hormel Thick & Easy Instant Food Thickener Demonstration

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The longest chapter from the major 'Guide To Dysphagia' that we produced for a client a few years ago. This is an stage-by-stage series of recipes for making food nutritious, tasty and interesting. Featuring chef Mike Crook, who devised all the recipes found here and in the recipe cards and booklet that accompanied this programme's original DVD release.

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Title: A New Way for Nourishing Liquid Diet

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Liquid Diet

1.       Full Liquid diet: Food serves in liquid states at room temperature including ice cream, sherbet, creamy soups, tea, juices, milkshakes, puddings, and popsicles. It is suitable for patients  that can’t consume solid foods. According to the menu planning, it shall be includes nutrients such as proteins, fluids, salts, and minerals that needed by patients for daily intakes.

2.       Clear Liquid diet : It is in clear liquid states that can comprises of broth, fruit juices without pulp, clear sodas, honey and plain gelatin . It is easier for digestion and does not leaves any undigested residues in intestine. It is serves for digestive disorders patients by provides them sufficient hydration, electrolytes and energy supplies for patients

3.       Thickened Liquid diet: It is more suitable for patients who have difficulties on chewing or swallowing. It varies on four levels  of thickness  including: thin, nectar thick, honey think and spoon thick.

-  Thin liquid: thinnest in mouthfeel  and texture such as water, soda, juice and broth

-  Nectar thick: In thin liquid state but easily pourable. It is designated for patients who have difficulty in swallowing to prevent them from choking or stop the fluids enter the lungs.
Eg. fruit nectar, maple syrup, tomato juice and cream soups.

-  Honey thick: It has a state of thickened liquid similar to honey consistency state, less pourable and be able to drizzle from a cup or bowl.

-  Spoon thick: It has a pudding kind of states, whether it is naturally existed as the thickened state of by the help of thickening agents, be able to hold on its shapes, not pourable and needs spoon to scoops down and eat.
Note: Patients who consumed thickened liquid diet should in upright position and remains for at least 30 minutes for proper digestion.
* You may click in the pdf file to look for more food choices on liquid diet.

Reference:

http://www.arborhospice.org/we-can-help/nutrition/types-of-diets

http://www.upmc.com/patients-visitors/education/nutrition/pages/thickened-liquids-nectar-thick.aspx

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DG NUR IQWANIERAH DATO JAPRIDIN (BN13110033)

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DG NUR IQWANIERAH DATO JAPRIDIN (BN13110033)

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This video is showing you how their prepare the foods for blenderized diet. the recipe for the food also included.

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TITLE: Dysphagia Diet
here is one video i would like to share with you guys which show WHAT IS DYSPHAGIA DIET and there have a website to show about the dysphagia menu and recipe:
https://www.youtube.com/watch?v=Q2FHB6ewk1E
website: https://www.gicare.com/diets/dysphagia-diet/

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BN13110240

MINCED DIET

WHAT is minced diet??

Foods that are minced, ground, finely chopped, mashed or grated in a moist form that require little or no chewing.

They are easy to swallow and must be easily mashed with a fork.

WHO needs this diet??

People who have trouble swallowing and/or chewing food may find this diet helpful.

If you have problems with your teeth, dentures, or have a sore dry mouth you may want to try a minced diet.

WHAT to INCLUDE??

Minced beef, pork, chicken, turkey or tofu.

Minced, whipped or mashed cooked vegetables and potatoes.

Scrambled. Poached and (mashed) soft-boiled eggs.

Soft cheese and moist cottage cheese.

Minced or pureed fruits.

Soft bread, toast, rolls, pancakes, waffles,

Cooked and cold cereals moistened with milk.

Soft, well boiled pasta.

Cream or stock soups made with minced meat and cooked, mashed vegetables without the skin.

Desserts such as soft moist cakes, cream pies and graham wafer crusts or soft cookies.

WHAT to AVOID??

Crispy fried foods

Raw vegetables and whole cooked vegetables.

Whole fresh, canned or frozen fruits.

Dried fruit, large seeds and whole nuts.

Chewy hard cookies, candies, bars or squares.

Hard, crunchy cereals

Crusty rolls, bagels and dry, hard crackers.

Here's a video on the preparation of minced diet!

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Eat Well Nutrition provides leading nutrition and dietetic advice aimed at increasing the health and happiness of all Australians.

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BN12160246

BLENDERIZED DIET

Food that have been thinned or cook (meat) and liquid (that have flavors and added vitamin and minerals) will be mix and blended altogether in a food processor and strainer. After it is blended, it can be consume by using a cup, spoon, straw or syringe.

