Transcription
MyNutritionMinced and Moist Diet (IDDSI Level 5)This material will help you understand a minced and moist Diet (IDDSI Level 5). You may havebeen recommended a minced and moist diet if you are having trouble chewing or swallowing onthe advice of your Speech Pathologist.This food texture includes foods that are soft, moist and easy to form into a ball. Foods must notcontain any hard lumps. Foods should be easy to mash or break into pieces no bigger than 4mmfor adults and 2mm for children.It is important that you include foods from all food groups to make sure your body gets all thenutrients it needs.You may need to eat and drink more often to maintain your weight and prevent dehydration. Eatsix (6) small meals a day instead of three (3) larger ones. This is especially important if you gettired when eating larger meals or if you are a slowMy eater.MyNutritionNutritionYou may also need to add extra protein and energy to your meals to ensure you are gettingadequate nutrition. Your Dietitian will tell you if you need to follow a high protein, high energy diet.This may be useful when: You are underweight You are losing weight without trying You are unable to eat enough due to poor appetite or nausea You have increased energy and protein requirementsHigh Protein foods include: Meat, fish and chicken Eggs Dairy products Beans, legumes, nuts e.g. Smooth peanut butter or smooth nut spreads Meat alternatives e.g. tofu, vegetarian sausages Protein supplements e.g. Sustagen, EnsureThis is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: Last review: June 2021Due for review: June 2024
High Energy foods include: Full cream dairy products Margarine, butter, mayonnaise, oil Soft drinks, cordial, sweets Nutritional supplements e.g. Resource Plus, Resource 2.0 (these are also high in protein)or *Fortified milk recipe (see recipe below)* Fortified milk recipe: Add 4 heaped tablespoons of skim milk powder to 1 L of full cream milkand whisk to combine.Tips to increase or maintain your weight: Aim for 6 smaller meals rather than 3 big meals per day Keep your favourite foods in the cupboard or fridge Keep ready to eat meals and snacks for times when you don’t feel like preparing food (e.g.frozen pre minced meals, tinned soup, yoghurt, dairy desserts) Drink fluids with energy such as milk and juice instead of water, tea or coffee Keep a record of your weight to check if these changes are workingMyMyNutritionThis stop sign highlights foodsNutritionthat are not safe for people who need thickenedfluids. In some cases these foods can be thickened to make them safe. Ask yourhealth professional or Speech Pathologist for guidance.Recommended foodsMeatChickenFish Minced, tender meats withsauce e.g. spaghettibolognaise, casseroles,stews and fish dishes (mayrequire mashing to reducethe size of food chunks) Serve with extra gravyor sauce – ensure thesauces are mixed in wellwith the meatIf texture cannot be finelyminced it should be pureedFoods to avoid Dishes with largechunks, dry, tough orgristly meats or hardand/or fibrousparticles e.g. corn,onion.Suggestions for extranourishment Add cream,evaporated milk oryoghurt to casserolesand curries (drainexcess thin fluids) Add extra gravy –ensure the sauces aremixed in well with themeatTop moist mince disheswith sour cream,yoghurt or soft cheesesTop mashed fish withwhite sauce, smoothtartare sauce or mayonnaiseThis is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: Last review: June 2021Due for review: June 2024
Recommended foodsMeat(protein)alternatives BreakfastcerealsLightly mashed or blendedlegumes e.g. baked beans,refried beansSoft tofu in small pieces orcrumbledMashed soufflés or quiches(without crust) with smallsoft chunksMashed poached,scrambled or soft cookedeggs Serve with extra gravyor sauce – ensure thesauces are mixed in wellwith the meat Cereals with small, moistlumps e.g. cooked cerealssuch as porridge, semolinaor wheat flakes biscuitsFoods to avoid NutsUndercookedlegumesDry, tough, chewy, orcrispy egg dishes orthose that cannot beeasily mashedCourse or dry cerealse.g. All-branAny cereals with nutsor dried fruitwell-moistened withmilk Soup Well-cooked pasta ornoodles with sauce e.g.risoni, moist macaronicheese (some dishes mayrequire blending ormashing)Very soft rice that holdstogether e.g. moist risotto(these should not separateinto individual grains whencooked and served)Smooth soups with nolumps or soft pieces –homemade or cannedsoups may requireblending Add sugar, honey, orcream to cookedand/or well-moistenedcereals If thickening fluid, anymilk/fluid must not separate Myaway from cereal. Drain anyMyNutritionexcess before eating.NutritionOther cerealsSuggestions for extranourishment Top mashed legumes(e.g. lentils, refriedbeans) with sour creamor yoghurt Add cheese, milk and/orcream to scrambledeggs and quiches All bread,sandwiches, pastries,crackers and drybiscuitsRice that does nothold together e.g.long-grain, basmati,parboiled, friedCrispy or dry pastae.g. edges of lasagna Soups that havelarge chunks orfibrous particles e.g.pea, corn, onion, rice Use fortified milk*(see recipe below) tomake cooked cerealsAdd Sustagen, Proformneutral or EnsurepowderAdd whey proteinpowderUse creamy, cheesesauces with pastaMake soup onfortified milk* or addcream, sour creamAdd Sustagen, Proformneutral or EnsurepowderAdd whey proteinpowderThis is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: Last review: June 2021Due for review: June 2024
