Some additives to help flavor food at this level are ketchup, salsa, and jams. Soft cookies dipped in milk, soft meats like fish, moist macaroni, and scrambled eggs. Examples of foods are soft-pancakes well moistened with syrup, soft canned fruits, Must be in small bites also some textures can be mixed such as found in a casseroleĭish. Level 2 foods are able to be easily chewed but All pureed foodsįrom level 1 are also okay to eat. Meats are ground or finely cut to equal size no bigger than ¼ inch. Level 2- This level diet consists of foods that are moist, soft-texture, and easily swallowed. It may alsoīe beneficial to sweeten, salt, pepper, and spice food according to taste preference.Ī pureed diet does not mean a bland diet. Puddings, custards, yogurt, oatmeal, pureed fruits, and pureed meats. The food should be “pudding-like” and should not need toīe chewed or be difficult to move with the tongue. There should be noĬhunks, or mixed textures. Level 1- This diet consists of pureed, consistent, and unified foods. The followingĭescribes the different levels of diet that your loved one might need. Which may need altered as well depending on the person’s ability to swallow. The National Dysphagia Diet guidelines apply to foods as well as liquids MechanicallyĪltered diets are described by the National Dysphagia Diet Guidelines and are on a Or that are very hard and cannot be chewed easily are to be avoided. So that they are easy to chew and swallow. ![]() Mechanically altered diets consist of foods that can be safely and successfully swallowed.įoods are mechanically altered by whipping, blending, grinding, chopping, or mashing As time goes on inflammation in parts of the brain that control swallowing mayĭisappear and allow normal swallowing again. Many individuals,Īfter therapy with a speech-language pathologist will be able to return to a normalĭiet. This answer depends on how much damage the stroke caused to the brain. IMPORTANT: ALWAYS CONTACT YOUR CARE PROVIDER, doctor, nurse practitioner, or speech-language pathologist, IF SYMPTOMS WORSEN or BEFORE you make any changes to his or her diet. One may have NO symptoms at all, but may still be suffering from dysphagia. Might cause coughing, difficulty breathing, and/or vomiting. Swallow, but is still on a special diet, their body might not be closing off theirĪirway (Stage 3) or carrying the food to their stomach (Stage 4) as it once did. (Stage 2) the body may not be able to do the rest. Loved one can chew and control the food in their mouth (Stage 1) and initiate swallowing There are actually different stages of swallowing (see the diagram above). If my loved one can chew, why the special diet? Frequent pneumonia, or chest congestion after eatingĬonsequences of Dysphagia and Malnutrition:.Extra effort or time needed to chew and swallow.Gurgling voice after eating or drinking. ![]() The damage may have alsoĪffected the ability to chew or move food around with the tongue. It was caused by the nerve and brain damage of the stroke. ![]() In the case of a loved one with a stroke, Some of this poor nutrition is caused by limitedĪbility to swallow food, and many stroke survivors require special diets to preventĭysphagia is difficulty with swallowing. In people with stroke a commonĬomplication is poor nutrition due to limited intake of food, which can affect as Legs, but also could alter their ability to swallow. This one-sided weakness or paralysis may not only affect your loved one’s arms and Than 50% of persons with stroke will experience permanent one-sided weakness or paralysis. Long term disability is the most frequent post stroke complication.
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