IDDSI - HOMERESOURCESFRAMEWORKFOOD TESTING METHODSFAQDRINK TESTING

METHODSABOUT US

The USTIRG have set up a number of committees to help move forward with IDDSI implementation in the USA and Territories. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. We

eat with our eyes.

IDDSI - IDDSI FRAMEWORKDRINK TESTING METHODSFOOD TESTING METHODS 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. IDDSI Testing Methods are intended to confirm the flow or textural characteristics of a IDDSI - PATIENT HANDOUTS IDDSI has created these handouts in consultation with clinicians and patients. The handouts can be used by people who have feeding, chewing or swallowing problems, their caregivers and clinicians. There are separate handouts that have been designed for adults, and handouts that have been designed for use with babies and children.

IDDSI - RESOURCES

The use of the IDDSI logo may mislead customers/audiences to perceive that products or materials are uniquely endorsed or certified by IDDSI. We are reserving the use of the IDDSI logo for official IDDSI materials and resources, so they can be easily identified. We very much appreciate everyone’s understanding and cooperation. REGULAR EASY TO CHEW EXAMPLES of Level 6 Soft & Bite-Sized Food for Babies and Children EXAMPLES of Level 7 Regular Easy to Chew food for Adults * Meat cooked until tender. If you cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break apart easily with the side of a fork or spoon * Fruit are soft enough to break apart into smaller

pieces

LEVEL 5 MINCED & MOIST FOOD FOR ADULTS EXAMPLES of Level 5 Minced & Moist Food for Adults * Meat served finely minced or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy * Fish served finely mashed or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy LEVEL 6 SOFT & BITE-SIZED FOR ADULTS EXAMPLES of Level 6 Soft & Bite-Sized Food for Adults * Meat cooked tender and chopped so pieces are no bigger than 1.5cmx1.5cm lump size. If cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break and serve in pieces no bigger than 1.5cmx1.5cm * Fruit soft and chopped to pieces no bigger than 1.5cmx1.5cm pieces (drain any excess liquid).

FLOW TEST - IDDSI

Level 4: Use IDDSI fork-drip or spoon-tilt tests instead. 10. ml. 8. ml. 4. ml. 1. ml. 10. Luer tip (central or eccentric or Luer-Lok) Length of 10ml scale = 61.5 mm LEVEL 7 REGULAR FOR ADULTS Title: Microsoft Word - 7_Regular_Adults_p1_consumer handout_30Jan2019.docx Created Date: 1/30/2019 12:39:55 AM LEVEL 4 PUREED FOOD FOR ADULTS Title: Microsoft Word - 4_Pureed_p2_Adults_food to AVOID page_consumer handout_30Jan2019.docx Created Date: 20190130003703Z IDDSI - HOMERESOURCESFRAMEWORKFOOD TESTING METHODSFAQDRINK TESTING

METHODSABOUT US

The USTIRG have set up a number of committees to help move forward with IDDSI implementation in the USA and Territories. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. We

eat with our eyes.

IDDSI - IDDSI FRAMEWORKDRINK TESTING METHODSFOOD TESTING METHODS 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. IDDSI Testing Methods are intended to confirm the flow or textural characteristics of a IDDSI - PATIENT HANDOUTS IDDSI has created these handouts in consultation with clinicians and patients. The handouts can be used by people who have feeding, chewing or swallowing problems, their caregivers and clinicians. There are separate handouts that have been designed for adults, and handouts that have been designed for use with babies and children.

IDDSI - RESOURCES

The use of the IDDSI logo may mislead customers/audiences to perceive that products or materials are uniquely endorsed or certified by IDDSI. We are reserving the use of the IDDSI logo for official IDDSI materials and resources, so they can be easily identified. We very much appreciate everyone’s understanding and cooperation. REGULAR EASY TO CHEW EXAMPLES of Level 6 Soft & Bite-Sized Food for Babies and Children EXAMPLES of Level 7 Regular Easy to Chew food for Adults * Meat cooked until tender. If you cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break apart easily with the side of a fork or spoon * Fruit are soft enough to break apart into smaller

pieces

LEVEL 5 MINCED & MOIST FOOD FOR ADULTS EXAMPLES of Level 5 Minced & Moist Food for Adults * Meat served finely minced or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy * Fish served finely mashed or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy LEVEL 6 SOFT & BITE-SIZED FOR ADULTS EXAMPLES of Level 6 Soft & Bite-Sized Food for Adults * Meat cooked tender and chopped so pieces are no bigger than 1.5cmx1.5cm lump size. If cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break and serve in pieces no bigger than 1.5cmx1.5cm * Fruit soft and chopped to pieces no bigger than 1.5cmx1.5cm pieces (drain any excess liquid).