Recommended foodsDairy foods &desserts Milk, milkshakes, fruit smoothiesYoghurt (no fruit pieces, pips) Vegetables FruitFoods to avoid Custard, mousse,smooth puddings, icecreamVery soft cheese with smalllumps e.g. cottage cheeseMashed / minced soft fruitbased desserts withouthard pastries, crumbly orflaky pastry or coconutCreamed riceSoft well-cookedvegetables that are easilymashed with a forkVegetables should bechopped or mashed intopieces that are no largerthan 4mm seedless watermelon Yoghurt with nuts,seeds or hard piecesCheese slices andcubesSticky cheese e.g.camembertDry, coarse cakesand pastriesBread-basedpuddingsAny dish with nuts,seeds, dried, hard orfibrous fruit, hardcrumbles, coconut orpineapple Use fortified milk* inplace of regular milk asa nutritious drink base,or to make puddings,custards and desserts Addice cream,custard or yoghurt tomilkshakesHard or fibrousvegetables such aspeas, cornHard or fibrousvegetable skin orstems Add butter or margarine,milk powder, softMy Whole pieces of fruitSoft, stewed or canned fruit MyNutritionthat is finely diced, mashed(pieces larger thanNutritionor pureed4mm)Soft, mashed fresh fruite.g. banana, pawpaw,Fruit juice. If thickeningfluids, serve in mildly,moderately or extremelythick smooth, sauce,draining excess. Suggestions for extranourishmentStewed fruit with skinor seeds, or that istoo hard to mash witha forkVery fibrous fruitse.g. pineapple cheese or creamtomashed vegetablesTop diced, mashedvegetables with creamycheese sauces or sourcream Serve withicecream, cream, custardor yoghurt Blend pureed fruitinto fortified milk* tomake a fruit smoothieAdapted from the IDDSI Framework and Descriptors, International Dysphagia Diet StandardisedInitiative, 2019.This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: Last review: June 2021Due for review: June 2024
To prepare minced and moist foods: Use foods the rest of your household is eating rather than making separate meals. This willsave time and money. When you mash food, add liquid for a moist, smooth texture. For example, when mashingfruit or vegetables, add milk, fruit juice or cream but make sure you drain any excess fluidaway before you eat it. To mince meat, chicken and fish to a smooth paste, add gravy, stock, milk or cream whenblending.To serve: Use foods of all colours to make your meals look more appealing and serve on attractiveplates. Use herbs and spices to add flavour to foods.Please note:(a) items marked with * in the below meal plan may not be suitable if you need thickenedfluids. In some cases, these items canbe thickened to make them safe. Ask your SpeechMyMyNutritionNutrition(b) some foods listed in this document (including foods in ‘High Protein’, ‘High Energy’,Pathologist for guidance; and‘suggestions for extra nourishment’ and in the below suggested meal plan) may not beappropriate for children. It is recommended that you discuss this further with your child’sSpeech Pathologist or Dietitian.This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: Last review: June 2021Due for review: June 2024
Suggested meal plan and options:BREAKFAST (choose at least 2 of the following): Semolina/porridge made on milk* Mashed baked beans or spaghetti (chopped) or scrambled eggs Mashed fresh fruit Vanilla yoghurt*MORNING TEA (choose at least 1 of the following): Mashed fruit Yoghurt or custard * Nutritious drink e.g. flavoured milk, fruit smoothie (made on milk), milkshake, Sustagen or Ensuredrink*LUNCH or LIGHT MEAL Mince casserole (meat, poultry, fish, legumes) Pureed or mashed vegetables include at least one starchy vegetable (e.g. potato, sweet potato) Stewed (diced) fruit Custard or smooth yoghurt* Ice cream*AFTERNOON TEA (choose at least 1 of the following):MyMyNutritionNutrition Mashed fruit Yoghurt or custard* Nutritious drink* e.g. flavoured milk, fruit smoothie (made on milk), milkshake, Sustagen or Ensuredrink*DINNER or MAIN MEAL Mince casserole or curry (meat, poultry, fish or legumes) with extra gravy/cheesy sauce or sourcream/yoghurt – this meal could include small, soft pasta/noodles or rice Mashed vegetables Creamed rice or other suitable puddingSUPPER (choose at least 1 of the following): Mashed fruit Yoghurt or custard* Nutritious drink* e.g. flavoured milk, fruit smoothie (made on milk), milkshake, Sustagen orEnsure drink*This is a consensus document from Dietitian/ Nutritionists from the Nutrition Education Materials Online, "NEMO", team.Disclaimer: www.health.qld.gov.au/global/disclaimerDeveloped: June 2021Copyright: e for review: June 2024
Lightly mashed or blended legumes e.g. baked beans, or yoghurtSoft tofu in small pieces or crumbled crispy egg dishes or cream to scrambled Mashed soufflés or quiches
