Fact sheetDiet specifications

Published on 1 May 2015 ; Partial revision Apr 2022


Texture modified diet - minced and bread – dental

This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.

Aim

To provide a diet of minced foods, to minimise the need for chewing.

Characteristics

All foods are minced to an even texture, served moist and without big lumps (maximum 0.5cm pieces). Some soft foods (easily mashed with a fork) and soft bread can be included.

Indications

  • poor dentition or no dentures
  • painful mouth, gums or tongue (eg mouth ulcers, or following surgery of the mouth)

Nutritional adequacy

Nutritionally adequate.

Precautions

All foods to be minced or mashed, except bread and biscuits. Puree vegetables may be used to increase variety if minced vegetables cannot be safely prepared, but should be kept to a minimum.

Paediatrics

Suitable for use in paediatrics when combined with an age-appropriate diet.

Specific menu planning guidelines

Allowed Not allowed
Hot main dishes

Coarsely minced, tender meats or flaked fish with sauce

Casserole dishes may be processed or mashed to reduce particle size

Very soft egg dishes (e.g. scrambled eggs, soft frittata)

Well-cooked legumes, partially mashed or processed (e.g. baked beans)

Soft tofu, in small pieces

Sliced roasted meats or grills

Meat with gristle

Crumbed or fried fish

Dishes with pastry (e.g. spinach pie, quiche, pizza)

Casseroles with large pieces (e.g. curried prawns) or fibrous vegetable pieces (e.g. peas, onion)

Dishes with crisp topping

Sauces, gravies All -
Starchy vegetables / pasta / rice

Mashed potato

Small moist pieces of pasta or well-cooked rice
with plenty of sauce

Roasted or baked vegetables (including cut up)

Jacket or boiled new potatoes

Rice (if dry); rice that does not hold together

Crisp or dry pasta (e.g. edge of lasagne)

Vegetables

Tender cooked vegetables, easily mashed with a fork (e.g. carrots, sweet potato) or pureed vegetables

Cooked vegetable pieces >0.5cm

Raw vegetables

Other vegetables such as whole peas, corn kernels, celery and broccoli stalks

Soups All, except soups with large pieces Soup with large vegetable or pasta pieces (e.g. minestrone), unless pureed
Sandwiches

Soft options (e.g. grated or processed cheese,
finely diced or shaved chicken or ham, salmon, tuna, egg)

Roasted meats, salad

Salads, dressings None -
Breads, cereals

Soft sliced bread

Cooked breakfast cereals and ready-to-eat cereals that soften (e.g. Weet-Bix™)

Pikelets, Pancakes in maple syrup

Any with nuts, seeds or dried fruit

Bread rolls

Breakfast cereals not softened by soaking (e.g. toasted muesli)

Spreads All -
Hot breakfast choices

Scrambled or poached eggs (chopped), Baked beans (partially mashed and blended), Canned spaghetti (cut up), creamed corn

All others (e.g. fried egg, bacon, sausages)

Fruit

Mashed soft fresh fruits (e.g. bananas, mango,
pawpaw)

Finely diced or pureed canned or stewed fruit

Other fresh fruit

Dried fruit

Fruit pieces >0.5cm

Canned pineapple

Yoghurt

All yoghurt and yoghurt-like desserts (e.g. Fruche®) including those with soft fruit

-
Desserts

Most other desserts, e.g. milk-based desserts, soft moist cakes and puddings, ice-cream

Any desserts with hard pastry

Jellied fruit

Cakes with hard pieces (e.g. nuts or dried fruit)

Milk and cheese

All milk

Soft cheeses (e.g. cottage, brie), grated hard cheese

Ungrated hard cheeses
Beverages All -
Biscuits

Easily crumbled biscuits, e.g. shortbread, Milk Arrowroot™, Milk Coffee™

Hard biscuits and crackers (e.g. Anzac biscuits, Ginger Nut™)

Miscellaneous

Liquid or pudding Nutrition supplements

Cream, pepper, salt, sugar, sweetener

Very soft smooth chocolate

Nuts and seeds

References

  1. Agency for Clinical Innovation. Nutrition standards for adult inpatients in NSW hospitals. Sydney: ACI; 2011.
  2. Dietitians Association of Australia. Nutrition manual. 9th ed. Canberra: DAA; 2014.

Change log

April 2022

Section updatedChange
Breads, cereals In Allowed, added Pikelets, Pancakes in maple syrup
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