It is determined that Mrs. Washington's dysphagia is centered in the esophageal transit phase and she has reduced esophageal peristalsis. Which dysphagia diet level is appropriate to try with Mrs. Washington?
What will be an ideal response?
• Esophageal phase:
Epiglottis does not close normally.
Bolus remains in the esophagus.
Avoid sticky and dry foods.
Follow dense foods with liquids.
• Stage 2:
Ground/minced diet, but patient may be able to tolerate as high a level as Phase 4 since she has little difficulty with the oral stages of her diet.
She must be sure to follow dense foods with liquids to wash food through the esophagus.
Liquid type: Nectar-like
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