Smooth Pureed Foods - Novita Children's Services

Smooth pureed foodsA Smooth Pureed Consistency Diet includes a range of food that can be eatenwith limited tongue movement or strength and no chewing is necessary.Foods should be of a very even and smooth texture and similar to a verycreamy mashed potato or a thick custard consistency. It should be possible tosimply form a bolus of food and swallow using only the tongue.Characteristics of smooth pureed food: Smooth and lump-free but may have a grainy quality Moist and cohesive enough to hold its shape on a spoon (eg when placedside by side on a plate these consistencies would maintain their positionwithout ‘bleeding’ into one another) No chewing required at all High fluid content (extra fluid required for smoothness) No stickiness or crunchiness.Smooth pureed food texture is achieved by: Blending and vitamising using a hand mixer, blender or food processor (foodsshould be blended separately so they retain their individual texture, flavourand colour) Addition of fluids during the blending process Thinning down of very thick and sticky foods by addition of fluid Food moulds, seasonings and sauces can add variety to shape, presentationand flavour.Author: Novita.Speech Pathology Page 1 of 3Created: 18/07/08 Reviewed: 06/09/11 Modified: 06/09/11 Novita Children’s Services IncNovita website – Terms & Conditions of Use

Breads, cereals, rice, pasta, noodlesAppropriateSmooth lump-free breakfastcereals, eg semolina, pureedporridgeGelled breadPureed pasta or noodlesPureed rice.AppropriatePureed vegetablesMashed potatoPureed legumes, eg bakedbeans (ensuring no husks infinal puree)Vegetable soups that have beenblended or strained to removelumps(a).Vegetables, legumesInappropriateCereals with course lumps orfibrous particles, eg all dry cereals,porridgeGelled breads that are not soakedthrough the entire food portion.InappropriateCoarsely mashed vegetablesParticles of vegetable fibre or hardskin.AppropriatePureed fruits, eg commercialpureed fruits, vitamised freshfruitsWell mashed bananaFruit juice(a) without pulp.FruitInappropriate Pureed fruit with visible lumps.AppropriateMilk, milkshakes, smoothies(a)Yoghurt(a) (lump-free), eg lainor vanillaSmooth cheese pastes, egsmooth ricottaCheese and milk-basedsauces(a).Milk, yoghurt, cheeseInappropriateAll solid and semi-solid cheesesincluding cottage cheese.Meat, fish, poultry, eggs, nuts, legumesAppropriatePureed meat or fish (pureed withsauce/gravy to achieve a thick,moist texture)Soufflés and mousses, egsalmon moussePureed legumes, hummusSoft silken tofuPureed scrambled eggs.InappropriateMinced or partially pureed meatsScrambled eggs that have not beenpureedSticky or very cohesive foods, egpeanut butter.Author: Novita.Speech Pathology Page 2 of 3Created: 18/07/08 Reviewed: 06/09/11 Modified: 06/09/11 Novita Children’s Services IncNovita website – Terms & Conditions of Use

AppropriateSmooth puddings, dairydesserts(a), custards(a),yoghurt(a) and ice cream(a)Gelled cakes or cake slurry, egfine sponge cake saturated withjelly.Soft meringueCream(a), syrup desserttoppings(a).AppropriateSoup(a) (vitamised or strained toremove lumps)Smooth jams, condiments andsauces.DessertsMiscellaneousInappropriateDesserts with fruit pieces, seeds,nuts, crumble, pastry or non-pureedgarnishesGelled cakes or cake slurries thatare not soaked through the entirefood portion.InappropriateSoup with lumpsJams and condiments with seeds,pulps or lumps.(a) These foods require case-by-case consideration.(b) These foods may need modification for individuals requiring thickened fluids.Dietitians Association of Australia and The Speech Pathology Association of AustraliaLimited. (2007). Texture-modified foods and thickened fluids as used for individuals withdysphagia: Australian standardised labels and definitions. Nutrition & Dietetics. 64 (Suppl2), pp. 70-71.Author: Novita.Speech Pathology Page 3 of 3Created: 18/07/08 Reviewed: 06/09/11 Modified: 06/09/11 Novita Children’s Services IncNovita website – Terms & Conditions of Use