A swallowing plan and disliked drinks

Setting: Swallowing review clinic

Margaret Wood, 72, has a written IDDSI Level 2 mildly thick drink plan. Over the last two days she has left most drinks unfinished because of the texture; the cause and adequacy of intake require review.

Task

Explore reduced intake and disliked texture.
Clarify the current IDDSI Level 2 mildly thick drink prescription.
Decline unauthorised dilution and discuss options within the plan.
Arrange prompt review and involve the treating team if intake is inadequate.

A swallowing plan and disliked drinks consultation plan

The current written plan prescribes IDDSI Level 2 mildly thick drinks. It remains in place until clinical reassessment; the candidate should explain the label as the drink texture specified in the patient’s written plan, not improvise preparation instructions.
The clinician should ask about intake, preferences and difficulties and arrange a prompt review.
Texture changes are not authorised by this conversation alone.
The team can discuss options permitted within the current plan and involve the treating team if intake is inadequate.
Margaret Wood, 72, has a written IDDSI Level 2 mildly thick drink plan. Over the last two days she has left most drinks unfinished because of the texture; the cause and adequacy of intake require review.

Fictional scenario information supplied for this examination exercise; not medical guidance for real patients.