Appendix: Feeding Protocol

MHKC Feeding Protocol

Food Textures and Consistencies	Description
Regular	No change to food
Cut to size	1-inch pieces (width of fork) 1/2-inch pieces (width of a butter knife) 1/4-inch pieces (width of #2 pencil)
Ground	Moist, similar to the consistency of canned tuna fish, with chunks no larger than a grain of rice
Puree	Smooth, pudding-like consistency, with no chunks

Image of hot dog in four stages of preparation: whole, chopped, ground, and pureed.

Liquid Consistencies	Description
Thin liquid	Normal, no change, runs quickly through the prongs of a fork
Nectar thick	Lightly thickened, pours in a constant stream, similar to the consistency of a syrup
Honey thick	Pours slowly, sticks to the side of a cup, like cream
Pudding thick	Holds shape when scooped with a spoon

Line drawings of liquids in four stages of preparation: thin, nectar, honey, and pudding.