Texture Modified Puree
DC-205
Section 2: Texture Modified Diets
Compendium Definition
- xxx
Note:
– Definition of Puree: foods mechanically modified by blender or Blixer®, or naturally of a cohesive and moist homogeneous texture or thick semi-liquid texture; free of all lumps and bits, holds it shape on a spoon, little food left on spoon, cannot be sucked through a straw, not sticky.
– Additional liquid may be required to attain smooth consistency.
– Jell-O®, ice cream or sherbet is allowed for thin fluids, but NOT thickened fluids.
Caution: xxxx
Vegetables
Allowed
- pureed cooked or canned vegetables without lumps, tough skins or seeds, served hot or cold (ex. beet salad, bean salad, potato salad)
- pureed mashed potatoes, no lumps
NOT allowed:
- raw vegetables
Fruit
Allowed
- pureed cooked or drained canned fruit, without lumps, tough skins or seeds; served hot or cold
- pureed cooked dried fruits without lumps, tough skins or seeds; served hot or cold (ex. warm stewed fruit)
- pureed, ripe banana (the product may look brown and adding small amount of fruit juice prior to pureeing may improve appearance)
- pureed frozen fruit
- pureed melons including seedless watermelon
NOT allowed:
- raw or dried fruit
- pureed fresh fruits with skins or fibres, including grapes, pears, pineapple, orange, blueberries
- pureed fresh fruits with seeds including strawberry, raspberry, watermelon, kiwi
Salads
Allowed
- pureed salads made with allowed ingredients
NOT allowed:
- raw salads
Grain Products
Allowed
- smooth, hot cereal (ex. Cream of wheat)
- pureed baked goods, pancakes
- pureed pasta
- pureed stuffing, dressing
NOT allowed:
- hot cereal with lumps or seeds or grainy, coarse texture
- whole breads and baked goods
- cold cereal, granola
- rice, pasta
- crackers
Milk & Alternatives
Allowed
- milk (if thin fluids are tolerated)
- smooth yogurt
- smooth custard and puddings
- pureed cottage cheese
NOT allowed:
- yogurt with fruit, granola, seeds or other coarse pieces
- cottage cheese
- soft and hard cheese (may be allowed if pureed into an entrée)
Meat & Alternatives
Allowed
- pureed meat, fish or poultry with gravy or sauce
- pureed casseroles to smooth and moist consistency
- pureed legumes
- pureed eggs
- pureed tofu
NOT allowed:
- whole pieces of meat, fish or poultry
- peanut butter
- tough, dry meats (e.g. bacon)
- eggs (unless pureed)
Soups
Allowed
- pureed
NOT allowed:
- any other
Oils & Fats
Allowed
- margarine, butter, cooking oils, salad dressings made allowed ingredients
- smooth or strained gravy, cream sauces and cheese sauces
- sour cream
NOT allowed:
- salad dressing, gravy or sauces made with ingredients not allowed
- Cheez Whiz®
Desserts & Sweets
Allowed
- Jell-O®, smooth ice cream, sherbet*
- smooth milk puddings, custard, or mousse
- pureed bread, rice or tapioca pudding, made with allowed ingredients
- pureed cakes, cookies and pie
NOT allowed:
- dry cakes and cookies
- sticky desserts, caramels
- hard candies
- rice and tapioca pudding
Fluids
Allowed
- all fluids (if tolerated with liquid consistency)
NOT allowed:
- juice with pulp
- beverages with lumps, chunks or seeds
Miscellaneous
Allowed
- honey, syrup
- smooth, seedless jams and jellies
- ketchup, smooth mustard
- pureed sandwiches
- ground flaxseed in a hot cereal
NOT allowed:
- potato chips
- popcorn
- coconut
- relish
- sauerkraut
References:
Manitoba Health: Manual for Feeding and Swallowing Management in Long Term Care Facilities, 2010