Abstract
Directors of nursing in long term health care institutions were surveyed to investigate the use of texture modified diets and feeding practices among the institutionalized elderly. The role of the nursing staff in deciding and recommending the use of texture modified diets in the responding facilities is revealed. Respondents selected reasons for using either texture modified or pureed diets from a list of descriptions of physiological need, behavioral feeding problems and feeding convenience. Correlations between the use of texture modification of diet and feeding dependence are made. A comparison of the extent of use of pureed diets and the reasons for use were reexamined after responding institutions were grouped according to various demographic features and certain feeding practices.
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