Swallowing advice for: A Soft Mashed Diet Premashed diet - category D Ladywell Building Speech & Language Therapy Department Community: 0161 206 2333 Hospital: 0161 206 5450 speech.therapy@srft.nhs.uk All Rights Reserved 2018. Document for issue as handout.
What is a soft mashed diet? Foods NOT suitable for soft mashed diet Specific food groups Meat Cereal A soft mashed diet should be very soft and needs very little chewing Mashable with a fork into small soft lumps (0.5cm) Usually requires a thick, smooth sauce or gravy NOTE: Tough meats and difficult textures will need to be blended Hard, tough, chewy, stringy, dry, crispy textures Foods with skins, husks or outer shells e.g. peas, grapes, sweet corn Crunchy foods such as lettuce, cucumber Hard texture e.g. pieces of apple, cheese chunks Foods and liquids mixed together e.g. soups with vegetable lumps or cornflakes in milk Jelly and ice-cream are only suitable when taking normal drinks (i.e. no thickener) Should be soft. It can be stewed or cooked in a casserole. Can be minced finely with no hard bits. Can be served in a THICK smooth sauce or gravy. Fish Soft enough to break into small pieces with a fork Can be served in a THICK smooth sauce or gravy. A fully softened weetabix or a thick smooth porridge with no lumps. Milk must not separate from the cereal e.g. weetabix should be well combined with the milk. Desserts The texture of a THICK smooth yoghurt or stewed apple in thick custard. No bread unless fully soaked in a liquid e.g. soup. Please discuss with your Speech and Language Therapist on an individual basis. 1 2
Suggested soft mashed diet meal ideas Breakfast Porridge Weetabix soaked in milk Hot oat cereal e.g. Ready Brek, no lumps. Main meals Mashed fish e.g. tinned tuna or salmon in mayonnaise Mashed corned beef / potato hash / fish pie Quiche without pastry (mashed) Mashed potato Mashed boiled vegetables without skins (excess juice removed). Snack meals Plain cheese omelettes / poached eggs / scrambled eggs Thick soups - with lentils, potatoes, meat / chicken Macaroni cheese / spaghetti bolognaise Jacket potato (no skin) and baked beans. Puddings Custard and stewed fruit (skins removed) or mashed banana Milk puddings Pancakes. Soft mashed snacks Porridge or instant hot cereal e.g. Ready Brek or weetabix served with hot milk Soft mashed fruits Stewed apple with sugar Banana mashed with milk, cream or custard Yoghurt (not muesli type) - thick and creamy varieties, Greek yoghurt Fromage frais Mousses and crème caramel Milk pudding with jam - homemade, tinned or packet pudding such as custard, semolina, rice pudding and sago are suitable Sponge puddings served with cream or custard (cut up and mixed well) Trifle, ice-cream, milk jelly, blancmange Angel delight or Instant Whip Baked egg custard (no pastry). Why is it important to follow Speech and Language Therapy recommendation Following assessment with the Speech and Language Therapist you will be given specific advice about suitable food types. It is important to follow these recommendations as: You may be at risk of food going down the wrong way (aspiration). This may lead to coughing after eating and may cause a chest infection. If you experience difficulty with your swallow e.g. coughing when eating or drinking, frequent chest infections or feel your swallow has generally deteriorated please contact your speech and language therapist for further advice or assessment. What to do if you are losing weight Aim for a little and often meal pattern e.g. 3 small meals and 3 snacks per day Have nourishing drinks between meals e.g. milk, horlicks, ovaltine, hot chocolate High energy drinks are available from your chemist e.g. Build Up or Complan. Have these in-between meals and not as a meal replacement Have nourishing snacks between meals e.g. smooth yoghurts, instant hot cereal or weetabix with hot milk, banana mashed with milk, cream or custard, fromage frais, mousses and crème caramel Use only full fat products e.g. full fat milk, thick and creamy yoghurts, full fat cheese Try fortifying your food i.e. making foods higher in energy and protein without increasing portion sizes. 3 4
Food fortification Add skimmed milk powder to foods e.g. 2-4 tablespoons into 1 pint full fat milk or 1 tablespoon mixed into porridge or soup Add double cream, condensed or evaporated milk to foods before pureeing e.g. porridge, custard, mashed potato, soups, vegetables, milky drinks Add grated cheese to foods before pureeing e.g. mashed potato, scrambled eggs, vegetables, soups Add margarine / butter to foods before pureeing e.g. mashed potato, vegetables, milk pudding Add extra sugar / syrup / honey (caution with diabetes) - cereals, drinks, puddings Fry foods where possible with oil before pureeing e.g. meats, vegetables, potatoes. Buying prepared soft or pureed meals Wiltshire Farm Foods soft and puree main meals and puddings http://www. wiltshirefarmfoods.com Hermolis kosher food specialists http://www.hermolis.com Punjab Kitchens modified main meals and puree puddings - Halal food specialists http://www. punjabkitchen.co.uk Notes If you experience weight loss, you can ask your GP to refer you to a Dietitian for further advice. Salford residents can contact the dietetic team directly on 0161 206 4254. 5 6
G18012204W. Design Services Salford Royal NHS Foundation Trust All Rights Reserved 2018 This document MUST NOT be photocopied Information Leaflet Control Policy: Unique Identifier: CS13(18) Review Date: June 2020 For further information on this leaflet, it s references and sources used, please contact 0161 206 5450. Copies of this leaflet are available in other formats (for example, large print or easyread) upon request. Alternative formats may also be available via www. srft.nhs.uk/for-patients/patient-leaflets/ If you need this information leaflet translated, please telephone: In accordance with the Equality Act we will make reasonable adjustments to enable individuals with disabilities to access this service. Please contact the service/clinic you are attending by phone or email prior to your appointment to discuss your requirements. Interpreters are available for both verbal and non-verbal (e.g. British Sign Language) languages, on request. Please contact the service/clinic you are visiting to request this. or Email: InterpretationandTrans@srft.nhs.uk Salford Royal operates a smoke-free policy. For advice on stopping smoking contact the Hospital Specialist Stop Smoking Service on 0161 206 1779 This is a teaching hospital which plays an important role in the training of future doctors. The part patients play in this process is essential to make sure that we produce the right quality doctors for all of our futures. If at any time you would prefer not to have students present please inform the doctor or nurses and this will not affect your care in anyway. Salford Royal NHS Foundation Trust Stott Lane, Salford, Manchester, M6 8HD Telephone 0161 789 7373 www.srft.nhs.uk If you would like to become a Foundation Trust Member please visit: www.srft.nhs.uk/ for-members If you have any suggestions as to how this document could be improved in the future then please visit: http://www.srft.nhs.uk/ for-patients