FLOW TEST - IDDSI

Level 4: Use IDDSI fork-drip or spoon-tilt tests instead. 10. ml. 8. ml. 4. ml. 1. ml. 10. Luer tip (central or eccentric or Luer-Lok) Length of 10ml scale = 61.5 mm LEVEL 7 REGULAR FOR ADULTS Title: Microsoft Word - 7_Regular_Adults_p1_consumer handout_30Jan2019.docx Created Date: 1/30/2019 12:39:55 AM LEVEL 4 PUREED FOOD FOR ADULTS Title: Microsoft Word - 4_Pureed_p2_Adults_food to AVOID page_consumer handout_30Jan2019.docx Created Date: 20190130003703Z IDDSI - IDDSI FRAMEWORK 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. IDDSI Testing Methods are intended to confirm the flow or textural characteristics of a IDDSI - FRAMEWORK DOCUMENTS Framework Documents. IDDSI Framework and Detailed Level Definitions - English (pdf, July 2019) IDDSI Testing Method - English (pdf, July 2019) IDDSI Framework Pyramid - with headline (pdf, July 2020) IDDSI Framework Pyramid - no headline (pdf, July 2020) IDDSI - BOARD AND STAFF IDDSI Board of Directors and Staff The IDDSI Board of Directors is group of volunteers from diverse professions including nutrition & dietetics, medicine, speech pathology, occupational therapy, nursing, patient safety, engineering, food science & technology from around the world who came together to develop international standardised terminology and definitions for texture modified foods and IDDSI - FULL NUTRITION CARE MANUAL (NCM)® TRANSITION TO It is imperative that all healthcare providers globally implement IDDSI, both to ensure patient safety and to maintain current standards of practice. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. The National Dysphagia Diet

(NDD) and

WHAT IS IDDSI?

August 2019 . What is IDDSI? International Dysphagia Diet Standardisation Initiative . The International Dysphagia Diet Standardisation Initiative (IDDSI)

IDDSI - AUDIT TOOLS

IDDSI 4 Breiig Püriert (Jan 2021) IDDSI 4 Extrem Dickflüssig (Jan 2021) IDDSI 5 Zerkleinert & Durchfeuchtet (Jan 2021) IDDSI 6 Weich & Mundgerecht (Jan 2021) IDDSI 7EC Leicht zu IDDSI DRINKS / LIQUIDS DRINKS/LIQUIDS CLASSIFICATION AND TESTING ADULT & PEDIATRIC IDDSI International Dysphagia Diet Standardisation Initiative © IDDSI 2019 www.iddsi.org FLOW TEST ABOUT THE IDDSI CONSUMER HANDOUTS CONSUMER HANDOUTS FOR About the IDDSI Consumer Handouts IDDSI has created these handouts in consultation with clinicians and patients. The handouts can be used by people who have feeding, chewing or swallowing problems, their caregivers and clinicians. MAPPING BRACCO’S VARIBAR® BARIUM PRODUCTS TO THE IDDSI Mean Standard Deviation Thin 40% 0.0 0.0 Level 0 - Thin Nectar 40% 4.9 0.4 Level 2 - Mildly-thick Thin Honey 40% 9.8 0.0 Level 3 -

Moderately-thick

IDDSI 5 ORANGE MINCED AND MOIST 1 IDDSI Minced and Moist 5 What is minced and moist food? Food is soft and moist, it needs very little chewing. Small bite-sized pieces. 4mm

by 4mm.

IDDSI - HOMERESOURCESFRAMEWORKFOOD TESTING METHODSFAQDRINK TESTING

METHODSABOUT US

The USTIRG have set up a number of committees to help move forward with IDDSI implementation in the USA and Territories. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. We

eat with our eyes.

IDDSI - IDDSI FRAMEWORKDRINK TESTING METHODSFOOD TESTING METHODS 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. IDDSI Testing Methods are intended to confirm the flow or textural characteristics of a IDDSI - PATIENT HANDOUTS IDDSI has created these handouts in consultation with clinicians and patients. The handouts can be used by people who have feeding, chewing or swallowing problems, their caregivers and clinicians. There are separate handouts that have been designed for adults, and handouts that have been designed for use with babies and children.

IDDSI - RESOURCES

The use of the IDDSI logo may mislead customers/audiences to perceive that products or materials are uniquely endorsed or certified by IDDSI. We are reserving the use of the IDDSI logo for official IDDSI materials and resources, so they can be easily identified. We very much appreciate everyone’s understanding and cooperation. LEVEL 5 MINCED & MOIST FOOD FOR ADULTS EXAMPLES of Level 5 Minced & Moist Food for Adults * Meat served finely minced or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy * Fish served finely mashed or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy REGULAR EASY TO CHEW EXAMPLES of Level 6 Soft & Bite-Sized Food for Babies and Children EXAMPLES of Level 7 Regular Easy to Chew food for Adults * Meat cooked until tender. If you cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break apart easily with the side of a fork or spoon * Fruit are soft enough to break apart into smaller

pieces

IDDSI - HOMERESOURCESFRAMEWORKFOOD TESTING METHODSFAQDRINK TESTING

METHODSABOUT US

The USTIRG have set up a number of committees to help move forward with IDDSI implementation in the USA and Territories. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. We

eat with our eyes.

IDDSI - IDDSI FRAMEWORKDRINK TESTING METHODSFOOD TESTING METHODS 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. IDDSI Testing Methods are intended to confirm the flow or textural characteristics of a IDDSI - PATIENT HANDOUTS IDDSI has created these handouts in consultation with clinicians and patients. The handouts can be used by people who have feeding, chewing or swallowing problems, their caregivers and clinicians. There are separate handouts that have been designed for adults, and handouts that have been designed for use with babies and children.

