Proposal To Obtain Liquid Consistencies For Dysphagia Assessment.
Propuesta Para Obtener Consistencias Líquidas Para la Evaluación de la Disfagia
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The International Dysphagia Diet Standardisation Initiative (IDDSI) allows, amongst other things, to classify liquid viscosity in different levels. Although it is normally used as a treatment strategy for dysphagia, it may also be used in the execution of different assessment methods to establish how difficult it is for a patient to manage a particular viscosity. Nonetheless, IDDSI doesn´t determine specific amount of thickener required to obtain each viscosity level, also the initiative recommends establishing adaptations according to fixed conditions of application (e.g. type of thickener or foods offered in an institution). This study developed a proposal to prepare viscosities through experimental tests, specifying milliliters of water and grams of thickener for each viscosity. Therefore, measures of water and thickener to obtain viscosity levels 0-4 are defined and verified through flow test. The presented findings take into account influential variables like geographic location, temperature and altitude. It is hoped that this proposal impacts swallowing assessment practices in Colombian clinical area, so that evaluation could be more accurate and effective. Finally, it is appropriate to determine specific measures of thickener to achieve all viscosity levels in liquids other than water. It is also necessary, to replicate this proposal with other thickeners more easily available to clients as well as consideration of other factors like palatability.
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