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    NDD vs IDDS: Dysphagia Diet Standardization

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    Appropriate Disciplines

    • Certified Occupational Therapy Asst
    • Occupational Therapist
    • Speech Language Pathologist
    • Speech Language Pathology Asst
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Course Description

Speech pathologists and Occupational Therapists recommend appropriate diet and liquids following bedside, MBSs or FEES assessments. The consistency in communication to nursing and dietary is critical for patient safety and success. In 2002, The National Dysphagia Diet (NDD) standardize diets, and has been used to identify diet level difficulties, safety, and recommendations. However, variances with terminology and definitions to describe texture-modified foods and thickened liquids in all care settings and cultures became problematic. To address these concerns, in 2013, the IDDSI (International Dysphagia Diet Standardization Initiative) set out to create a consistent global standardization. As of 2021, the IDDSI is the only professionally recognized and supported diet framework for SLPs, OTs, Physicians, Nursing and Dietary Staff. Yet, some facilities continue to utilize the outdated NDD or have their own criteria for diet levels which do not match IDDSI, potentially opening the door to dysphagia litigation. It’s essential to test both foods and liquids to be sure the patient receives the correct diet and liquid consistency.

ATTENDANCE:

  1. On Tour Options: Attend the course in person at any City/Date listed. Streaming is only available for courses held at the Gulf Breeze/CIAO Studios location.
  2. Livestream Options:
    1. Attend via Livestream from anywhere around the world. Livestream participants will login to access the event from their computer.
    2. Or – Attend in person at CIAO Studios in Gulf Breeze, FL.

LIVESTREAMS ONLY:

  • Events are streamed in real time. 
  • Course agenda is in Central time (CST). Please adjust for your time zone.
  • Registrants who attend the livestream broadcast will be able to interact with instructor.
  • All registrants will have access to the broadcast recording for 14 days.
  • A group may view the course together; however, each attendee must be individually registered in order to receive CE credit.

COMPLETION REQUIREMENTS:

  • Attend/view entire course
  • Pass multiple choice quiz (80% min score)
  • Complete online course evaluation

CE CREDIT:

See CE Credit Tab for professional board approval information

  • SLPs - this course is registered with ASHA as Blended Learning. ASHA CEUs may be earned by attending live, viewing the recording, or a combination of both.
  • OTs - Participants who need live hours for state license renewal must attend in real time yet, will still have access to the recording for 14 days.
  • PTs - Participants who need live hours for state license renewal must attend in real time yet, will still have access to the recording for 14 days.

Course Objectives

Upon successful completion of this course, participants will be able to:

  • Summarize the differences between the NDD and the IDDSI
  • Identify terminology and characteristics for liquid viscosity, food consistencies and diet levels
  • Explain consistency testing methods for food and liquids
  • Recognize why foods might meet the criteria for different diet levels
  • Use liquids with the IDDSI funnel for accuracy

Denise Dougherty

MA, CCC-SLP

Denise Dougherty, MA, CCC-SLP
Denise owns and operates a private practice in Indiana, PA, where she conducts therapy with both children and adults. She is a legal consultant/expert witness in wrongful death/negligence lawsuits involving dysphagia. Denise is a co-editor of Private Practice Essentials: A Practical Guide for Speech-Language Pathologists, published by ASHA Press. She has presented workshops and written numerous articles appearing in the ASHA Leader on the topic of private practice. Denise served as a consultant for The Arijah Children’s Foundation in Anguilla, BWI, providing evaluations and therapy programs for special needs children. Ms. Dougherty was an adjunct faculty member at York College of Pennsylvania and Wesley College in Dover, Delaware. She is a past President of the American Academy of Private Practice in Speech Pathology and Audiology (AAPPSPA), and received the Academy’s 2007 Honor Award and 2014 Award of Excellence for her achievements. Ms. Dougherty is a member of the Technical Experts Panel for Quality of Insights of Pennsylvania, working on initiating quality measures for CMS to improve effectiveness, efficiency, economy and quality of services delivered to Medicare beneficiaries. She received her bachelor’s degree in communication disorders from Marywood University in Scranton, Pennsylvania; a master’s degree in communication disorders from St. Louis University. Ms. Dougherty is certified in VitalStim® therapy and is a VitalStim® instructor, has completed additional training in orofacial myology, is a member of the American Speech, Language and Hearing Association, is a consultant for DOJ and has received numerous ASHA ACE Awards. For more information, please visit www.dldspeechpath.com.

Financial Disclosure Denise receives honoraria from CIAO for the presentation of her live courses and royalties for the sale of her online courses. Denise is in private practice and receives legal consultant/expert witness fees
Non-Financial Disclosure: There are no non-financial relationships to disclose.

Day 1

08:00 - 08:15
NDDS development and guidelines
08:15 - 08:30
Shortcomings and lack of standardization
08:30 - 08:45
IDDSI development and guidelines
08:45 - 09:00
Key differences, terminology – IDDSI vs. NDD
09:00 - 09:30
Food criteria and testing methods
09:30 - 09:45
Liquids, viscosity and testing methods
09:45 - 10:00
Red flags with diets – terminology, food criteria
10:00 - 10:15
Wrap up

Delivery VIA:

  • Live By Request - This course is available to come to you! Contact us to see how easy that can be. mail@ciaoseminars.com
  • Live Stream - This course is offered from our Live Stream studio. Watch and interact with the instructor from wherever you are or join us as part of the studio audience in sunny Gulf Breeze, FL. Included with each Live Stream registration is access to the course recording for the 14 days immediately following the broadcast.

Contact hours pre-approved for:

  • 2 Hours
  • CIAO is an ASHA Approved Provider #AAWA (0.2 ASHA CEUs) bubble sheet submission required
  • ASHA CE Provider Approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures.
  • This course meets PDU requirements for NBCOT (2 PDUs)
  • CIAO is an Approved Provider for the Florida Board of Occupational Therapy
  • Approved for:
  • 2 Hrs. OT/COTAs in FL (CE Broker #20-1308142)
  • 2 Hrs. Registered with CEBroker for OT/COTAs in AL, AZ, GA, LA, MS, SC, TN

Course meets requirements for:

  • OT/COTAs in AL, AK, AZ, AR, CA, CO, CT, DE, DC, GA, HI, ID, IL, IN, IA, LA, KS, KY, ME, MD, MA, MI, MN, MS, MO, MT,
  • OT/COTAs in NE, NV, NH, NJ, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY

    • CIAO Automatically reports to CE Broker for Florida Occupational and Physical Therapists and Assistants. Florida SLPs can either use the ASHA CE Participant Form (Bubble Sheet) or self-submit through CE Broker.


    CIAO is recognized on the NBCOT Provider Registry (meets PDU requirements for NBCOT)


    Intermediate Level
    0.2 ASHA CEUs


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