No Fluids Combined with Solids
DC-250
Section 2: Texture Modified Diets
Compendium Definition
- Flows off a spoon
- Sippable, pours quickly from a spoon, but slower than thin drinks
- Mild effort is required to drink this thickness through standard bore
- Straw (standard bore straw = 0.209 inch or 5.3 mm diameter)
- More information can be found at https://iddsi.org
Note:
xx
Caution: xxxx
Fruit & Vegetable
Beverages
Allowed
- vegetable &/or fruit juice thickened to a mildly thick-level 2 consistency
- drained canned fruits and vegetables
NOT allowed:
- thin fruit and vegetable juice
Milk & Alternative
Beverages
Allowed
- milk (cow, soy, almond, rice, etc) thickened to a mildly thick level 2 consistency
- buttermilk
- Yogurt drinks
- Commercial eggnog (regular fat) thickened to a mildly thick-level 2 consistency
NOT allowed:
- thin milk
- milkshakes
- low fat commercial eggnog
Soups
Allowed
- pureed soups thickened to a mildly thick- level 2 consistency
- smooth regular soup (ex. tomato soup) thickened to mildly thick -level 2 consistency
NOT allowed:
- thin soups
Oils & Fats
Allowed
- oils and fats thickened to a mildly thick level 2 consistency
NOT allowed:
- thin oils and salad dressings
Desserts & Sweets
Allowed
- all desserts thickened to a mildly thick- Level 2 consistency
- pudding
- mousse
NOT allowed:
- Jell-O®
- ice cream
- sherbet
- popsicles
- frozen yogurt
Fluids
Allowed
- all fluids thickened to a mildly thick- level 2 consistency
NOT allowed:
- thin water, ice cubes, coffee, tea
- all oral nutrition supplements (cannot be thickened to a safe consistency using thickener)
Miscellaneous
Allowed
- all, except those in “foods to avoid”
- 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)
Medications
Allowed
- Lactulose is mildly thick level 2 and does not require thickening; DO NOT add to pre-thickened liquids
- Polyethylene Glycol Laxative (PEG 3350) added to applesauce
- mix liquid medications into applesauce
NOT allowed:
- pre-thickened water, juice, milk products, ThickenUp® and ThickenUp Clear® inventoried throughout the region, is not safe to mix with Polyethylene Glycol Laxative (PEG 3350).
- do not add liquid medications to pre-thickened liquids or liquids already thickened as it alters the consistency
References:
Dietitians of Canada-Practice Based Evidence in Nutrition (PEN)
Resource Manual for Long Term Care, Nestle Nutrition, 2010
Manual for Feeding and Swallowing Management in Long-Term Care facilities, Regional Health Authorities, Manitoba Government, September 2010
International Dysphagia Diet Standardisation Initiative https://iddsi.org