IDDSI - RESOURCES

The use of the IDDSI logo may mislead customers/audiences to perceive that products or materials are uniquely endorsed or certified by IDDSI. We are reserving the use of the IDDSI logo for official IDDSI materials and resources, so they can be easily identified. We very much appreciate everyone’s understanding and cooperation. LEVEL 5 MINCED & MOIST FOOD FOR ADULTS EXAMPLES of Level 5 Minced & Moist Food for Adults * Meat served finely minced or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy * Fish served finely mashed or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy REGULAR EASY TO CHEW EXAMPLES of Level 6 Soft & Bite-Sized Food for Babies and Children EXAMPLES of Level 7 Regular Easy to Chew food for Adults * Meat cooked until tender. If you cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break apart easily with the side of a fork or spoon * Fruit are soft enough to break apart into smaller

pieces

IDDSI - INTRODUCTION TO IDDSI You can find our complete video library in English and other languages on the official IDDSI YouTube channel. Introduction to IDDSI (101) - English. Introduction to IDDSI - Arabic. Introduction to IDDSI - Cantonese. Introduction to IDDSI - French (Canada) Introduction to

IDDSI - German.

IDDSI - BOARD AND STAFF IDDSI Board of Directors and Staff The IDDSI Board of Directors is group of volunteers from diverse professions including nutrition & dietetics, medicine, speech pathology, occupational therapy, nursing, patient safety, engineering, food science & technology from around the world who came together to develop international standardised terminology and definitions for texture modified foods and IDDSI - FULL NUTRITION CARE MANUAL (NCM)® TRANSITION TO It is imperative that all healthcare providers globally implement IDDSI, both to ensure patient safety and to maintain current standards of practice. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. The National Dysphagia Diet

(NDD) and

WHAT IS IDDSI?

August 2019 . What is IDDSI? International Dysphagia Diet Standardisation Initiative . The International Dysphagia Diet Standardisation Initiative (IDDSI)

IDDSI - AUDIT TOOLS

IDDSI 4 Breiig Püriert (Jan 2021) IDDSI 4 Extrem Dickflüssig (Jan 2021) IDDSI 5 Zerkleinert & Durchfeuchtet (Jan 2021) IDDSI 6 Weich & Mundgerecht (Jan 2021) IDDSI 7EC Leicht zu LEVEL 7 REGULAR FOR ADULTS Title: Microsoft Word - 7_Regular_Adults_p1_consumer handout_30Jan2019.docx Created Date: 1/30/2019 12:39:55 AM

IDDSI.ORGWEB VIEW

On a patient-by-patient basis, SLP may request physician order for evaluation of client considering the following diagnoses as support for re-evaluation in the context of heightened risk for developing complications from aspiration: COPD with or without exacerbation, post-COVID, neurological disease, change in medications, use of antipsychotics, change in ability to independently feed OR to WWW.IDDSI.ORGWEB VIEW What's Up With IDDSI & NDD: Full Disclosure! LET’S DISCUSS SIMILARITIES & WHAT HAS CHANGED. Mapping 101: Compare NDD or your diet definitions to → IDDSI. DIAGRAMME ET DESCRIPTIONS DÉTAILLÉES DE L’IDDSI Les outils de l’IDDSI sont sous licence Creative Commons Attribution-Partage dans les mêmes conditions 4.0 Licence Internationale https://creativecommons.org MAPPING BRACCO’S VARIBAR® BARIUM PRODUCTS TO THE IDDSI Mean Standard Deviation Thin 40% 0.0 0.0 Level 0 - Thin Nectar 40% 4.9 0.4 Level 2 - Mildly-thick Thin Honey 40% 9.8 0.0 Level 3 -

Moderately-thick

IDDSI - HOMERESOURCESFRAMEWORKFOOD TESTING METHODSFAQDRINK TESTING

METHODSABOUT US

The USTIRG have set up a number of committees to help move forward with IDDSI implementation in the USA and Territories. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. We

eat with our eyes.

IDDSI - IDDSI FRAMEWORKDRINK TESTING METHODSFOOD TESTING METHODS 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. IDDSI Testing Methods are intended to confirm the flow or textural characteristics of a IDDSI - PATIENT HANDOUTS IDDSI has created these handouts in consultation with clinicians and patients. The handouts can be used by people who have feeding, chewing or swallowing problems, their caregivers and clinicians. There are separate handouts that have been designed for adults, and handouts that have been designed for use with babies and children.

