Practical Application of the IDDSI Framework: A Spotlight on Indian Cuisine


Dysphagia affects an estimated 8% of the global population and may occur because of a stroke, neurodegenerative disease, traumatic brain injury, or dementia/cognitive decline. The International Dysphagia Diet Standardization Initiative (IDDSI) was established to develop a global standard for dysphagia diets that optimizes patient safety, enhances continuity of care across countries, and improves application of dysphagia research completed in all parts of the world. Dysphagia poses a significant risk for malnutrition, dehydration, and even failure to thrive. It is necessary that RDNs understand the application of IDDSI to cultural preferences to help patients from all backgrounds. This multidisciplinary session aims to explore how providers can best guide the application of the IDDSI dysphagia diets to individuals from an Indian background. This session will review foods and liquids prevalent in Indian cuisine and brainstorm ways of incorporating similar flavors into a texture modified diet. This session aims to help providers understand how to best individualize the IDDSI diet while taking into account a patient’s cultural background.

Planned with the Dietitians in Medical Nutrition Therapy Dietetic Practice Group

Learning Objectives

Explain the pathophysiology of dysphagia and reasons behind the texture modification recommendations from speech-language pathologists

Describe the importance of tailoring IDDSI dysphagia diet recommendations to patients’ cultural preferences

Educate families or caregivers on meal preparation strategies of Indian dishes for a safe application of IDDSI diets in the home environment

Performance Indicators

1.7 Applies cultural competence and consideration for social determinants of health to show respect for individuals, groups and populations

12.3 Designs and develops community and population health programs, interventions or initiatives to meet the needs of communities and/or populations

10.3 Establishes and implements evidence-based nutrition interventions to address PES statements and client/patient goals


Michelle Dehgan

Research/Education Coordinator for Speech-Language Pathology

Memorial Hermann Health System

Sangeeta Shrivastava

Lecturer and DPD Coordinator and Owner and RDN of Private Practice

California Polytechnic State Univ Pomona, Dr Sangeeta Nutrition (Private Practice)


Shraddha Chaubey


NutriPledge (Private Practice)

Scroll to Top