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[Music] patience was swallowing or chewing difficulties sometimes need their food to be prepared to particular textures to prevent the risk of choking or other types of harm although the need for food modification is most commonly associated with swallowing problems the medical term which is dis pager it may also be needed by others such as those that lost dentures that have had jaw surgery a physically frail or have impulsive eating patterns incidents have been reported to the NHS national reporting and learning system where patients have been harmed following confusion in the terminology used to describe the texture of food particularly where imprecise descriptions such as soft diet have been used these in precise terms are open to interpretation and their meaning can differ from person to person organization to organization putting patients at risk of being served food that is both in suitable and unsafe across a recent two-year period we identified seven reports of incidents where