[Dysphagia] Liquid diets

[LiWalsh at serha.ca (Walsh, Linda (R1SE))]

Hi Sharon,
I work in an acute care/rehab hospital.  For dysphagic pts, we order a
diet based on which  FOOD consistencies are best for the pt.  In
addition to that we specify an appropriate LIQUID consistency - choice
of regular liquids including thin, nectar-thick, honey-thick and
pudding-thick (which is like puree).  After the SLP recommends
appropriate textures, the dietitian would recommend other parameters for
nutrition and/or other health factors.
Our facility has a Clear Fluids diet and a Full Fluids diet that are
mostly indicated for sensitive GI tracts and esophageal dysphagia
respectively, but SLP's would not normally suggest those 2 diets.
Linda 


Date: Thu, 5 Oct 2006 00:00:55 -0400
From: "Sharon Manders" <sharon.manders@gmail.com>
Subject: Re: Re: [Dysphagia] Clear fluids
To: "Michel Sanscartier" <m.sanscartier@videotron.ca>
Cc: dysphagia@b9.com
Message-ID:
	<d87e41c40610042100n9b7ba11ha3fc414abca3cea5@mail.gmail.com>
Content-Type: text/plain; charset=ISO-8859-1; format=flowed

Hi Michel,

I didn't say that lactose changed the texture (nor did the RD). I was
asking why people (SLPs) even order clear liquids in the first place.
As far as I am concerned, clear liquids and regular liquids are
practically the same thing texture wise (rheology aside).

I also think people may have misunderstood my initial question. Only
surgeons order clear liquids as a diet. I was asking about clear
fluids in addition to a food texture. SLPs in my facility and others
that I have been in, order a food texture and a liquid texture. I am
referring to the liquid part of the diet order.

Sorry for not expressing myself clearly initially [one would think as
an SLP I would be able to! :) ]

My question is: What liquid textures do other SLPs order? I have read
the National Dysphagia Diet (from the US) and according to that, there
are 4 textures: thin, nectar thick, honey thick and pudding (isn't
that pureed?) Does anyone add an additional "level" i.e. clear
liquids? If so, why?

In addition, my RDs are *always* involved re: nutrition status, but we
are the ones who are involved with the texture. I would never even
dream of ordering a diabetic or healthy heart or renal diet - that is
not my job. I order the texture, they order the rest of the diet.

I hope that clarifies things a little.

I do appreciate the comments though and welcome any further comments
from other people (RDs and SLPs).

Thanks,

Sharon
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