Flow Test. The IDDSI flow test classifies IDDSI Levels 0-3 based on their rate of flow. Level 4: Use IDDSI fork-drip or spoon-tilt tests instead

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Flow Test The International Dysphagia Diet Standardisation Initiative (IDDSI

IDDSI flow test classifies IDDSI Levels 0-3 based on their rate of flow.

1 Flow Test The International Dysphagia Diet Standardisation Initiative (IDDSI framework of terminology and definitions includes an objective measurement for liquid thickness. Level 4: Use IDDSI fork-drip or spoon-tilt tests instead 10 ml 8 ml 4 ml 1ml The IDDSI flow test classifies IDDSI Levels 0-3 based on their rate of flow. Use a syringe (following syringe dimensions as per image below for correct results. 10 Length of 10ml scale = 61.5 mm 10 Luer tip (central or eccentric or Luer-Lok Updated: August 2017

2 Washington, Oregon, Idaho Wendy West

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4 INTRODUCTION The International Dysphagia Diet Standardisation Initiative (IDDSI was founded in 2013 with the goal of developing new global standardised 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. Three years of ongoing work by the International Dysphagia Diet Standardisation Committee has culminated in a final dysphagia diet framework consisting of a continuum of 8 levels (0-7. Levels are identified by numbers, text labels and colour codes. This document provides detailed descriptors for all levels of the IDDSI Framework. Descriptors are supported by simple measurement methods that can be used by people with dysphagia or by caregivers, clinicians, food service professionals or industry to confirm the level a food fits into. This document is to be read in conjunction with IDDSI Testing Methods, IDDSI Evidence and IDDSI Frequently Asked Questions (FAQs documents ( The IDDSI Committee would like to acknowledge the interest and participation of the global community including patients, caregivers, health professionals, industry, professional associations and researchers. We would also like to thank our sponsors for their generous support. Please visit the for further information Co- Chairs: Peter Lam (CAN & Julie Cichero (AUS; The IDDSI Committee: Committee Members: Jianshe Chen (CHN, Roberto Dantas (BRA, Janice Duivestein (CAN, Ben Hanson (UK, Jun Kayashita (JPN, Caroline Lecko (UK, Mershen Pillay (ZAF, Luis Riquelme (USA, Soenke Stanschus (GER, Catriona Steele (CAN. Past Committee Members: Joe Murray (USA The International Dysphagia Diet Standardisation Initiative Inc. (IDDSI is an independent, not- for- profit entity. IDDSI is grateful to a large number of agencies, organizations and industry partners for financial and other support. Sponsors have not been involved with the design or development of the IDDSI framework. Development of the IDDSI framework ( IDDSI would like to thank and acknowledge the following sponsors for their generous support in the development of the IDDSI framework: Nestlé Nutrition Institute ( Nutricia Advanced Medical Nutrition ( Hormel Thick & Easy ( Campbell s Food Service ( apetito ( Trisco ( Food Care Co. Ltd. Japan (2015 Flavour Creations ( Simply Thick (2015 Lyons (2015 Implementation of the IDDSI framework is in progress. IDDSI is extremely grateful to all sponsors supporting implementation us/sponsors/ The IDDSI Framework and Descriptors are licensed under the CreativeCommons Attribution- Sharealike 4.0 International License sa/4.0/ March 4,

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Introducing the new Interna0onal Dysphagia Diet Standardisa0on Ini0a0ve (IDDSI) Framework

Introducing the new Interna0onal Dysphagia Diet Standardisa0on Ini0a0ve (IDDSI) Framework Julie Cichero, IDDSI Co- Chair On behalf of IDDSI CommiDee Supported by Dysphagia affects ~ 8% of the world s