1. This type of diet is especially for patient that cannot or having difficulties in chewing or swallowing solid food.
- Patient with jaw or face surgery and has mouth pain.
- When a patient has a G-tube
- it is also used to help treat some premature infants (not recommended before 1year
https://www.youtube.com/watch?v=iODc3fdht1w

2. Method of Preparation
- Below is the link regarding blended diet, how it prepared
https://www.youtube.com/watch?v=MNfTF8oZmRw

3. Food Characteristic:
- Smooth
- Moist
- No lump
- The texture is not sticky in the mouth
- No chewing is required

4. Food Example or menu:

Breakfast Blend
1cup whole milk
1 2oz container stage 1 fruit
2 TBSP molasses
1/2 cup baby oatmeal with probiotics and dha
1 heaping spoon of greek yogurt
This makes about 375mls and appx 465cals… (1.2cals/ml)
The breakdown appx is 15g fat, 53g carbs and 12g protein.

Fruit Based Blend
1 tin banana & mango baby puree tin – 90cals
2oz avocado – 90 cals
2 T. cooked quinoa – ~50cals
1/2 t. probiotics
20mls yoghurt – ~20cals
2 t. olive oil 80 cals
2 T. baby rice cereal – 40cals
70mls rice milk – 46cals
+/- 2t. Agave syrup – 31 cals
Total 447 cals, 95%=425cals, therefore over 300mls = ~1.4cals/ml

http://www.feedingtubeawareness.org/tube-feeding-basics/diet-nutrition/blended-diets/

and
http://www.foodfortubies.org/category/recipes/
(can get recipe from this site)

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BN13110027

Blenderized diet

Blenderized diet is also called a blended diet or BD,  which consist of real food not only formula.
Blended diet is suitable for children who is over one year old. A blenderized diet isn’t recommended before one year because that is about the time when orally-eating children would transition to a diet that is mostly solid table foods.
Advantage of blended diet:
1. easier to digest and variety of choice as can meet the need of children other than milk or soy
2. Children can expose to digest a real food.
3. focus on the nutritional needs of the child who is tube fed.

Disadvantage:
1. Need some basic knowledge of nutrition
2. it takes time to prepare and additional planning during travelling.
3. quite costly as a good blender is needed.
there is a video show how to prepare blended diet at home. Hope you all enjoy it. https://www.youtube.com/watch?v=WDxAjBIIqpU

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NOURISHING LIQUID DIET

Nourishing liquid diet is also known as full liquid diet. It is made up of only of fluids and foods in liquid state at a room temperature. It have more calories, protein, and nutrients that can be used to help meet the patient daily calorie and protein requirements. It is including those that are easy to pour and/or can be sucked through a straw. Soup is an example of nourishing liquid diet because it contains all the nutrients which is good for convalescent patients, patients who are on tube feeding and for geriatric and for young children.

This diet is for people who may need food with a very smooth consistency. It is needed right before a medical test or procedure or before certain types of surgery. Besides, people may need this type of diet for a little while after having a surgery on stomach or intestine and it also can be used when a person is having a problem during swallowing or chewing. Sometimes, full liquid diet is a step of diet that presence between a clear liquid diet and solid diet.

For preparing this diet, a liquidiser can be used or else by using a hand blender or sieve. Instead of using water to make the food thin, whole milk also can be used because milk provides more energy and nutrition. The appearance of the food also must look attractive and appetising. In order to make the food more appealing, all the food such as meat, fish and vegetables must be liquidised separately. Colour is also important in order to make the food look appealing. For example, serving brightly coloured vegetables such as mashed or pureed carrots together with mashed potatoes and creamed chicken and garnishing also can be used.

The types of food that can be liquidised and sample of menu plan can be referred at this link http://www.christie.nhs.uk/media/2460/340.pdf on page 6-9. There is also some information on types of food that can be included and excluded from this diet and also a sample of menu at this link http://www.westcoastdhb.org.nz/publications/policies_n_procedures/policies_n_procedures_docs/dept_dietitian/Modified_Diet_Resource_Manual.pdf on page 4.

Potato Soup (6 servings):

Ingredients:

1.    Potatoes 1kg

2.    Butter 2 tsp

3.    Onion minced 1/2 cup

4.    Pepper powder 2/4 tsp

5.    Milk 1 cup

6.    Salt to taste

Way to prepare:

1.    Cook the potatoes until it become soft.

2.    Mash the potatoes, add pepper powder and sauté the onions in butter.

3.    Add mashed potatoes, milk and water in which potatoes were cooked.

4.    Serve with grated cheese, coriander leaves.

Other recipes that can be used for nourishing liquid diet:
https://caloriebee.com/diets/Meal-Ideas-to-Use-When-on-Liquid-Diet-after-Jaw-or-Related-Surgery

Reference:

Salins, O. 2004. Nutrition Guide. 2nd Edition. New Delhi: Jaypee Brothers Medical Publishers(P) Ltd.

https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0020/277040/diet-full-fluids.pdf

