Mechanical Soft Diet
Description
Mechanical Soft Diet provides foods which can be ingested with a minimum of chewing but provides more calories and bulk than the Full Liquid Diet.
This diet is used for people who have a difficulty in chewing or swallowing, but are more able to tolerate foods which are semisolid.
The diet is adequate in all nutrients as specified by the RDA's. The consistency of the diet can be adjusted by the nutritionist according to the needs of the patient. This diet is low in calories and may result in weight loss if the calorie content is not adjusted to the level of need.
Sample Menu
Menu for One Day
Breakfast
1/2 c grapefruit juice
1 slice rye bread (toasted)
1 egg (poached) or egg substitute
1 tsp margarine or butter
1/4 c cottage cheese - 2% fat
1 c milk - 2% fat
1/2 c instant oatmeal
Hot, noncaloric beverage
Lunch
| 1 c chicken broth | 1/2 small banana |
| 1/4 c tuna (water pack) | 1/3 c sweet corn |
| 2 slices rye bread | 1 c milk - 2% fat |
| 2 tsp mayonnaise |
Dinner
1/2 c tomato juice
1/2 c fruit-flavored gelatin dessert
3 ounces ground turkey broiled
1 2-in slice cornbread
Catsup, mustard optional
1 small pear (without skin)
1/2 c mashed potato
1 tsp margarine or butter
1/2 c spinach
Hot, noncaloric beverage
Total Calories For The Day: 1,247 Calories
Nutrient Content:
| Calories: | 1247 | Fat: | 30% |
| Protein: | 17% | Cholesterol: | 340mg |
| Carbohydrate: | 53% | Fiber: | 8g |
Food Exchange List
Bread and Cereal Exchange List: 4 or more servings/day
Recommended
| Whole wheat bread | White bread (enriched) |
| Soda cracker | Melba toast |
| Cream of wheat | Cornflakes |
| Puffed grains | Enriched pasta |
| White rice | Mashed potato |
| Baked potato | Sweet potato (without skin) |
Avoid
| Brown rice | Wild rice |
| Popcorn | Potato Chips |
| Beans (dried) | Green peas |
| Lentil |
Fat Exchange List: as needed; moderation advised
Recommended
| Enriched margarine | Butter |
| Salad oils | Mayonnaise |
| Avocado oil |
Avoid:
Nuts
Fruit Exchange List: 2 or more servings/day
Recommended
| All fruit juices | Citrus fruits (without skin) |
| Bananas | Canned or cooked fruits |
| Peeled peaches and pears |
Avoid
Fruits with seeds or tough skin
Meat and Meat Substitute Exchange List: 6 servings/day
Recommended
| Any lean meat | Cottage cheese |
| Lean poultry | Egg |
| Lean fish | Creamy peanut butter |
| Lean shellfish |
Avoid
All others (tough fibrous meat)
Milk Exchange List: 2 servings/day
Recommended
All milk and milk products
Yogurt
Avoid
None
Vegetable Exchange List: 2 or more servings/day
Recommended
All vegetable juices
Pureed or tender-cooked vegetables
Tomato (without skin)
Avoid
All others
Miscellaneous Exchange List
Recommended
All soups without tough, fibrous meat or vegetables
Avoid
Alcoholic beverages
Note: Include 6-8 cups of fluids, such as water, per day.
References
Chicago Dietetic Association and the South Suburban Dietetic Association of Cook and Will counties. 1981. Manual of Clinical Dietetics. W. B. Saunders Co., Philadelphia.
Committee of Dietetics of the Mayo Clinic. 1971. Mayo Clinic Diet Manual, 4th ed. W. B. Saunders Co., Philadelphia. 67 pp.
Iowa Dietetics Association. 1984. Simplified Diet Manual: with Meal Patterns, 5th ed. Iowa State University Press; Ames, Iowa. 108 pp.
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