January 2018

IDDSI wishes you a happy and healthy 2018!

The IDDSI Board is looking forward to 2018 with a number of exciting upcoming events and resources!

  • Exclusive Preview
  • FAQ's
  • Translations
  • IDDSI on the Move
  • New Sponsors
Exclusive Preview of New IDDSI Resources
  IDDSI Abbreviations: Many health facilities use diet abbreviations in their diet ordering software. To help facilities with implementing IDDSI, abbreviations for the IDDSI levels have been created for use and will be posted shortly on our website. We very much appreciate the helpful feedback from food service providers, hospitals, aged care facilities, health professionals, and Foodservice computer software developers.

Webinars:  We realize that having quick, up to date information regarding IDDSI is important particularly for those in the process of implementing IDDSI. The IDDSI board is working on developing a series of webinars on a variety of IDDSI related topics. We hope to offer these live but to also be able to have them recorded to watch when you need them. Stay tuned….

The Functional Diet Scale: Congratulations to Dr. Catriona Steele and her team on the upcoming publication of the article Creation and Initial Validation of the IDDSI Functional Diet Scale (IDDSI-FDS)."  The IDDSI-FDS is a valid and reliable outmode measurement tool used to capture diet (food and drink) tolerance and progression in people with dysphagia . We will share the article once it has been published.

Audit Tools: We all know how important quality control is. How can you be sure that the food and drink recommended for the individual with dysphagia meets the criteria for therecommended IDDSI level?To help with your quality control, IDDSI has developed Audit tools for each level in the IDDSI framework. Click below and start using these simple tools to-day.
Frequently Asked Questions
IDDSI receives many questions from around the world every month. We appreciate your questions and strive to find answers for you.  In some cases, it has helped guide us in the development of a number of our Frequently Asked Questions documents. 

A few tips for when questions come up:
1.     Check out the website and our various documents, videos and resources as these may quickly provide you with the answer you are looking for.

2.     Check out our list of Frequently Asked Questions for a number of topics.

Still can’t find an answer – send us an email . We do our best to respond in a timely manner but please bear with us - we are volunteers.
Answers to common questions...

Q: I am planning to publish an article, do you have a graphic of the IDDSI framework I can use and do I need permission?
A: Yes – you're welcome to use our downloadable framework You can find it here . and No, you do not need to seek permission from IDDSI as long as you cite the CreativeCommons BY-SA 4.0 license as follows:
The International Dysphagia Diet Standardisation Initiative 2016 @http://iddsi.org/framework/.Attribution is NOT PERMITTED for derivative works incorporating any alterations to the IDDSI Framework that extend beyond language translation. Supplementary Notice: Modification of the diagrams or descriptors within the IDDSI Framework is DISCOURAGED and NOT RECOMMENDED. Alterations to elements of the IDDSI framework 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.

Q: Do I need to recommend both food and drinks need to be a Level 3 or Level 4 when my patient is requiring either food or drinks at this level?
A: IDDSI level 4 (Pureed Foods and Extremely Thick Drinks), IDDSI level 3 (Liquidised Foods and Moderately Thick Drinks) are presented on the IDDSI framework as connected because of their flow property and behaviour is similar. It does not mean that they need to be prescribed together. Clinicians need to assess the patient’s ability to manage foods and drinks independently.
For example:  your patient may require liquids thickened to Level 3 due to poor oral control but can manage minced and moist foods Level 5. In this case, they would be prescribed Level 5 Minced & Moist, Level 3 Moderately Thick.

Q: Does IDDSI have some lists of foods that meet the criteria for different levels?
A: Due the overwhelming number of foods globally and variation in preparation methods, it is not possible to outline lists of foods under each Level. 
For example: A piece of fruit that is very ripe and passes the IDDSI Fork or Spoon pressure test and is cut into the appropriate IDDSI specified size for and adult or child meets the criteria for Level 6 soft and bite sized. Another piece of the same variety of fruit which is unripe, that does not pass the IDDSI fork/spoon pressure test, even when cut into the appropriate size, would NOT meet the criteria for Level 6 Soft & Bite sized. Consider the behaviour of a ripe banana vs. a green banana.

The BEST way to check whether a food or liquid is the correct IDDSI level is to use all the recommended testing methods.
IDDSI Translations
Still looking for a New Year's resolution - please consider volunteering to help us translate. Check out our final translations on the website:

  • French (Canada)
  • Norwegian
  • Swahili
  • Farsi
  • Italian

You can access 'Completed Translations', 'Available for Review' and 'In Progress' under the different tabs in our Translations page.

Can you help? Consider reviewing a translated document and providing comments or email us if you are interested in translating documents.    Click here to read instructions on how you can help.
IDDSI on the Move
2018 is looking to be a busy year already for the IDDSI Board of Directors with presentation planned at a number of conferences around the world:
  • January 2018, Dysphagia event- Fresenius-Kabi, Dublin, Ireland
  • January 2018, UK Dysphagia Symposium, RCSLT, NHS, Academy of Medical Royal Colleges, London, UK
  • February 2018, UK Swallowing Research Group (UKSRG), London UK
  • April 2018. Brazilian Dysphagia Conference, Brazil
  • April 2018 – Ontario AdvantAge Conference – Toronto, ON, Canada
  • May 2018, Dietitians Association of Australia National Conference, Sydney, Australia,
  • May 2018, Speech Pathology Australia National Conference, Adelaide, Australia,
  • May 2018 – Nourishing Knowledge - Optimizing Nutrition in Continuing Care – Red Deer, AB, Canada
  • June 2018 – Canadian Society of Nutrition Management Conference – Moncton, NB, Canada

Please let us know what you are doing in your part of the world. We would be happy to share it with the rest of the world.
New Sponsor: Thick-It
Thank you to Thick-It for joining the IDDSI movement as a Gold Sponsor!
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