AY Honors/Home Nursing/Answer Key

A soft diet is recommended in many situations, including some types of dysphagia (difficulty swallowing), surgery involving the mouth or gastrointestinal tract, and pain from newly adjusted braces.

A soft diet can include many foods if they are mashed or pureed, covered or placed with in sauces or gravy, or placed in soups, stews, chili, curries.

In some situations, there are additional restrictions. For example, patients who need to avoid excessive reflux, such as those recovering from esophageal surgery for achalasia, are also instructed to stay away from foods that can aggravate reflux, which include ketchup and other tomato products, citrus fruits, chocolate, mint, spicy foods, alcohol, and caffeine.

Many of the foods listed here can be adapted for a "full liquid" diet (not a "clear liquid" diet) by processing in a blender with an appropriate thinning liquid, such as a meat broth, fruit or vegetable juice, or milk.

Grains/starches

Cooked Hot cereals: oatmeal, porridge, Weetabix/Cream of Wheat, Cream of Rice.
Breakfast Cereal, soggy in milk.
Macaroni & Cheese (cooked soft, pureed in blender if needed.)
Mashed potatoes and gravy
Mashed sweet potatoes
Pasta cooked soft
Rice cooked soft, risotto
Couscous
Quinoa
Skinless baked potatoes with sour cream or cream cheese
Lasagna, add extra sauce over top.
Asian fried rice or noodles with tiny bits of meat and soft veggies.
Potato Salad, smooshed.

Protein

Refried Beans with melted cheese, Sour Cream and Salsa or add some Chili.
Baked beans, well-cooked and slightly mashed.
Cottage cheese
Canned tuna or canned chicken, water-packed (pureed in blender).
Chicken salad or Tuna Salad
Eggs, scrambled.
Fish cooked soft
Meatloaf, meatballs, cottage pie, and other soft dishes with ground meat
Sloppy Joes
Enchilada Pie
Tofu
Yogurt

Fruits and vegetables

Applesauce
Avocados
Bananas (mash if needed)
Grapefruit sections
Orange sections
vegetables cooked soft or pureed in the blender
Spinach, creamed.
Soup, many kinds.
Juices
melons: Watermelon, Cantelope, Honeydew.
Peeled Pears or Peaches, ripe or canned
creamed Corn.

Desserts

Custard
Fruit smoothies
Ice cream, Sherbet, Frozen Yogurt, Popsicles
Milkshakes
Pudding
Pie: Pumpkin, Key Lime.
Yogurt
Whipped cream or Whipped Topping
Chocolate, small pieces which melt in mouth (Peanut Butter Cups, Hershey Kiss).
Jell-O (gelatin)
Soft cakes, (soften further by covering with condensed milk).

Tips to increase calories

If you cannot face large meals, try to have 3-4 smaller meals daily with nourishing drinks or enriched soups in between.
Use cream or whole milk.
Add 4 tablespoons of powdered milk to 1 pint of whole milk.
Drinking Milk, add Ovaltine, Chocolate, Protein Powder or Powdered Milk.
Add grated cheese, butter, margarine, olive oil or mayonnaise to vegetables, potatoes or scrambled eggs.
Choose full fat or whole milk varieties of yogurt such as thick and creamy or Greek style.
Add cream to puddings, drinks or soup.
Add sugar, honey, syrup and seedless jam to cereals, drinks or puddings.
Add sauce topping and/or Whipped cream to Ice cream.
Soft canned fruit e.g. peaches, pears, mandarins served with evaporated milk or custard.
Add one tablespoon of olive oil, powdered milk, protein powder, or pasteurized egg whites to milkshakes or fruit smoothies.

Avoid

hard-to-chew chunks
nuts
seeds