FLOW TEST - IDDSI

Level 4: Use IDDSI fork-drip or spoon-tilt tests instead. 10. ml. 8. ml. 4. ml. 1. ml. 10. Luer tip (central or eccentric or Luer-Lok) Length of 10ml scale = 61.5 mm REGULAR EASY TO CHEW EXAMPLES of Level 6 Soft & Bite-Sized Food for Babies and Children EXAMPLES of Level 7 Regular Easy to Chew food for Adults * Meat cooked until tender. If you cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break apart easily with the side of a fork or spoon * Fruit are soft enough to break apart into smaller

pieces

LEVEL 6 SOFT & BITE-SIZED FOR ADULTS EXAMPLES of Level 6 Soft & Bite-Sized Food for Adults * Meat cooked tender and chopped so pieces are no bigger than 1.5cmx1.5cm lump size. If cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break and serve in pieces no bigger than 1.5cmx1.5cm * Fruit soft and chopped to pieces no bigger than 1.5cmx1.5cm pieces (drain any excess liquid). LEVEL 7 REGULAR FOR ADULTS Title: Microsoft Word - 7_Regular_Adults_p1_consumer handout_30Jan2019.docx Created Date: 1/30/2019 12:39:55 AM LEVEL 4 PUREED FOOD FOR ADULTS Title: Microsoft Word - 4_Pureed_p2_Adults_food to AVOID page_consumer handout_30Jan2019.docx Created Date: 20190130003703Z LEVEL 5 MINCED & MOIST FOOD FOR BABIES AND CHILDREN EXAMPLES of Level 5 Minced & Moist Food for Babies and Children * Meat served finely minced or chopped to 2mm lump size served in a thick, smooth, non-pouring sauce or gravy * Fish served finely mashed or chopped to 2mm lump size served in a thick, smooth, non-pouring sauce

or gravy

MY EATING AND DRINKING MATTERS TM If you have concerns with any of the above please seek advice from my Speech and Language Therapy team Back to basics: care for people who have difficulties with eating and drinking IDDSI - HOMERESOURCESFRAMEWORKFOOD TESTING METHODSFAQDRINK TESTING

METHODSABOUT US

The USTIRG have set up a number of committees to help move forward with IDDSI implementation in the USA and Territories. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. We

eat with our eyes.

IDDSI - IDDSI FRAMEWORKDRINK TESTING METHODSFOOD TESTING METHODS 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. IDDSI Testing Methods are intended to confirm the flow or textural characteristics of a IDDSI - PATIENT HANDOUTS IDDSI has created these handouts in consultation with clinicians and patients. The handouts can be used by people who have feeding, chewing or swallowing problems, their caregivers and clinicians. There are separate handouts that have been designed for adults, and handouts that have been designed for use with babies and children.

FLOW TEST - IDDSI

Level 4: Use IDDSI fork-drip or spoon-tilt tests instead. 10. ml. 8. ml. 4. ml. 1. ml. 10. Luer tip (central or eccentric or Luer-Lok) Length of 10ml scale = 61.5 mm REGULAR EASY TO CHEW EXAMPLES of Level 6 Soft & Bite-Sized Food for Babies and Children EXAMPLES of Level 7 Regular Easy to Chew food for Adults * Meat cooked until tender. If you cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break apart easily with the side of a fork or spoon * Fruit are soft enough to break apart into smaller

pieces

LEVEL 6 SOFT & BITE-SIZED FOR ADULTS EXAMPLES of Level 6 Soft & Bite-Sized Food for Adults * Meat cooked tender and chopped so pieces are no bigger than 1.5cmx1.5cm lump size. If cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break and serve in pieces no bigger than 1.5cmx1.5cm * Fruit soft and chopped to pieces no bigger than 1.5cmx1.5cm pieces (drain any excess liquid). LEVEL 7 REGULAR FOR ADULTS Title: Microsoft Word - 7_Regular_Adults_p1_consumer handout_30Jan2019.docx Created Date: 1/30/2019 12:39:55 AM LEVEL 4 PUREED FOOD FOR ADULTS Title: Microsoft Word - 4_Pureed_p2_Adults_food to AVOID page_consumer handout_30Jan2019.docx Created Date: 20190130003703Z LEVEL 5 MINCED & MOIST FOOD FOR BABIES AND CHILDREN EXAMPLES of Level 5 Minced & Moist Food for Babies and Children * Meat served finely minced or chopped to 2mm lump size served in a thick, smooth, non-pouring sauce or gravy * Fish served finely mashed or chopped to 2mm lump size served in a thick, smooth, non-pouring sauce

or gravy

MY EATING AND DRINKING MATTERS TM If you have concerns with any of the above please seek advice from my Speech and Language Therapy team Back to basics: care for people who have difficulties with eating and drinking

IDDSI - RESOURCES

The use of the IDDSI logo may mislead customers/audiences to perceive that products or materials are uniquely endorsed or certified by IDDSI. We are reserving the use of the IDDSI logo for official IDDSI materials and resources, so they can be easily identified. We very much appreciate everyone’s understanding and cooperation. IDDSI - BOARD AND STAFF IDDSI Board of Directors and Staff The IDDSI Board of Directors is group of volunteers from diverse professions including nutrition & dietetics, medicine, speech pathology, occupational therapy, nursing, patient safety, engineering, food science & technology from around the world who came together to develop international standardised terminology and definitions for texture modified foods and IDDSI - FULL NUTRITION CARE MANUAL (NCM)® TRANSITION TO It is imperative that all healthcare providers globally implement IDDSI, both to ensure patient safety and to maintain current standards of practice. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. The National Dysphagia Diet

