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PUREED DIET

Description
The diet is soft in texture and mechanically nonirritating.  Foods prepared on the Pureed Diet follow the standards of the Morrison Classic Puree program: smooth and pudding-like.

Indications
The Pureed Diet is used for residents who have problems chewing and swallowing and residents who have esophageal inflammation or varices.

Nutritional Adequacy
The diet can be planned to meet the Dietary Reference Intakes as outlined in the Statement on Nutritional Adequacy.

How to Order the Diet
Order as “Pureed Diet.” 

Planning the Diet

FOOD GUIDE – PUREED DIET

FOOD GROUP

FOODS ALLOWED

FOODS EXCLUDED

Beverages and Milk

All smooth, as desired

Beverages with seeds, lumps, or pulp

 Cereals and Grains

All farina-type cooked cereals;
strained oatmeal  Pregelled or slurried
through the entire thickness: doughnuts,
pancakes, waffles, French toast, and bread
Pasta, rice, and dressing that are pureed to
smooth consistency
Regular soft bread if resident’s swallowing
ability permits

Coarse cooked cereal; dry cereals; cereals with seeds or nuts  
All other breads
Crackers

Vegetables and
Potatoes/Soups

Pureed or strained vegetables without
chunks or seeds; mashed white potatoes
All smooth cream soups or broth-type
soups with pureed or strained ingredients

Regular cooked or raw vegetables
Potato skins and chips
Fried or french-fried potatoes or vegetables
Regular soups with rice, corn, peas, or large chunks of meat and vegetables

Fruits and Juices

Applesauce, pureed fruits, well-mashed
bananas,
fruit juices

Regular canned, fresh, or frozen fruits; fruit juice with pulp

Meats, Meat
Substitutes, Entrees

Pureed or strained meats, poultry, or fish
Soufflés that are smooth and homogenous
Cottage cheese
Scrambled egg
Cheese sauce

Regular or chopped meats or casseroles
Cheese slices or cubes
Hard cooked egg
Peanut butter
Sandwiches
Pizza

Desserts

Custard, pudding, ice cream, sherbet,
gelatin, fruit whips
Cakes, cobblers, and pies pureed to a
smooth and moist consistency
Soft cookies and plain cakes, such as
vanilla wafers or sugar cookies, prepared
in a slurry
Smooth custard and pudding; plain or
custard-style yogurt

Regular cake, pie, cookies
Bread and rice pudding
Fruited yogurt

Fats

Butter, margarine, smooth gravy, cream
sauces, mayonnaise, salad dressings,
cream cheese, sour cream, whipped toppings

Fats with coarse or chunky additives

Miscellaneous

Sugar, jelly, honey, syrup
Ketchup, mustard, smooth sauces

Jams and preserves
Coarsely ground pepper and spices


SAMPLE MENU

Breakfast

Noon

Evening

Orange Juice
Cream of Wheat
Scrambled Egg
Biscuit with Slurry
Milk
Coffee
Sugar
Creamer

Classic Puree Chicken
Mashed Potatoes with Gravy
Classic Puree Carrots
Classic Puree Rosy Pears
Pudding
Tea
Sugar

Classic Puree Beef and Noodles
Classic Puree Green Beans
Tomato Juice
Classic Puree Peaches
Milk

Manual of Clinical Nutrition Management                                                     
Copyright © 2008 Morrison Management Specialists, Inc.
All rights reserved.