Level 4
Extremely Thick / Pureed
Usually eaten with a spoon. Does not require chewing. Falls off spoon in a single spoonful when tilted.
Characteristics
- Cannot be drunk from a cup
- Cannot be sucked through a straw
- Does not require chewing
- Smooth with no lumps
- Not sticky
- Falls off spoon in a single spoonful when tilted
- Holds its shape on plate; does not spread flat
Testing Methods
Fork Drip Test
- Collect sample on fork
- Hold fork horizontally
- Tilt fork and observe
Pass Result: Sits above fork, does not flow through tines continuously
Spoon Tilt Test
- Place sample on spoon
- Tilt spoon to 45 degrees
- Observe behavior
Pass Result: Slides off in a cohesive mass; does not stick or leave significant residue
Food/Drink Examples
Smooth mashed potato (no lumps)Smooth fruit/vegetable pureesPureed meatsThick Greek yogurtSmooth hummus
Foods to Avoid
- -Foods with lumps, seeds, or skins
- -Coarsely mashed foods
- -Sticky foods like peanut butter
Recipes for Level 4
Savory Chicken Puree
Level 420 minutes2 servingsAmerican
lunchBeef with Gravy Puree
Level 425 minutes2 servingsAmerican
dinnerMaple Sweet Potato Puree
Level 430 minutes3 servingsAmerican
lunchHoney Glazed Carrot Puree
Level 425 minutes2 servingsAmerican
lunchGreen Bean Puree
Level 420 minutes2 servingsAmerican
dinnerCinnamon Banana Puree
Level 45 minutes1 servingsAmerican
breakfast