IDDSI Dysphagia Diet Change Tonya Moore, MPH, RD, LD, CNSC Today Nov 7 Dec 20 6 days 18 days 25 days 17 days 25 days What is IDDSI? Dysphagia affects an estimated 8 of the general population (or 580 million people worldwide) -IDDSI.org The
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Today Nov 7 Dec 20 6 days 18 days 25 days 17 days 25 days What is IDDSI? Dysphagia affects an
estimated 8% of
the general population
(or 580 million people worldwide)
-IDDSI.org The International Dysphagia Diet Standardization Initiative (IDDSI) new global initiative to standardize terminology and definitions to describe texture modified foods and thickened liquids used for individuals with dysphagia of all ages, in all care settings, and all cultures. The IDDSI framework consists of 8 levels (0-7). Levels are identified by numbers, text labels and color codes.
-IDDSI.org Together in 2017, the Academy of Nutrition and Dietetics and ASHA announced their support of IDDSI
-ASHA.org and Eatright.org Founded in 2013 with a goal to establish
international terminology
-IDDSI.org<br>
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NDD to IDDSI Impact 2 TRANSITION Current Dysphagia Menu NEW Dysphagia Menu Does not include formal on-site testing methods for consistent production. Standardized testing methods allow for consistent production of thickened liquids and texture modified foods. TRANSITION<br>
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IDDSI<br>
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Solids:
NDD 3 – Dysphagia Advanced Chopped
NDD 2 – Dysphagia Mechanically-altered
NDD 1 - Dysphagia Pureed
Liquids:
Nectar Like
Honey Like National Dysphagia Diet Current HMH Dysphagia Diets<br>
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NDD & IDDSI Comparison Though the levels do not match up exactly, as the NDD was not standardized, they are similar in practice. What you saw on a NDD defined diet will look a lot like the corresponding IDDSI diet in the chart below.<br>
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The amount remaining in a 10 ml syringe after 10 seconds determines the level
0-1 ml : Level 0 Thin
1-4 ml: Level 1 Slightly Thick
4-8 ml: Level 2 Mildly Thick
8-10 ml: Level 3 Moderately thick
Does not release: Level 4, need to use the solid tests
https://iddsi.org/Resources/Videos/Testing-Methods Liquids<br>
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Level 4: Doesn’t drip through fork prongs & holds its shape, easily slides off a spoon when tilted
Level 5: Lumps are ≤4mm width & 15mm length, can fall between fork prongs & holds its shape, easily slides off a spoon when tilted
Level 6: Pieces ≤ 15mm x 15mm, with pressure pieces squash & don’t return to original shape & side of fork can separate into smaller pieces
Level 7: same pressure and separation requirements as 6, no size requirements. Not implementing with current roll out. Solids<br>
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June 1, 2021 – Switch from NDD to IDDSI
If any diet orders are saved as favorites they will need to be updated after 6/1.
Any liquids prepared on the unit will need to be tested on the unit prior to giving to the patient
Items sent from the kitchen will be tested in the kitchen or are purchased pre-thickened to specifications Conversion<br>
