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Table 5.9 Diet Levels as Defined by a Canadian Hospital (Parkwood Institute-SJHC)

Dysphagia Diet Fluids
Thin Fluids All fluids that are thin at room temperature: water/ice chips/juices/ tea/liquid nutritional supplements/ regular or strained soups/ice cream/jello.
Nectar Thick Fluids Thin fluids that are thickened to the consistency of nectar and are sipped from a cup: nectar thick juices, milk, water, soup.
 Honey Thick Fluids Thin fluids that are thickened to the consistency of liquid honey but can be sipped from a cup: honey thick juices, milk, water, soup.
 Honey Thick/Thin Fluids Honey thickened fluids with the addition of thin fluids as determined in consultation with the patients/ resident/SDM and the SLP/RD.
 Honey Thick Clear Fluids Only honey thickened CLEAR fluids are allowed (no textures): honey thick apple/orange/cranberry juice and honey thick water.
 Honey Thick Full Fluids Only honey thickened FULL fluids are allowed (no textures): honey thick juices/water/mild/soup/hot cereals/custard/pudding/smooth yogurt.
 Pudding Thick Fluids Thin Fluids that are thickened to the consistency of pudding and are eaten with a spoon: pudding thick juices/mild/water/soup/custards, high energy puddings/smooth yogurt.
Pudding Thick/Thin Fluids Pudding thickened fluids with the addition of thin fluids as determined in consultation with the patient/resident/SDM/and the SLP/RD.
Pudding Thick Clear Fluids Only pudding thickened CLEAR fluids are allowed (no textures): pudding thick/apple/cranberry juices and pudding thick water.
Pudding Thick Full Fluids Only pudding thickened FULL fluids are allowed (no textures): pudding thick juices/water/mild/soups: hot cereals, custard, pudding, smooth yogurt.
Dysphagia Diet Textures
Regular All items are served unmodified.
Ready Same as regular but roast meats are diced.
Diced Meat/Modified Vegetable Most meats are diced/soft proteins are allowed whole (meatloaf); also allowed: bananas, watermelon, strawberries etc); not allowed: raw vegetables, brussel sprouts, large pieces of cauliflower, whole corn.
Minced meat/Modified Vegetable Most meats are minced, soft protein items are allowed, nothing on a bun, no brussel sprouts, florets of cauliflower or broccoli, no stir fry (mince before serving); allowed: mashed potatoes, macaroni salads, bananas, sliced strawberries and seedless watermelon.
Minced Minced meats, vegetables, mashed potatoes, potato puffs, scalloped potatoes, cheese, peanut butter sandwiches, fresh bananas, minced strawberries, seedless watermelon.
Minced/Pureed Minced mead and vegetables, mashed potatoes (not rice), soft casseroles, scrambled eggs, pureed fruits, strained soups, oatmeal or cream of wheat.
Pureed Entrée/Modified Bread Same as above; can add crustless bread toast, moist cakes.
Pureed with oatmeal Oatmeal, foods with a pudding type consistency, all entree must be pureed.
Pureed All foods with a pudding type consistency, all entrees to be pureed, bread with diet syrup. No bananas, cottage cheese, oatmeal, old cereal, peanut butter.