Cooked fibrous, tough, or stringy vegetables such as broccoli, cabbage, brussel sprouts, and asparagus.Raw fruits and raw, undercooked vegetables.Very coarse cereals that contain seeds, nuts, or dried fruit.Butter, margarine, gravy, and cream sauces.Tofu and well-cooked, moistened, or mashed cooked bean, peas, baked beans, and other legumes.Poached, scrambled, or soft-cooked eggs mashed with butter, margarine, sauce, or gravy.Tuna, egg, or meat salad without large chunks or hard-to-chew vegetables.Moistened ground or tender cooked meat, poultry, and fish with gravy or sauce.Ice cream, sherbet, frozen yogurt, and malts.Drained, canned, or cooked fruits without seeds or skins.Well-cooked, boiled, baked, or mashed potatoes.Cakes or cookies moistened and softened with milk, coffee, or other liquid.Moistened dry cereal with little texture, such as corn flakes or puffed rice.Soft dumplings moistened with butter or gravy.Soft pancakes, breads, sweet rolls, Danish pastries, and French toast with syrup or sauce.Remember to make the pieces of any food ¼ inch (0.635 cm) or smaller. Cook vegetables so they are tender enough to be mashed with a fork.Add dry milk powder to foods for extra protein and calories, if needed.Pour sauce or gravy over bread slices or syrup over pancakes. Moisten the food by adding gravy, sauce, vegetable or fruit juice, milk, or half and half.Make the pieces ¼ inch (0.635 cm) or smaller. Use a blender, food processor, food chopper, grinder, or potato masher to soften your food.The IDDSI level for these liquids is 4 (extremely thick). You should not be able to drink them through a straw. Pudding-thick liquids need to be eaten with a spoon.The IDDSI level for these liquids is 3 (moderately thick). Honey-thick liquids should be difficult to drink through a straw.The IDDSI level for these liquids is 2 (mildly thick). It should take some effort to drink the liquid through a straw. Nectar-thick liquids have the same thickness as vegetable juices and milkshakes.The IDDSI level for these liquids is 1 (slightly thick). A little more effort is needed to drink these liquids. Slightly thick liquids are thicker than water but still flow through a bottle's nipple.The IDDSI level for these liquids is 0 (thin). Examples include water, non-fat milk, no-pulp juice, coffee, tea, and soft drinks. These liquids take little or no effort to drink. These include frozen malts, yogurt, milk shakes, eggnog, ice cream, and gelatin. Foods that are liquid at room temperature should also be thickened. Liquids can be thickened, if needed, with thickeners, flour, cornstarch, or potato flakes. Your healthcare provider will tell you if which liquids you can have. For the IDDSI system, liquids are levels 0 through 4. Your healthcare provider will tell you how thick your liquids need to be. Your provider may show you how to use IDDSI guidelines to test the thickness of your food or liquid. Foods from the National Dysphagia Diet level 2 diet are on IDDSI level 5. The IDDSI contains 8 levels, from the thinnest liquids and foods to the thickest. He or she may also explain the International Dysphagia Diet Standardization Initiative (IDDSI). Your healthcare provider will tell you how long you need to follow this diet. You need to have some chewing ability to eat these foods. This can be done by blending, chopping, grinding, mashing, shredding, or cooking the food. Regular foods need to be changed to make them easier to chew and swallow. What is a level 2 National Dysphagia Diet diet?Ī level 2 National Dysphagia Diet includes only moist, soft foods.
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