Implementing IDDSI

Up to 68% of residents of aged care facilities have dysphagia (swallowing difficulties), which has many potentially life-threatening consequences. The International Dysphagia Diet Standardisation Initiative (IDDSI), which is based on current best practice and latest research, provides a global standardized framework for terminology and definitions for modified diets and thickened fluids, as well as objective testing methods.

There are a number of differences between the current Australian standards and IDDSI, including new terminology, additional levels and categories, and changes to the definitions of some levels. A significant change is that bread and mixed consistency foods will no longer be appropriate for residents on IDDSI Level 6 soft and bite-sized diet, unless approved by the speech pathologist.

Food Solutions IDDSI education covers the following:

  • What is dysphagia
  • What is IDDSI
  • Stages for implementation
  • New terminology
  • New food and drink testing methods
  • Getting your facility IDDSI ready.
Please watch the video, read the handout and then answer the multiple choice quiz below.

Please download a handout for this module here:

IDDSI Site Requirements List

Test what you have learned from the video and handbook in the multiple choice quiz below:

#1. How many levels does the IDDSI framework contain?

#2. Which of the following are potential consequences of dysphagia?

#3. What is the second leading preventable cause of death in aged care?

#4. What is the primary goal of IDDSI?

#5. Which of the following is NOT an IDDSI testing method?

#6. Which of the following is suitable for a Level 6 soft & bite-sized diet?

#7. Which of the following is a mixed consistency food?

#8. What is the particle size for Level 6 soft and bite-sized diet?

#9. For how long do you allow the fluid to run through the syringe in the IDDSI flow test?

#10. When using the fork drip test, which fluid will sit on the fork and may form a tail between the prongs?




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Dietitians Australia

Don’t let your residents or budget experience the side effects of malnutrition or dysphagia.
Call us on 1300 850 246 or email and request a call back.

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