IMMERSIVE LEARNING ANALYSIS OF FLUID VISCOSITIES TO TREAT
![IMMERSIVE LEARNING: ANALYSIS OF FLUID VISCOSITIES TO TREAT HUMAN DYSPHAGIA BALL STATE UNIVERSITY (SPRING IMMERSIVE LEARNING: ANALYSIS OF FLUID VISCOSITIES TO TREAT HUMAN DYSPHAGIA BALL STATE UNIVERSITY (SPRING](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-1.jpg)
![What is Physics 469? Immersive Learning Course ● ● Carries academic credit Team of What is Physics 469? Immersive Learning Course ● ● Carries academic credit Team of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-2.jpg)
![Community Partners St. Vincent Health Systems ● Molly Jones M. A. , CCC-SLP, BCS-S Community Partners St. Vincent Health Systems ● Molly Jones M. A. , CCC-SLP, BCS-S](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-3.jpg)
![Dysphagia Definition: Disorder of or difficulty swallowing An impairment of emotion, cognitive, sensory, and/or Dysphagia Definition: Disorder of or difficulty swallowing An impairment of emotion, cognitive, sensory, and/or](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-4.jpg)
![National Dysphagia Diet Levels Thin ● 0 -50 c. P Nectar Thick ● 51 National Dysphagia Diet Levels Thin ● 0 -50 c. P Nectar Thick ● 51](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-5.jpg)
![IDDSI: International Dysphagia Diet Standardization Initiative IDDSI: International Dysphagia Diet Standardization Initiative](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-6.jpg)
![Testing Viscosity with IDDSI Flow Test Pediatric Recipes Based on WIC Criterion Presented by: Testing Viscosity with IDDSI Flow Test Pediatric Recipes Based on WIC Criterion Presented by:](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-7.jpg)
![WIC is Special Supplemental Nutrition Program for Women, Infants, and Children ● This program WIC is Special Supplemental Nutrition Program for Women, Infants, and Children ● This program](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-8.jpg)
![Thik & Clear ● ● ● A commercialized instant food thickener that is intended Thik & Clear ● ● ● A commercialized instant food thickener that is intended](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-9.jpg)
![International Dysphagia Diet Standardisation Initiative ● ● What is IDDSI? ○ According to the International Dysphagia Diet Standardisation Initiative ● ● What is IDDSI? ○ According to the](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-10.jpg)
![IDDSI Flow Test IDDSI Flow Test](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-11.jpg)
![How to read data: ● ● ● Red line = Milliliters left on syringe How to read data: ● ● ● Red line = Milliliters left on syringe](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-12.jpg)
![Gerber Gentle www. amazon. com Gerber Gentle www. amazon. com](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-13.jpg)
![Gerber Gentle Notes: ● ● Clumping due to stirring method as instructed on Thik Gerber Gentle Notes: ● ● Clumping due to stirring method as instructed on Thik](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-14.jpg)
![Gerber Gentle Notes: ● Trial 1 and 2 were tested at 22 degrees celsius Gerber Gentle Notes: ● Trial 1 and 2 were tested at 22 degrees celsius](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-15.jpg)
![Gerber Gentle Notes: ● Trial 1 tested at 14 degrees celsius ● Trials 2 Gerber Gentle Notes: ● Trial 1 tested at 14 degrees celsius ● Trials 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-16.jpg)
![Gerber Gentle Notes: ● Half-nectar recipe was the most reliable Gerber Gentle Notes: ● Half-nectar recipe was the most reliable](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-17.jpg)
![Gerber Soothe www. parenting. com Gerber Soothe www. parenting. com](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-18.jpg)
![Gerber Soothe Gerber Soothe](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-19.jpg)
![Gerber Soothe Gerber Soothe](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-20.jpg)
![Gerber Soothe Gerber Soothe](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-21.jpg)
![Gerber Soothe Gerber Soothe](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-22.jpg)
![Juicy Juice 100% Apple Juice www. amazon. com Juicy Juice 100% Apple Juice www. amazon. com](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-23.jpg)
![Apple Juice ● ● Trials 1 -2 are from Batch 1 Trials 3 -5 Apple Juice ● ● Trials 1 -2 are from Batch 1 Trials 3 -5](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-24.jpg)
![Apple Juice ● ● Trial 1 is from batch 1 Trials 2 -4 are Apple Juice ● ● Trial 1 is from batch 1 Trials 2 -4 are](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-25.jpg)
![Apple Juice Apple Juice](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-26.jpg)
![Apple Juice ● ● Trials 1 -2 were tested immediately after mixing Trials 3 Apple Juice ● ● Trials 1 -2 were tested immediately after mixing Trials 3](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-27.jpg)
![Apple Juice ● ● Trials 1 -2 were tested immediately after mixing Trials 3 Apple Juice ● ● Trials 1 -2 were tested immediately after mixing Trials 3](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-28.jpg)
![Great Value Vitamin D Milk www. walmart. com Great Value Vitamin D Milk www. walmart. com](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-29.jpg)
![Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-30.jpg)
![Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-31.jpg)
![Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-32.jpg)
![Vitamin D Milk Notes : ● ● ● Trials 1 and 2 came from Vitamin D Milk Notes : ● ● ● Trials 1 and 2 came from](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-33.jpg)
![Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-34.jpg)
![Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-35.jpg)
![Vitamin D Milk ● ● Trial 1 was tested from batch 1 Trials 2 Vitamin D Milk ● ● Trial 1 was tested from batch 1 Trials 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-36.jpg)
![Vitamin D Milk Vitamin D Milk](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-37.jpg)
![Vitamin D Milk ● ● Trials 1 -2 were tested from batch 1 Trials Vitamin D Milk ● ● Trials 1 -2 were tested from batch 1 Trials](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-38.jpg)
![Recommendations When using Thik and Clear… ● Slowly stir the powder into the liquid Recommendations When using Thik and Clear… ● Slowly stir the powder into the liquid](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-39.jpg)
![For Further Research… ● More trials dealing with the clumping of baby formula and For Further Research… ● More trials dealing with the clumping of baby formula and](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-40.jpg)
![Conclusion ● Success with modified mixing method for Thik & Clear in effectiveness of Conclusion ● Success with modified mixing method for Thik & Clear in effectiveness of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-41.jpg)
![Pediatric Cereal BEECHNUT VS. GERBER Mallory Polter, Sarah Riedford, Sydney Lange, Alexis Goglia, and Pediatric Cereal BEECHNUT VS. GERBER Mallory Polter, Sarah Riedford, Sydney Lange, Alexis Goglia, and](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-42.jpg)
![Purpose of our Testing The goal of our research was to find recipes of Purpose of our Testing The goal of our research was to find recipes of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-43.jpg)
![What did we test? Formula: Gerber Soothe Thickeners: ● ● Gerber Rice Gerber Oats What did we test? Formula: Gerber Soothe Thickeners: ● ● Gerber Rice Gerber Oats](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-44.jpg)
![Gerber Rice with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, 2 Gerber Rice with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-45.jpg)
![Gerber Rice with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 scoops Gerber Rice with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 scoops](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-46.jpg)
![Gerber Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of Gerber Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-47.jpg)
![Summary of Gerber Rice Summary of Gerber Rice](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-48.jpg)
![Gerber Oats with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, 2 Gerber Oats with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-49.jpg)
![Gerber Oats with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 scoops Gerber Oats with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 scoops](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-50.jpg)
![Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-51.jpg)
![Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-52.jpg)
![Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-53.jpg)
![Summary of Gerber Oats Summary of Gerber Oats](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-54.jpg)
![Beech. Nut Rice with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, Beech. Nut Rice with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water,](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-55.jpg)
![Beech. Nut Rice with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 Beech. Nut Rice with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-56.jpg)
![Beech. Nut Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops Beech. Nut Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-57.jpg)
![Beech. Nut Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops Beech. Nut Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-58.jpg)
![Summary of Beech. Nut Rice Summary of Beech. Nut Rice](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-59.jpg)
![Summary of Beech. Nut Rice Summary of Beech. Nut Rice](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-60.jpg)
![Beech. Nut Oats with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, Beech. Nut Oats with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water,](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-61.jpg)
![Beech. Nut Oats with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 Beech. Nut Oats with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-62.jpg)
![Beech. Nut Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops Beech. Nut Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-63.jpg)
![Summary of Beech. Nut Oats Summary of Beech. Nut Oats](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-64.jpg)
![Summary of Beech. Nut Oats Summary of Beech. Nut Oats](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-65.jpg)
![Comparison: Thin Barium vs. Cereal (1 tbsp. ) Comparison: Thin Barium vs. Cereal (1 tbsp. )](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-66.jpg)
![Comparison: ½ Nectar Barium vs. Cereal (4 tbsp. ) Comparison: ½ Nectar Barium vs. Cereal (4 tbsp. )](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-67.jpg)
