Dysphagia Diet - Level 4
Information to support understanding and safe application of an IDDSI Level 4 PUREED diet. Also includes space to personalise with the client’s drink level. Guidance explains: what dysphagia is; why a texture modified diet is needed; standards for the IDDSI level; how to fortify foods if needed; how to prepare food for the diet, and; tips to avoid common problems.
Guidance published in July 2023, advises pregnant women and those with a weakened immune system to avoid eating ready-to-eat cold-smoked or cured fish, due to increased risk of severe illness from listeriosis. Older people should also consider the risks associated with eating these products. Products include smoked salmon, smoked trout and gravlax.
Please consider and advise your patients accordingly when using this resource.
Advice requires detailed explanation from a Dietitian or other specialist Health Professional with appropriate nutritional knowledge, to enable correct understanding and implementation.
- To reduce risk of harm, and improve safety and understanding, and quality of life.
- To reduce risk and raise awareness of aspiration, choking, dehydration and under nutrition.
- To build understanding of the importance of nutrition and hydration.
- The target group will understand their eating, drinking and swallowing difficulties including the risk of aspiration and choking and malnutrition
- The target group will understand the food and fluid consistency has been recommended for them
- The target group will have the knowledge to prepare their food/fluid consistency.
- The target group will have the knowledge to apply dietary and fluid advice safely to ensure nourishment and hydration.
The International Dysphagia Diet Standardisation Initiative (IDDSI) Framework and Descriptors
Related Resources
How Do I Have an Easier to Eat Nourishing Diet?
- Pack size: 10
- Classification: HP
- NDR-UK ref: 9461v2
Dysphagia Diet - Level 3
- Pack size: 10
- Classification: SHP
- NDR-UK ref: 9455
