This diet change and order form is easy to read and communicate a patient's diet. Not structured by IDDSI- it just has a listing of regular, mech soft, ground/chopped, pureed. There are multiple opportunities for "other" and "additional comments" in order to individualize patient needs. This form was created for the building I current work in. They had a difficult way to communicate a diet change after a swallow evaluation was completed. Information was often miscommunicated. This form was c
This form is to use as a notice to be posted at bedside for staff and family so that they better understand what diet restrictions are required. It can also be used in conjunctions with education given to family and staff regarding swallowing and dysphagia.
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