![]() This means they cannot safely chew or swallow, so the food we serve must be smooth, moist, and prepared ready to swallow to minimize their risk of choking. Individuals who are served IDDSI Pureed (Level 4) have a serious swallowing disorder called dysphagia. Each level has a unique name, color, and number in order to limit errors in prescribing, identifying, preparing, and assembling dysphagia diet orders. In the graphic below, you can see where IDDSI Pureed (Level 4) is located within the IDDSI Framework. The IDDSI Framework consists of eight levels (Level 0-7), ranging from Thin Liquids (Level 0) to Regular (Level 7) texture foods. How do we test foods to fit within this level? ![]() This post will walk you through IDDSI Pureed (Level 4) in detail, including: We’ve found that having a deep understanding of each IDDSI level is a good place to start. We understand that learning about IDDSI is a complex undertaking. In order to eliminate confusion and promote patient safety, the new IDDSI standards establish unified principals for all foodservice operations to follow (Yes, around the world!) The initiative challenges us to prioritize safety and prevent the risk of choking, giving us a solution to the outdated, ambiguous language like “soft”, “chopped”, and “nectar-thick” that varies between facilities. The International Dysphagia Diet Standardization Initiative ( IDDSI) Committee developed guidelines for serving texture modified foods and thickened liquids to individuals with dysphagia around the world. Not only does this create confusion when receiving diet orders from other facilities, but it also puts individuals with dysphagia at risk for choking. You’re likely already serving pureed foods, but the term “pureed” can be defined in many ways.
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