(NDD) and

IDDSI - AUDIT TOOLS

IDDSI 4 Breiig Püriert (Jan 2021) IDDSI 4 Extrem Dickflüssig (Jan 2021) IDDSI 5 Zerkleinert & Durchfeuchtet (Jan 2021) IDDSI 6 Weich & Mundgerecht (Jan 2021) IDDSI 7EC Leicht zu

IDDSI IDDSI COLOURS

R 0 G 0 B 0 R 0 G 103 B 178 R 255 G 102 B 0 R 117 G 182 B 67 R 255 G 255 B 40 R 234 G 78 B 150 R 102 G 102 B 102 R 255 G 255 B 255 Black Blue Orange Green Yellow Pink Grey White C 0 M 0 Y 0 K 100 IDDSI CMYK RGB PANTONE Number and colour in words For screen application Digital / Web For print applications For specialist USE OF LEVEL 3 LIQUIDISED FOOD FOR ADULTS Use of Level 3 Liquidised Food for Adults What is this thickness level? Level 3 – Liquidised Food: ü Can be eaten with a spoon or

drunk from a cup

WWW.IDDSI.ORGWEB VIEW What's Up With IDDSI & NDD: Full Disclosure! LET’S DISCUSS SIMILARITIES & WHAT HAS CHANGED. Mapping 101: Compare NDD or your diet definitions to → IDDSI. WWW.IDDSI.ORGWEB VIEW How is IDDSI solving safety issues? A specific focus on mixed consistency foods & bread. Mixed consistency foods. were not a main focus within NDD, although it did mention “consider assessing tolerance for mixed consistency foods.”

WWW.IDDSI.ORG

www.iddsi.org

MY EATING AND DRINKING MATTERS TM If you have concerns with any of the above please seek advice from my Speech and Language Therapy team Back to basics: care for people who have difficulties with eating and drinking IDDSI - HOMERESOURCESFRAMEWORKFOOD TESTING METHODSFAQDRINK TESTING

METHODSABOUT US

The USTIRG have set up a number of committees to help move forward with IDDSI implementation in the USA and Territories. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. We

eat with our eyes.

IDDSI - IDDSI FRAMEWORKDRINK TESTING METHODSFOOD TESTING METHODS 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. IDDSI Testing Methods are intended to confirm the flow or textural characteristics of a IDDSI - PATIENT HANDOUTS IDDSI has created these handouts in consultation with clinicians and patients. The handouts can be used by people who have feeding, chewing or swallowing problems, their caregivers and clinicians. There are separate handouts that have been designed for adults, and handouts that have been designed for use with babies and children.

FLOW TEST - IDDSI

Level 4: Use IDDSI fork-drip or spoon-tilt tests instead. 10. ml. 8. ml. 4. ml. 1. ml. 10. Luer tip (central or eccentric or Luer-Lok) Length of 10ml scale = 61.5 mm REGULAR EASY TO CHEW EXAMPLES of Level 6 Soft & Bite-Sized Food for Babies and Children EXAMPLES of Level 7 Regular Easy to Chew food for Adults * Meat cooked until tender. If you cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break apart easily with the side of a fork or spoon * Fruit are soft enough to break apart into smaller

pieces

LEVEL 6 SOFT & BITE-SIZED FOR ADULTS EXAMPLES of Level 6 Soft & Bite-Sized Food for Adults * Meat cooked tender and chopped so pieces are no bigger than 1.5cmx1.5cm lump size. If cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break and serve in pieces no bigger than 1.5cmx1.5cm * Fruit soft and chopped to pieces no bigger than 1.5cmx1.5cm pieces (drain any excess liquid). LEVEL 7 REGULAR FOR ADULTS Title: Microsoft Word - 7_Regular_Adults_p1_consumer handout_30Jan2019.docx Created Date: 1/30/2019 12:39:55 AM LEVEL 4 PUREED FOOD FOR ADULTS Title: Microsoft Word - 4_Pureed_p2_Adults_food to AVOID page_consumer handout_30Jan2019.docx Created Date: 20190130003703Z LEVEL 5 MINCED & MOIST FOOD FOR BABIES AND CHILDREN EXAMPLES of Level 5 Minced & Moist Food for Babies and Children * Meat served finely minced or chopped to 2mm lump size served in a thick, smooth, non-pouring sauce or gravy * Fish served finely mashed or chopped to 2mm lump size served in a thick, smooth, non-pouring sauce

or gravy

MY EATING AND DRINKING MATTERS TM If you have concerns with any of the above please seek advice from my Speech and Language Therapy team Back to basics: care for people who have difficulties with eating and drinking IDDSI - HOMERESOURCESFRAMEWORKFOOD TESTING METHODSFAQDRINK TESTING

METHODSABOUT US

The USTIRG have set up a number of committees to help move forward with IDDSI implementation in the USA and Territories. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. We

eat with our eyes.

IDDSI - IDDSI FRAMEWORKDRINK TESTING METHODSFOOD TESTING METHODS 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. IDDSI Testing Methods are intended to confirm the flow or textural characteristics of a IDDSI - PATIENT HANDOUTS IDDSI has created these handouts in consultation with clinicians and patients. The handouts can be used by people who have feeding, chewing or swallowing problems, their caregivers and clinicians. There are separate handouts that have been designed for adults, and handouts that have been designed for use with babies and children.

