Dysphagia Advanced Diet (“Soft & Bite-Sized”)

Dysphagia Advanced Diet

by Karen Sheffler, MS, CCC-SLP, BCS-S of SwallowStudy.com

Your Speech-Language Pathologist (SLP) and medical team have recommended a Dysphagia Advanced Diet (aka, “Soft & Bite-Sized” per the International Dysphagia Diet Standardisation Initiative or IDDSI).

This diet and these food textures are more challenging, as they are closest to a Regular diet. Do not advance to this diet unless under the guidance of your SLP and medical team.

This diet is nearly a regular texture with only a few restrictions to make it easier to chew and prevent the risk of choking on very hard, sticky, crumbly or crunchy foods. The texture is soft and can be cut/broken/mashed with a fork. You should not need a knife to cut this food. This texture is helpful for people with poor dentition, but with a relatively intact swallow function. The foods should be prepared on the plate in small and bite-sized pieces, again to avoid the risk of choking. Small pieces (1.5 cm per IDDSI) are easier to chew and no biting is required. These pre-cut small pieces can also decrease your effort in having to cut-up the food yourself, especially if you have difficulty using a knife and a fork. Ask your Occupational Therapist for a rocker knife if you only have the use of one hand.

Overall, this diet may be good to reduce fatigue that may occur in trying to eat a full regular meal.

Click on this link for a helpful chart to learn how to prepare a Dysphagia Advanced Diet at home:

Dysphagia Advanced diet patient handoutExample of a Dysphagia Advanced Diet. Food is cut-up and soft and easy to chew.

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