Fact sheetDiet specifications

Published on 1 Nov 2012


Soft diet < 5 years

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

Aim

To provide a diet of soft-textured foods that can be easily chewed, requiring minimal biting and is suitable for infants and children less than 5 years.

Characteristics

Texture A – soft. Foods in this category may be naturally soft (e.g. ripe banana), or cooked or cut up to alter texture. Minimal cutting should be required. Food should be easily broken up with a fork or able to be mashed in the mouth with the tongue against the palate. Harder-textured foods (e.g. meat, fibrous particles) need to be cut into particle size less than or equal to 0.8cm for infants and children under 5 years of age (due to tracheal size of < 5 years). 0.8cm is the particle size of the final product to be presented. Note, meat pieces may shrink during cooking.

Food should be moist or served with a sauce or gravy to increase moisture content.

Sandwiches need to be without crusts and cut into quarters.

This diet texture can be applied to any portion size and most therapeutic diets.

Indications

  • oral surgery
  • swallowing difficulties
  • poor dentition
  • painful mouth, gums or tongue (e.g. mouth ulcers, or following surgery of the mouth).

Nutritional adequacy

Nutritionally adequate, but may be low in dietary fibre. Patients ordered this diet should be monitored regularly to ensure adequate dietary intake.

Precautions

All foods to be naturally soft, minced or mashed, slightly firm but not tough or stringy, and without fat, gristle or bone. This diet is not necessarily a light diet (i.e. it can be spicy). All beverages, sauces and gravies must be thickened to the appropriate level for individuals also prescribed thickened fluids.

Please note: For children 5 years and over requiring a soft diet, the soft - dysphagia diet specification from the Therapeutic diet specifications for adult inpatients is appropriate.

For infants and children requiring minced and moist (texture B) use the minced and moist - dysphagia diet specification from the Therapeutic diet specifications for adult inpatients and combine with an age appropriate diet.

For infants and children requiring smooth puree (texture C) use the smooth puree - dysphagia diet specification from the Therapeutic diet specifications for adult inpatients and combine with an age appropriate diet.

Specific menu planning guidelines

Allowed Not allowed
Hot main dishes

Soft dishes that can be mashed with a fork (e.g. tuna/salmon mornay, soft macaroni cheese, flaked fish, cottage pie, tofu)

Soft dishes cut up (e.g. lasagne, smooth quiche with crumbly base, fish cakes, crêpes)

Roasts diced or minced, with gravy (< 0.8cm particle size)

Well-cooked legumes (e.g. baked beans)

Sliced roast meats or grills

Meat with gristle

Crumbed or fried fish

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

Casseroles with large pieces (e.g. curried prawns)

Dishes with crisp topping

Sauces, graviesAll-
Starchy vegetables/pasta/rice

Mashed and scalloped potato

Chopped pasta or well-cooked rice with plenty of sauce

Roast or baked (including cut up) jacket or boiled new potatoes

Rice or pasta (if dry)

Vegetables

Most if soft enough to mash with fork

Well-cooked, cut up and served in small pieces (≤ 0.8 x 0.8 cm)

Raw vegetables

Fibrous vegetables (e.g. corn, celery, broccoli stalks)

SoupsAll-
Sandwiches

Soft sandwiches with crusts removed and cut into quarters

Use moist fillings (e.g. diced or shaved chicken or ham, salmon, tuna, egg with mayonnaise)

Sandwiches with crusts or hard fillings

Bread with seeds or grains

Salads, dressingsNone-
Breads, cereals

Soft sliced bread (white or wholemeal) with crusts removed and cut into quarters with spread

Rolled oats, semolina, cold breakfast cereals moistened with milk, soft pancakes

Wholegrain and fruit breads and all bread rolls

Hard cereals that do not soften easily (e.g. toasted muesli)

Cereals with dried fruit, or seeds (e.g. Sultana Bran®, Just Right®)

SpreadsAll-
Hot breakfast choicesScrambled or poached eggs (chopped), baked beans, canned spaghetti, creamed cornAll others (e.g. fried egg, bacon, sausages)
Fruit

Soft canned fruit (e.g. pear halves, peaches, apricots, apple)

Soft bananas, well-ripened paw-paw, chopped soaked prunes

Other fresh fruit

Canned pineapple, stewed rhubarb

YoghurtAll yoghurt and Frûche® (including soft fruit)-
Desserts

Milk-based soft dessert (e.g. custards, mousses, cut up trifle, creamy rice, puddings)

Fruit crumble or plain cake with custard

Ice-cream

Jellied fruit with small fruit pieces (< 0.8 x 0.8cm)

Any with hard pastry

Dry cakes without custard

Milk and cheese

All milk

Cottage cheese, ricotta, camembert and soft cheddar (grated or soft cheese slices)

Hard cheeses

Crisp cooked cheese topping on hot dishes

BeveragesAll with a minimum amount of texture (pulp)-
BiscuitsEasily crumbled biscuits (e.g. shortbread, Milk Arrowroot™, Milk Coffee™)Hard biscuits and crackers (e.g. Anzac biscuits, Ginger Nut™ biscuits, rice crackers)
Miscellaneous

Fortified pudding supplements

Soft smooth chocolate

Nuts, seeds and coconut

Cake with dried fruit

Hard lollies

References

  1. Dietitians Association of Australia. 2009. Nutrition Manual 8th ed. Canberra: DAA.
  2. 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-S76.
  3. Litman RS, Weissend EE, Shibata D, Westesson P’L (2003). Developmental changes of laryngeal dimensions in unparalysed, sedated children. Anesthesiology, 98(1): 41-45.
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