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Description: This level consists of food of nearly regular textures with the exception of very hard, sticky, or crunchy foods. Foods still need to be moist and should be in “bite-size” pieces at the oral phase of the swallow. Rationale: This diet is a transition to a regular diet.
The handouts provide easy-to-read information about the IDDSI levels and their testing methods. The food levels also include examples of foods for each level, and food textures to avoid.
The National Dysphagia Diet (NDD) of 2002 is being replaced by the International Dysphagia Diet Standardisation Initiative (IDDSI) Framework, founded in 2013. IDDSI is the only professionally recognized and supported diet framework as of October 2021. This document explores the implementation of IDDSI framework from your facility’s previously
Familiarize yourself with the National Dysphagia Diet (NDD) and its strengths and limitations. Educate other health care providers in your institution about the potential risks of “prescribing” diet modified fluids and foods based on dysphagia severity rating scales.
Note: The National Dysphagia Diet (NDD) was part of the full Nutrition Care Manual (NCM)® established by the Academy of Nutrition and Dietetics (AND). The AND announced that beginning in October 2021, IDDSI will be the only texture-modified diet recognized by NCM®.
National Dysphagia Diet: Standardization for Optimal Care. Chicago, IL: American Dietetic Association.
The International Dysphagia Diet Standardisation Initiative has created a diet plan or framework for people with dysphagia. The dysphagia diet has levels that rate drinks and foods on a thickness scale from 0 to 7. Drinks are ranked from 0 to 4.
National Dysphagia Diet > IDDSI (International Dysphagia Standardization Initiative) 1-800-DYSPHAGIA (397-7424) ®
The concept of a National Dysphagia Diet (NDD) was conceived in the early 1990s as a way to decrease the confusion in communications between healthcare professionals, patients, and caregivers.
To help people with dysphagia, the Academy of Nutrition and Dietetics created the National Dysphagia Diet. This diet plan has three levels. Each level is based on the severity of a person’s dysphagia.