Texture Blenderized
DC-252
Section 2: Texture Modified Diets
Compendium Definition
– Usually eaten with a spoon (a fork is possible)
– Cannot be drunk from a cup because it does not flow easily
– Cannot be sucked through a straw
– Does not require chewing
– More info on https://iddsi.org)
– Spoon Tilt Test – SAFE: holds shape on spoon; not firm and sticky; little food left on spoon
Note:
– Oral nutrition supplements do not thicken properly with the addition of thickening powders such as ThickenUp Clear®
– Pureed soups, fruit or vegetables may not be adequately thick enough and may require additional thickener to bring to Extremely thick level 4 consistency
Caution:
Vegetables & Fruits
Allowed
- fruit and vegetable juice thickened to extremely thick – level 4 consistency
- consistency
- thickened applesauce
- drained canned fruits and vegetables
NOT allowed:
- none, unless thickened to extremely thick – level 4 consistency
- fruits that release large amounts of water when eaten (ex. watermelon and oranges)
Milk & Alternatives
Allowed
- milk thickened to extremely thick – level 4 consistency
- thick yogurt (Balkan or Greek style)
NOT allowed:
- none, unless thickened to extremely thick – level 4 consistency
Soups
Allowed
- soups thickened to extremely thick – level 4 consistency
NOT allowed:
- thin, watery soups
- mildly thick level 2 or moderately thick level 3 soups
Oils & Fats
Allowed
- oils and fats thickened to extremely thick – level 4 consistency
NOT allowed:
- oils and salad dressings of thin, mildly thick- level 1 and moderately thick- level 2 consistencies
Desserts & Sweets
Allowed
- desserts thickened to extremely thick – level 4 consistency
- pudding or thick custards
- mousse
NOT allowed:
- Jell-O®
- ice cream
- sherbet
- popsicles
- frozen yogurt
Fluids
Allowed
- fluids thickened to a moderately thick – level 4 consistency
NOT allowed:
- any fluid of mildly thick – level 2 or moderately thick – level 3 consistency
- ice cubes
- all oral nutrition supplements (cannot be thickened to a safe consistency using thickener)
Miscellaneous
Allowed
- nutritional pudding supplements (homemade fortified pudding, Boost® pudding, Ensure® pudding)
NOT allowed:
- all oral nutrition supplements (cannot be thickened to a safe consistency using thickener)
References:
Dietitians of Canada – Practice Based Evidence in Nutrition (PEN)
Manitoba Health: Manual for Feeding and Swallowing Management in Long Term Care Facilities, September 2010
Resource Manual for Long Term Care, Nestle Nutrition, 2010
International Dysphagia Diet Standardisation Initiative https://iddsi.org