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Title: Mechanical Soft Diet
Clinical Use

1.       Prescribed for individuals with loose or missing teeth, or poorly fitting dentures. Edentulous patients who has difficulty chewing or swallowing

2.       Used following oral surgery. For example, patients who has undergone temporomandibular joint (TMJ) surgery

3.       Patients with inflammations or ulcers of mouth or esophagus

4.       Intestinal or stomach discomfort.

Description

1.    Dental soft diet.
2. As a transitional diet from a liquid diet to a regular diet if recovering from surgery or a long illness
3. Provide food that are easy to chew and swallow due to the patient may not have enough energy or enough teeth to chew.
4. Diet that has been mechanically altered to provide softer foods.
5. Consists of all liquids and soft solid foods or solid foods that have been chopped or ground.

Nutritional Adequacy
1. If an individual consumes a variety of foods from all food groups, the diet will be nutritionally adequate but usually diet is low is fiber.
2. For variety of foods-all foods that are easily masticated are included in the diet.
3. Increase calories without a lot of chewing.
4. NO restriction on fat, spices, fiber or seasonings.
5. Eating five to six small meals a day to increase calorie.

Meal Preparation
The ease of chewing may be increased by mashing, chopping, or blenderizing that aids to decrease the risk of choking. At the same time, to ensure that the patient is eating enough to meet their nutrition needs.

Chopped, ground, and pureed foods are included, as well as foods that break apart easily without a knife/fork.

The fruits and vegetables are cooked until soft. It can be chopped or pureed in a blender or food processor.

The meats are cooked until soft. It is chipped or ground into small bite size pieces. The meats are served with a sauce or gravy that become easier to eat.

Food Selection
Allowed: foods that do not require much chewing and are soft on the mouth.

Avoid: simply eliminates foods that are difficult to chew or swallow. For example: foods containing nuts or seeds, tough/stringy meats, hard and thick breads, raw or hard vegetables, dried fruit, fruit with skin or seeds.

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Clear Liquid Diet

Clear liquid diet is mainly a liquid-based diet for patients to prepare for colonoscopy which is consumed on the day before the colonoscopy is conducted. There are strictly no solid foods in the diet, and patients are not allowed to eat or drink on the day of the procedure. The term ‘strictly no solid food’ indicates that foods can still be consumed, but it has to be in the form of liquid. However, a few items such as milk-related products, cream, juices with pulp, soup (except from broth) and oatmeal are not allowed in the diet. It is also important to make sure that the diet is free from dye products (red, purple, orange colour) and alcoholic beverages. Attached together is a list of sample for foods and drinks allowed in the clear liquid diet.

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Hi all, I would like to share information about soft diet.

1.       What is soft diet?

A soft diet is food that is soft in texture as well as easy to chew, swallow and digest. Hence, it is usually chopped, ground, mashed, pureed and moist.

2.    Who need soft diet?
This diet is designed especially for those who have had just undergone certain types of surgery, such as head, neck and stomach. Those have problems with their teeth or mouth that make them hard to chew or swallow can also follow this diet.

3.    Why need this diet?

a)      Act as a transition from liquids to a regular diet for patients.

b)      Relieve mild intestinal discomfort.

c)       Decrease nausea and gas in the bowel as it is low in fiber and can be digested easily.

4.    How to prepare soft diet?

a)      Prepare and cut food into small pieces that are ½ inch or smaller in size.

b)      Use chicken broth, beef broth, gravy, or sauces to cook or moisten meats and vegetables. The vegetables shall be cooked until soft and can be easily mashed with fork.

c)       Make puree foods by using food processor to grind them.

d)      Make fruit juice.

e)      Avoid large pieces (more than ½ inch) of meat or vegetables in soups by straining them away.
5. What is the recommended menu?
https://www.gicare.com/diets/soft-and-mechanical-soft-diet/

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BN13110122

Title: Dysphagia Diet

Date: 15/11/2016

According to Dysphagia Nutrition Solutions Thick-It Blog (2014), dysphagia or also more to be known as difficulty in swallowing, is a disorder that may be caused by stroke, neurological disease, dementia, or other factors. It poses the danger of aspiration and choking, while also increasing the likelihood of dehydration and malnutrition over time. A dysphagia diet is used with people who have problems with chewing and swallowing.

Method of Preparing Dysphagia Diet (Alberta Health Services, 2015):

The foods that are prepared need to be soft and tender. If the foods are not soft enough, they need to be diced into ½ inch or 1 cm. For meats, they can be diced into ½ inch or 1 cm (eg. hamburger patty) and shave or dice into ½ inch or 1 cm (eg. processed meat). In the case of vegetables, they should be cooked until soft. Cooked vegetables that are fibrous and stringy can be minced (eg. broccoli). Besides that, for fruits, they should be diced into ½ inch or 1 cm or mash soft ripe fruits.

