Understanding IDDSI Level 2: Nectar Thick
The International Dysphagia Diet Standardization Initiative (IDDSI) framework provides a common language for describing food textures and drink thicknesses. We're unpacking IDDSI Level 2, which focuses on mildly thick liquids or nectar thick.
IDDSI Level 2 refers to liquids that are slightly thicker than regular thin liquids but still flow relatively easily. These liquids are often described as "nectar-thick" or "mildly thick."
Characteristics:
- Flows quickly off a spoon
- Leaves a thin coating on the back of a spoon
- Can be drunk from a cup
- Requires a little more effort to drink than regular thin liquids
- Can be taken through a straw, though a wider straw may be needed
Testing IDDSI Level 2:
The IDDSI Flow Test is used to determine if a liquid meets Level 2 criteria. Using a 10ml syringe, 8-10 ml should flow through in 10 seconds.
Examples of Level 2 Liquids:
- Thin milkshakes
- Liquid yogurts
- Some fruit nectars
- Moderately thickened water or juice
- Some liquid nutritional supplements
While safety is paramount, it's important to consider flavor and variety. Experiment with different bases (juices, milk, broths) to enhance palatability.
Remember, IDDSI Level 2 is just one part of a comprehensive dysphagia management plan. Always consult with a speech and language therapist or dysphagia specialist to determine the most appropriate consistency for each individual.