
Such errors have previously been associated with adverse events including choking and death. Alterations may lead to confusion and errors in diet texture or drink selection for patients with dysphagia. Derivative works extending beyond language translation are NOT PERMITTED.ĭo not alter the elements of the IDDSI framework.

© The International Dysphagia Diet Standardisation Initiative 2019 under the CreativeCommons Attribution Sharealike 4.0 License. Evidence on the benefits and risks of modifying food and fluids is mandatory to improve the care of people with dementia and dysphagia. However, diet modification can affect quality of life and may lead to dehydration and malnutrition. Seniors with dysphagia need liquid food thats thick. Modification of the consistency of food or fluids, or both, is a common management strategy. The IDDSI Framework and Descriptors are licensed under the CreativeCommons Attribution Sharealike 4.0 Licence. At this level, a patient can be reintroduced to tough or crunchy foods. IDDSI Framework and Detailed Level Definitions ( July 2019).IDDSI Testing Methods are intended to confirm the flow or textural characteristics of a particular product at the time of testing. Testing should be done on foods and drinks under the intended serving conditions (especially temperature).The clinician has the responsibility to make recommendations for foods or drinks for a particular patient based on their comprehensive clinical assessment.

Thin liquids like water, milk, tea, coffee, juice and others may need to be thickened to the Slightly Thick level. Some drinks may naturally be slightly thick (like some fruit nectars or milks). The IDDSI framework consists of a continuum of 8 levels (0 - 7), where drinks are measured from Levels 0 – 4, while foods are measured from Levels 3 – 7. The IDDSI Framework provides a common terminology to describe food textures and drink thickness. Slightly Thick liquids are thicker than water, but still thin enough to flow through a straw.