FLOW TEST - IDDSI

Level 4: Use IDDSI fork-drip or spoon-tilt tests instead. 10. ml. 8. ml. 4. ml. 1. ml. 10. Luer tip (central or eccentric or Luer-Lok) Length of 10ml scale = 61.5 mm REGULAR EASY TO CHEW EXAMPLES of Level 6 Soft & Bite-Sized Food for Babies and Children EXAMPLES of Level 7 Regular Easy to Chew food for Adults * Meat cooked until tender. If you cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break apart easily with the side of a fork or spoon * Fruit are soft enough to break apart into smaller

pieces

LEVEL 6 SOFT & BITE-SIZED FOR ADULTS EXAMPLES of Level 6 Soft & Bite-Sized Food for Adults * Meat cooked tender and chopped so pieces are no bigger than 1.5cmx1.5cm lump size. If cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break and serve in pieces no bigger than 1.5cmx1.5cm * Fruit soft and chopped to pieces no bigger than 1.5cmx1.5cm pieces (drain any excess liquid). LEVEL 7 REGULAR FOR ADULTS Title: Microsoft Word - 7_Regular_Adults_p1_consumer handout_30Jan2019.docx Created Date: 1/30/2019 12:39:55 AM LEVEL 4 PUREED FOOD FOR ADULTS Title: Microsoft Word - 4_Pureed_p2_Adults_food to AVOID page_consumer handout_30Jan2019.docx Created Date: 20190130003703Z LEVEL 5 MINCED & MOIST FOOD FOR BABIES AND CHILDREN EXAMPLES of Level 5 Minced & Moist Food for Babies and Children * Meat served finely minced or chopped to 2mm lump size served in a thick, smooth, non-pouring sauce or gravy * Fish served finely mashed or chopped to 2mm lump size served in a thick, smooth, non-pouring sauce

or gravy

MY EATING AND DRINKING MATTERS TM If you have concerns with any of the above please seek advice from my Speech and Language Therapy team Back to basics: care for people who have difficulties with eating and drinking

IDDSI - RESOURCES

The use of the IDDSI logo may mislead customers/audiences to perceive that products or materials are uniquely endorsed or certified by IDDSI. We are reserving the use of the IDDSI logo for official IDDSI materials and resources, so they can be easily identified. We very much appreciate everyone’s understanding and cooperation. IDDSI - BOARD AND STAFF IDDSI Board of Directors and Staff The IDDSI Board of Directors is group of volunteers from diverse professions including nutrition & dietetics, medicine, speech pathology, occupational therapy, nursing, patient safety, engineering, food science & technology from around the world who came together to develop international standardised terminology and definitions for texture modified foods and IDDSI - FULL NUTRITION CARE MANUAL (NCM)® TRANSITION TO It is imperative that all healthcare providers globally implement IDDSI, both to ensure patient safety and to maintain current standards of practice. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. The National Dysphagia Diet

(NDD) and

IDDSI - AUDIT TOOLS

IDDSI 4 Breiig Püriert (Jan 2021) IDDSI 4 Extrem Dickflüssig (Jan 2021) IDDSI 5 Zerkleinert & Durchfeuchtet (Jan 2021) IDDSI 6 Weich & Mundgerecht (Jan 2021) IDDSI 7EC Leicht zu

IDDSI IDDSI COLOURS

R 0 G 0 B 0 R 0 G 103 B 178 R 255 G 102 B 0 R 117 G 182 B 67 R 255 G 255 B 40 R 234 G 78 B 150 R 102 G 102 B 102 R 255 G 255 B 255 Black Blue Orange Green Yellow Pink Grey White C 0 M 0 Y 0 K 100 IDDSI CMYK RGB PANTONE Number and colour in words For screen application Digital / Web For print applications For specialist USE OF LEVEL 3 LIQUIDISED FOOD FOR ADULTS Use of Level 3 Liquidised Food for Adults What is this thickness level? Level 3 – Liquidised Food: ü Can be eaten with a spoon or

drunk from a cup

WWW.IDDSI.ORGWEB VIEW What's Up With IDDSI & NDD: Full Disclosure! LET’S DISCUSS SIMILARITIES & WHAT HAS CHANGED. Mapping 101: Compare NDD or your diet definitions to → IDDSI. WWW.IDDSI.ORGWEB VIEW How is IDDSI solving safety issues? A specific focus on mixed consistency foods & bread. Mixed consistency foods. were not a main focus within NDD, although it did mention “consider assessing tolerance for mixed consistency foods.”

WWW.IDDSI.ORG

www.iddsi.org

MY EATING AND DRINKING MATTERS TM If you have concerns with any of the above please seek advice from my Speech and Language Therapy team Back to basics: care for people who have difficulties with eating and drinking IDDSI - HOMERESOURCESFRAMEWORKFOOD TESTING METHODSFAQDRINK TESTING

METHODSABOUT US

The USTIRG have set up a number of committees to help move forward with IDDSI implementation in the USA and Territories. The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. We

eat with our eyes.

