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IDDSI Framework – Standardised Dysphagia Diet — SCE Neurology MCQ

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HardNeurorehabilitationIDDSI Framework – Standardised Dysphagia DietSCE Neurology

A patient has been prescribed IDDSI Level 2 fluids. A thickened drink passes its Level 2 test immediately after preparation at room temperature, but fails the same test after the usual 30-minute ward holding time at its chilled serving temperature. Which governance decision is most appropriate?

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Correct answer: E — Modify preparation and retest at the intended serving temperature and holding time

IDDSI classification depends on standardised testing of the drink as served rather than a recipe label or an immediate room-temperature result. Because flow can change with temperature, preparation and holding time, this product should be modified and retested under the conditions in which the patient will actually receive it. Visual matching cannot establish an IDDSI level, the prescription cannot be changed merely to fit a failed batch, and a food-texture fork-pressure test does not replace the drink-specific flow assessment.

Reference: International Dysphagia Diet Standardisation Initiative, The IDDSI Standard: https://www.iddsi.org/standards/framework