The International Dysphagia Diet Standardisation Initiative (IDDSI) officially rolled out on 1st May 2019.
There are some significant changes involved with the IDDSI framework when compared to the previous Australian Standards, so it is important that your site is completely ready.
Have all staff including food service, care staff, clinical staff and lifestyle staff attended IDDSI education?
Ideally, IDDSI education sessions should provide information about dysphagia, as well as detail about the IDDSI framework including the modified diets, thickened fluids and testing methods.
In addition to formal education sessions, you may like to consider additional options for communicating the changes including newsletters, posters and staff meetings.
Are Your Families Ready for IDDSI?
Have residents and families been advised about IDDSI? There are some significant changes to diets and fluids with the IDDSI framework and it is essential that residents and families understand the rationale for the changes.
Has the speech pathologist assessed all the residents who were on soft (Text A) diet to determine whether they are able to have bread?
Bread is no longer permitted for any resident on a modified diet unless it has been approved by speech pathology.
Has All Terminology Been Updated?
Areas that may require change include progress notes, care plans, assessment forms, dietary forms, policies/procedures, computer programs, tender documents, meal cards, signage in dining rooms and kitchens, labels, recipes and menus.
Are you Food Prepared?
Have all current recipes and foods been tested to determine where they fit into the IDDSI framework?
Some foods that were previously suitable for a certain level of diet are no longer going to be suitable e.g. pouring custard is no longer suitable for Level 4 pureed diet.
Have alternative options been investigated for the foods that are no longer permitted?
Mixed consistencies are no longer allowed for residents on a modified diet, so other options and/or modifications may be required for soups, cereals, gravies, sauces and juicy fruits.
Bread alternatives will also need to be explored.
Have menus been revised to incorporate the IDDSI changes? For example, is there an alternative to sandwiches for those residents who are no longer permitted to have bread?
Please contact Food Solutions on 1300 850 246 or by email if you require any assistance or further information