IDDSI - IDDSI FRAMEWORKDRINK TESTING METHODSFOOD TESTING METHODS 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. IDDSI Testing Methods are intended to confirm the flow or textural characteristics of a IDDSI - PATIENT HANDOUTS IDDSI has created these handouts in consultation with clinicians and patients. The handouts can be used by people who have feeding, chewing or swallowing problems, their caregivers and clinicians. There are separate handouts that have been designed for adults, and handouts that have been designed for use with babies and children.

IDDSI - RESOURCES

The use of the IDDSI logo may mislead customers/audiences to perceive that products or materials are uniquely endorsed or certified by IDDSI. We are reserving the use of the IDDSI logo for official IDDSI materials and resources, so they can be easily identified. We very much appreciate everyone’s understanding and cooperation.

FLOW TEST - IDDSI

Level 4: Use IDDSI fork-drip or spoon-tilt tests instead. 10. ml. 8. ml. 4. ml. 1. ml. 10. Luer tip (central or eccentric or Luer-Lok) Length of 10ml scale = 61.5 mm REGULAR EASY TO CHEW EXAMPLES of Level 6 Soft & Bite-Sized Food for Babies and Children EXAMPLES of Level 7 Regular Easy to Chew food for Adults * Meat cooked until tender. If you cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break apart easily with the side of a fork or spoon * Fruit are soft enough to break apart into smaller

pieces

LEVEL 7 REGULAR FOR ADULTS Title: Microsoft Word - 7_Regular_Adults_p1_consumer handout_30Jan2019.docx Created Date: 1/30/2019 12:39:55 AM LEVEL 6 SOFT & BITE-SIZED FOR ADULTS EXAMPLES of Level 6 Soft & Bite-Sized Food for Adults * Meat cooked tender and chopped so pieces are no bigger than 1.5cmx1.5cm lump size. If cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break and serve in pieces no bigger than 1.5cmx1.5cm * Fruit soft and chopped to pieces no bigger than 1.5cmx1.5cm pieces (drain any excess liquid). LEVEL 5 MINCED & MOIST FOOD FOR ADULTS EXAMPLES of Level 5 Minced & Moist Food for Adults * Meat served finely minced or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy * Fish served finely mashed or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy LEVEL 4 PUREED FOOD FOR ADULTS Title: Microsoft Word - 4_Pureed_p2_Adults_food to AVOID page_consumer handout_30Jan2019.docx Created Date: 20190130003703Z IDDSI - HOMERESOURCESFRAMEWORKFOOD TESTING METHODSFAQDRINK TESTING

METHODSABOUT US

IDDSI would like to acknowledge the support of our Sponsors.Their generosity allows us to work on implementation around the world and ensures that IDDSI resources continue to be free and for public use. IDDSI - IDDSI FRAMEWORKDRINK TESTING METHODSFOOD TESTING METHODS The IDDSI Framework 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. IDDSI - PATIENT HANDOUTS Supplementary Notice Do not alter the elements of the IDDSI Framework. Alterations may lead to confusion and errors in diet texture or drink selection for patients with dysphagia.

IDDSI - RESOURCES

Supplementary Notice Do not alter the elements of the IDDSI Framework. Alterations may lead to confusion and errors in diet texture or drink selection for patients with dysphagia.

FLOW TEST - IDDSI

Level 4: Use IDDSI fork-drip or spoon-tilt tests instead. 10. ml. 8. ml. 4. ml. 1. ml. 10. Luer tip (central or eccentric or Luer-Lok) Length of 10ml scale = 61.5 mm REGULAR EASY TO CHEW EXAMPLES of Level 6 Soft & Bite-Sized Food for Babies and Children EXAMPLES of Level 7 Regular Easy to Chew food for Adults * Meat cooked until tender. If you cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break apart easily with the side of a fork or spoon * Fruit are soft enough to break apart into smaller

pieces

LEVEL 6 SOFT & BITE-SIZED FOR ADULTS EXAMPLES of Level 6 Soft & Bite-Sized Food for Adults * Meat cooked tender and chopped so pieces are no bigger than 1.5cmx1.5cm lump size. If cannot serve soft and tender, serve as Minced and Moist * Fish cooked soft enough to break and serve in pieces no bigger than 1.5cmx1.5cm * Fruit soft and chopped to pieces no bigger than 1.5cmx1.5cm pieces (drain any excess liquid). LEVEL 7 REGULAR FOR ADULTS Title: Microsoft Word - 7_Regular_Adults_p1_consumer handout_30Jan2019.docx Created Date: 1/30/2019 12:39:55 AM LEVEL 5 MINCED & MOIST FOOD FOR ADULTS EXAMPLES of Level 5 Minced & Moist Food for Adults * Meat served finely minced or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy * Fish served finely mashed or chopped to 4mm lump size served in a thick, smooth, non-pouring sauce or gravy LEVEL 4 PUREED FOOD FOR ADULTS Title: Microsoft Word - 4_Pureed_p2_Adults_food to AVOID page_consumer handout_30Jan2019.docx Created Date: 20190130003703Z IDDSI - BOARD AND STAFF IDDSI Board of Directors and Staff The IDDSI Board of Directors is group of volunteers from diverse professions including nutrition & dietetics, medicine, speech pathology, occupational therapy, nursing, patient safety, engineering, food science & technology from around the world who came together to develop international standardised terminology and definitions for texture modified foods and IDDSI - FRAMEWORK DOCUMENTS Framework Documents. IDDSI Framework and Detailed Level Definitions - English (pdf, July 2019) IDDSI Testing Method - English (pdf, July 2019) IDDSI Framework Pyramid - with headline (pdf, July 2020) IDDSI Framework Pyramid - no headline (pdf, July 2020) IDDSI - IMPLEMENTATION IDDSI Adoption and Implementation is happening on a global scale. In order to facilitate and guide the process, we’ve developed Implementation Guides and free Resources for you to download and use at your convenience. IDDSI - IDDSI TESTING METHODS 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 IDDSI systematic review suggested that liquids and food should be classified in the context of