Food characteristic:

According to ACI Diet (2015), Texture B which stands for minced and moist is one of the food characteristics from dysphagia diet which may be naturally soft (e.g. cottage cheese), or cooked or minced to alter texture. Patients use the tongue, rather than teeth, to break the small lumps in this texture. Food should be soft and moist and easily formed into a ball. Food may be presented as a thick puree with obvious lumps in it; lumps should be soft and rounded (no hard or sharp lumps). Target maximum particle size for adults is 0.5cm. This diet texture can be applied to any portion size and most therapeutic diets.

References:
http://thickit.com/8-things-to-consider-for-a-dysphagia-diet/
https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0006/263607/diet-minced-moist.pdf
http://www.albertahealthservices.ca/assets/info/nutrition/if-nfs-slides-preparing-texture-modified-foods-a-training-program-for-supportive-living-sites.pdf

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BN13110085

Title: Minced Diet
15/11/2016

People who have trouble swallowing or chewing food may find minced diet helpful because this diet make meal times easier for patients while helping them to meet their nutrition needs. Minced foods can be tasty and nutritious. The foods are basically cut very finely or put through a food processor and all foods on a minced diet should have extra moisture added. The file I attached contains recipe for minced diet of breakfast, main meals for example beef casserole, chicken curry, light meals or savoury snacks, soups and nourishing desserts or sweet snacks. Besides, they also provide a suggested meal plan from breakfast to supper for patients who need minced diet.

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BN13110241
Title: Clear Liquid Diet
Furthermore, here is one video i would like to share with you guys which show clear liquid diet foods: what and what not to include :) Enjoy~~
https://www.youtube.com/watch?v=5BO1OkwXJpw

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HAR MEI MEI
BN13110057
SUBMISSION DATE: 15/11/2016 (1:30PM)
Title: Blenderized diet
Here is one video which show how to make the blenderized diet.
https://www.youtube.com/watch?v=p5vtdbeeLzM

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BN13110028
Here is the link for the recipe of dysphagia pureed diet  https://www.dysphagia-diet.com/t-recipes-dysphagiapuree.aspx
and this is the

5 Levels for Difficulty In Swallowing for dysphagia diet

https://www.gicare.com/diets/dysphagia-diet/

The document attachment is roughly discuss about the dysphagia diet and which group of patients suitable for this kind of diet.

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BN13110186

Since soft diet hasn’t been discussed much yet, then I would like to share some information that I found for this type of diet. Just like its name “soft” diet, it is made up of foods that are soft as well as easy to chew and swallow. So, these foods may be chopped, ground, mashed, pureed, and moist. You can try to prepare this kind of diet by either cutting the food into small pieces which is about half inch or use a food processor to grind or puree foods to make them easier to chew and swallow. Another way of preparing soft diet is by mashing the cooked food like potato using fork. Different from normal diet, in soft diet, fruit is usually consumed in the form of fruit juices instead of solid as it is. This type of diet is normally followed by those who have had certain types of surgery such as head, neck or stomach surgery. Besides that, this type of diet is also popular among teenagers when they have their teeth orthodontics because it is simply easier for them while having braces on teeth. Example of soft diet include slow cooker buttery garlic herb mashed potatoes, rainbow veggie kale scrambled eggs, egg drop soup and vanilla mint green smoothie. On the other hand in soft diet, we should avoid foods that are crunchy and hard for chewing. Example of food that we should avoid in soft diet includes French bread, crackers, cereal, nuts and casseroles with large chunks of meat.

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I found this on youtube, how to prepare puree food in a great and interesting way. Puree Food Molding- How to video.

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Introducing the collaboration between Nestlé Health Science and Puree Food Molds to provide nutritious puréed foods in exciting high quality molds. Our 100% silicone molds deliver a first-class opportunity to improve meal presentation, provide greater meal variety and improve dining with dignity.

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BN13110153
Hello guys. Farn here! :D
We have 9 types of diet need to discuss here.
1. Clear  liquid diet
2. Nourishing liquid diet
3.Mechanically altered diet
4. Blenderized diet
5. Minced diet
6. Pureed diet
7. Mixed porridge diet
8. Soft diet
9. Dysphagia diet

Each of the diets should be discussed by 2 to 3 persons. The discussion should include : method of preparation, the food characteristic, example of the food/menu and the person who apply/use that kind of diet.
The materials can be from any source such as picture, video, graphic, website or blog. You can share the recipes too!

*The " Each of the diets should be discussed by 2 to 3 persons" instruction is just to make sure all diets being discuss and not left out or too focus on certain diets.

You guys still can give your opinion or share the info for any diet but all the type of diets should be discuss in this padlet.

Happy Discussing! :D FIGHTING!

This discussion will end on :
21 Nov 2016.