Following an assessment from a speech and language therapist, some care home residents with swallowing problems will be recommended to have a modified texture diet and/or thickened fluids to ensure they eat and drink as safely as possible.
We use the international framework developed by the International Dysphagia Diet Standardisation Initiative.
Thickened fluids are used to slow fluids down. Thickened fluids should only be given following advice from a speech and language therapist or doctor.
Your resident’s care plan should include a clear description of how thick the resident’s fluids should be stating the level and dosage required (for example: level 2, 2 scoops of Resource Thicken Up Clear per 200mls).
The ‘thickness’ of the fluids is very important. Thickened fluids are now described using four levels (previously three stages).
In this area we mainly use a product called Resource Thicken Up Clear.
Other thickening products (such as Thick and Easy, Nutilis Clear, ThickenAid) or nutritional supplements may vary. Please contact the manufacturer for advice on converting from stages to levels.
Drink testing methods are also available to ensure the consistency is correct.
Modified texture diets
From December 2018, speech and language therapists in the South Tees area are using the new IDDSI levels and descriptions when they recommend a modified diet for someone.
Video examples are also provided at iddsi.org.