Texture modified diet - no mixed consistency

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 modified to exclude texture combinations.

Provides meals with an even consistency and no combinations of solid and liquid foods in the same dish.

May be ordered for patients with swallowing problems.

Nutritionally adequate. Nutritionally adequate diets can provide sufficient nutrition to patients without the need for supplementation.

This diet is usually ordered along with an appropriate texture diet, e.g. dysphagia soft and no mixed consistency.

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

Food types	Allowed	Examples of food items not allowed
Hot main dishes	All	-
Sauces, gravies	Allowed when served on main dishes	Sauces or gravies served in a separate jug
Starchy vegetables / pasta / rice	All	-
Vegetables	All	-
Soups	Pureed soups only	Other soups
Sandwiches	All	-
Salads, dressings	All	-
Breads, cereals	All bread Breakfast cereals softened with milk before service (e.g. Weet-Bix™), rolled oats, semolina	Dry breakfast cereals served with separate portion-control milk
Spreads	All	-
Hot breakfast choices	All	-
Fruit	Fresh fruit and dried fruit Canned fruit drained of juice	Any fruit with excess juice, e.g. tomatoes, grapes, oranges, watermelon Canned fruit in juice
Yoghurt	All
Desserts	All	-
Milk and cheese	All	-
Beverages	All	-
Biscuits	All	-
Miscellaneous	Salt, pepper, sugar, sweetener, cream, nuts	-

Dietitians Association of Australia and The Speech Pathology Association of Australia Ltd. Texture-modified foods and thickened fluids as used for individuals with dysphagia: Australian standardised labels and definition. Nutrition & Dietetics 2007;64 Suppl 2:S53-76

Change date	Section updated	Change
February 2025	Precautions	Added use of appropriate textured diet
	Menu planning guides	Removed 'small amounts' from allowed sauces Added fruit with excess to juice to not allowed fruits Updated yoghurt Updated table headings
	References	Removed Dietitians Association of Australia Nutrition manual
	General language	Updated to be consistent with ACI writing style guide