The best sources are milk, meats, fish, eggs, cheese, peanut butter, and dried beans and peas. Blenderized. Food which is soft or cooked until tender and

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MEAL PLANNING FOR MECHANICAL SOFT DIET Definition of Terms Calories Units of energy. Protein A nutri ent used by your body for growth and repair. The best sources are milk, meats, fish, eggs, cheese, peanut butter, and dried beans and peas. Blenderized Food which is soft or cooked until tender and blended in a blender or a food processor. Pureed The thick, smooth consistency of food which has been blenderized. Indication For Use The mechanical soft diet is recommended for people who have trouble chewing. Goal The goal of the mechanical soft diet is to provide a balanced diet with adequate a mounts of protein and calories for people who have trouble chewing. General Guidelines Ease of chewing may be increased by mashing, chopping, or blenderizing. The following guidelines will help you prepare foods with a blender: 1. Scrub all equipment with hot soapy water and rinse well. 2. To prepare food for cooking, remove skin, pits, or seeds. Remove bone, gristle, and fat from meat. Bring to a full boil and cook until tender. Vegetables do not need to be overcooked to blend well. 3. Add 1 cupful of foo d at a time to the blender with ! cup liquid.* More liquid may be needed for meat to allow blades to operate: care should be taken, however, to use as little water as possible so product is not too diluted.

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*Possible blending liquids include: ¥ Juices from canned vegetables and fruits. ¥ Water used to boil vegetables, rice, or spaghetti for a fuller taste. ¥ Pan gravy. ¥ Water-flavored adding parsley, carrots, celery, and a mixture of herbs when boiling meats or potatoes. ¥ Sour cream, cream, and clear soups, ice cr eam, tomato and vegetable juice, water with an added bouillon cube, and whipped cream. 4. Force food through a strainer to remove large particles that could clog your syringe. 5. Save time! Prepare several daysÕ feedings at once and freeze. TO MAINTAIN YOU R CURRENT WEIGHT , YOU NEED ____ ____ CALORIES EVERY DAY. Your weight is your best indicator of your intake of calories. If you find yourself losing more than five to six pounds, try the suggestions for increasing calories. YOU NEED AT LEAST _______ GRAMS OF PROTEIN EACH DAY. Good sources of protein are meat, eggs, milk, cheese and yogurt. To help you decide if you are getting enough protein, here are some examples of the amount of protein in different foods. FOOD PROTEIN grams CALORIES 1 cup whole mil k 1 cup skim milk *1 cup double strength milk *1 cup milkshake with whole milk *1 serving blender eggnog made with whole milk 1 cup yogurt, plain 1 egg 1 cup instant breakfast with whole milk 2 tablespoons peanut butter 1 ounce of meat, fish, or poultry 1 ounce of cheese ” cup of cottage cheese fruits and vegetables 1 jar strained meats (baby) 8 8 16 16 26 8 7 17.5 10 7 7 14 1-2 13 160 80 250 420 423 125 75 290 230 75 100 150 varies 120 * Recipes in page 5 . Avoid drinking raw eggs. This can lead to Salmonella food poisoning.

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DAILY FOOD GUIDE FOOD GROUP ALLOWED FOODS AVOID Milk and milk products Milk; all types Yogurt Custard Ice cream Cottage cheese Cheese Eggnog Milk drinks* Protein Foods Tender meats and poultry, ground or ch opped Eggs, egg salad Tuna salad Meatloaf, meatballs Soft fish Casseroles Smooth peanut butter Tough meats Fruits and Vegetables All juices All canned fruits Fresh fruits: Applesauce Banana Cantaloupe Melon (seeded) Grape fruit sections (without membranes) Berries Avocado Apple (peeled) Pear (peeled) Well cooked soft or pureed vegetables Tomato paste Tomato catsup Tomato puree Fresh fruit with membranes or tough skins Dried fruit Raw vege table Vegetables with tough skins or membranes

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FOOD GROUP ALLOWED FOODS AVOID Grain Groups Soft bread including: Toast Rolls Biscuits Muffins Cornbread Cooked cereals Dry cereals with milk Cooked noodles Rice Crackers with beve rage Waffles Pancakes Hard rolls Bread sticks Bagels Popcorn Fats Butter Margarine Mayonnaise Salad dressings Cream: Sour Whipping Coffee Cream cheese Gravy Olives Bacon Nuts Deep-fried; crispy food Desserts Sherbet Gelatin Puddings Cakes Pies Cookies with beverage Desserts containing nuts or dried fruits Miscellaneous Sauces Soups Seasonings Potato chips Snack chips

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HINTS AND SUGGESTIONS ! If constipation is a problem while you are on this diet, you may wish to try: ” adding bran to milkshakes, cream soups, yogurt. ” including a whole grain cereal in your breakfast such as cream of wheat or oatmeal OR eating a whole grain cold cereal soaked in milk. ” prune juice. ! Since it is now more difficult for you to eat, you may find it easier to have six small meals each day instead of three larger ones. Remember, when snacking, choose snacks which provide protein, vitamins, and minerals rather than empty calories. ! Try adding dry milk to mashed potatoes to help increase the pro tein content. ! Add grated cheese to mashed potatoes or vegetables. RECIPES FOR DRINKS HIGH IN PROTEIN AND CALORIES Vanilla Milkshake Ð makes 1 cup Vanilla ice cream ” cup Calories 289 per cup Whole milk ” cup Protein 12 grams Skim milk powder 1 tbsp Fat 13 grams Vanilla 1/8 tsp Carbohydrate 31 grams Chocolate Milkshake Ð makes 1 cup Chocolate ice cream ” cup Calories 321 per cup Whole milk ” cup Protein 11 grams Skim milk powder 1 tbsp + 1 tsp Fat 13 grams Chocolate syrup 1 tbsp Carbo hydrate 40 grams Swiss Miss Drink Ð makes 1 cup Vanilla ice cream 1 cup Calories 478 per cup Whole milk ! cup + 2 tbsp Protein 14 grams Swiss Miss mix 1 package or 1/3 cup Fat 18 grams Eggnog mix* 3 tbsp Carbohydrate 65 grams Peanut Butter Drin k Ð makes 1 cup Heavy whipping cream ” cup Calories 829 per cup Smooth peanut butter 3 tbsp Protein 15 grams Chocolate syrup 3 tbsp Fat 65 grams Vanilla ice cream ” cup Carbohydrate 46 grams

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Creamy Milkshake Ð makes 1 cup Vanilla ice cream ” cup Calories 680 per cup Heavy whipping cream ” cup + 2 tbsp Protein 16 grams Eggnog mix* 2 tbsp Fat 54 grams Sugar 1 tbsp Carbohydrate 32 grams If any of these drinks are too thick, thin them with milk. Avoid overblending the drinks which contain whi pping cream; they may become too thick. *Egg custard mix, or Carnation Instant Breakfast Egg Flavor may be substituted for the Eggnog Mix. Nutritional Adequacy If an individual consumes a variety of foods from all food groups, the diet will be nutrit ionally adequate. File # 14.1

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