the

LEVEL 7 REGULAR FOR ADULTS Title: Microsoft Word - 7_Regular_Adults_p1_consumer handout_30Jan2019.docx Created Date: 1/30/2019 12:39:55 AM

IDDSI - FAQ

FAQ. Find answers to frequently asked questions that the IDDSI Board have answered. Please choose a category from the left-hand navigation or use the search function. WWW.IDDSI.ORGWEB VIEW What's Up With IDDSI & NDD: Full Disclosure! LET’S DISCUSS SIMILARITIES & WHAT HAS CHANGED. Mapping 101: Compare NDD or your diet definitions to → IDDSI. WWW.IDDSI.ORGWEB VIEW How is IDDSI solving safety issues? A specific focus on mixed consistency foods & bread. Mixed consistency foods. were not a main focus within NDD, although it did mention “consider assessing tolerance for mixed consistency foods.” MY EATING AND DRINKING MATTERS TM If you have concerns with any of the above please seek advice from my Speech and Language Therapy team Back to basics: care for people who have difficulties with eating and drinking

WWW.IDDSI.ORG

www.iddsi.org

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A GLOBAL INITIATIVE TO IMPROVE THE LIVES OF OVER 590 MILLION PEOPLE WORLDWIDE LIVING WITH DYSPHAGIA.

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UPCOMING EVENTS

May 29, 2021

Webinar: The Science Behind IDDSI Testing Methods June 3 at 6:00 PM London, UK Time

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May 29, 2021

WEBINAR: IDDSI 101: Introduction July 6 at 11:00 AM Auckland, NZ Time Read More

May 29, 2021

Webinar: IDDSI 102: Testing Methods July 20 at 11:00 AM Auckland, NZ Time Read More CHOOSE A COUNTRY OR REGION:

     

  

      

     

     

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The IDDSI Framework

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IDDSI Resources

Explore our free resources for patients and industry.

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IDDSI Implementation IDDSI Adoption and Implementation is happening at a global scale.

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Frequently Asked Questions We answer common questions about IDDSI, Testing and Implementation.

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WHAT'S NEW?

May 28, 2021

Diagnosis and Management of Swallowing Physiology: Standardized Contrast, the MBSImP™, & the IDDSI Framework Catriona M. Steele, PhD, Bonnie Martin-Harris, PhD, Memorie Gosa, PhD, Stephanie Edwards Allen, BSRT, MBA, in a publication commissioned by Bracco Diagnostics, Inc., examines patient evaluation using Standardized Contrast, the MBSImP™, ... Read More

March 29, 2021

Introducing the US & Territories IDDSI Reference Group Committees The USTIRG have set up a number of committees to help move forward with IDDSI implementation in the USA and Territories. Read More

January 19, 2021

Full Nutrition Care Manual (NCM)® Transition to IDDSI Framework by

October 2021

The Academy of Nutrition and Dietetics is pleased to announce beginning October 2021, IDDSI will be the only texture-modified diet recognized by NCM®. Read More

THANK YOU!

IDDSI would like to acknowledge the support of our Sponsors .  Their generosity allows us to work on implementation around the world and ensures that IDDSI resources continue to be free and for public use. IDDSI also thanks the many hard-working volunteers who have participated in a variety of ways to support implementation. See our Hall of Appreciation .

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GET IN TOUCH WITH US! We’re always happy to receive your questions. However, as a volunteer organization, we’re not always able to answer them on an individual basis. We receive hundreds of questions a month and we try to address them in our monthly e-bite. As such, we highly recommend exploring our Resources and FAQ pages before submitting a question or comment.

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USE OF IDDSI FRAMEWORK AND IDDSI TESTING METHODS Attribution is requested as follows: © The International Dysphagia Diet Standardisation Initiative 2019 @ https://iddsi.org/framework . Licensed under the CreativeCommons Attribution Sharealike 4.0 License

. Derivative

works extending beyond language translation are NOT PERMITTED. SUPPLEMENTARY NOTICE Do not alter the elements of the IDDSI Framework. Alterations may lead to confusion and errors in diet texture or drink selection for patients with dysphagia. Such errors have previously been associated with adverse events including choking and death. ------------------------- � Copyright 2021 IDDSI

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