![Recommended Caloric Intake for Infants birth-three months: ● 360 -640 calories per day ● Recommended Caloric Intake for Infants birth-three months: ● 360 -640 calories per day ●](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-68.jpg)
![Scenario A five month old infant is recommended to consume 500 -800 calories per Scenario A five month old infant is recommended to consume 500 -800 calories per](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-69.jpg)
![How Do Thickeners Affect Infant Caloric Intake? Cereal Thickeners can add calories that exceed How Do Thickeners Affect Infant Caloric Intake? Cereal Thickeners can add calories that exceed](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-70.jpg)
![Challenges ● In order to achieve certain thickness levels, it was necessary to add Challenges ● In order to achieve certain thickness levels, it was necessary to add](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-71.jpg)
![Recommendations for Future Research ● Testing Neosure 22 and other formulas with rice and Recommendations for Future Research ● Testing Neosure 22 and other formulas with rice and](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-72.jpg)
![Pediatric Formula Testing Mixing Techniques By: Amy Boesen, Avery Brown, Kassidy Mc. Donald, Carly Pediatric Formula Testing Mixing Techniques By: Amy Boesen, Avery Brown, Kassidy Mc. Donald, Carly](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-73.jpg)
![Focus Our goal this semester was to find different mixing methods that helped reduce Focus Our goal this semester was to find different mixing methods that helped reduce](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-74.jpg)
![Stirring Methods Spoon Fork Bottle- Formula mixed first and then thickener Bottle- Formula and Stirring Methods Spoon Fork Bottle- Formula mixed first and then thickener Bottle- Formula and](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-75.jpg)
![Reasons for Testing Similac Advance and Thik & Clear - Mostly used in Hospital Reasons for Testing Similac Advance and Thik & Clear - Mostly used in Hospital](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-76.jpg)
![IDDSI Testing Vs. Viscosity Testing We tested Moderately thick (honey), Mildly thick (nectar), and IDDSI Testing Vs. Viscosity Testing We tested Moderately thick (honey), Mildly thick (nectar), and](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-77.jpg)
![Graph Results Similac Advance with no thickening agent Thin liquids requirements: IDDSI: 0 Viscosity: Graph Results Similac Advance with no thickening agent Thin liquids requirements: IDDSI: 0 Viscosity:](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-78.jpg)
![Label Recipe for Nectar-like liquid Usage per 4 fluid ounces serving: Equal to ½ Label Recipe for Nectar-like liquid Usage per 4 fluid ounces serving: Equal to ½](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-79.jpg)
![Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir was Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir was](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-80.jpg)
![Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir was Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir was](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-81.jpg)
![Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir/shook-IDDSI 1 Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir/shook-IDDSI 1](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-82.jpg)
![Label Recipe for Honey-Like Liquid Usage per 4 fluid ounces serving: Equal to ½ Label Recipe for Honey-Like Liquid Usage per 4 fluid ounces serving: Equal to ½](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-83.jpg)
![Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -fork stir is closest Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -fork stir is closest](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-84.jpg)
![Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -¼ less teaspoon drastically Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -¼ less teaspoon drastically](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-85.jpg)
![Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -very clumpy -shook in Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -very clumpy -shook in](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-86.jpg)
![Label Recipe for Slightly Thick/Thin Liquid There was no recommended recipe for a thin Label Recipe for Slightly Thick/Thin Liquid There was no recommended recipe for a thin](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-87.jpg)
![Slightly Thick/Thin liquid requirements: IDDSI: 1 Viscosity: 0 -50 c. P Conclusions: -shook-IDDSI 0 Slightly Thick/Thin liquid requirements: IDDSI: 1 Viscosity: 0 -50 c. P Conclusions: -shook-IDDSI 0](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-88.jpg)
![Slightly Thick/Thin liquid requirements: IDDSI: 1 Viscosity: 0 -50 c. P Conclusions: -¼ teaspoon Slightly Thick/Thin liquid requirements: IDDSI: 1 Viscosity: 0 -50 c. P Conclusions: -¼ teaspoon](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-89.jpg)
![Conclusion National Dysphagia Diet Levels Thin (0 -50 c. P) Nectar-like (51 -350 c. Conclusion National Dysphagia Diet Levels Thin (0 -50 c. P) Nectar-like (51 -350 c.](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-90.jpg)
![Further Research ● Continue testing different stirring methods ○ Dr. Brown’s Formula Mixing Pitcher Further Research ● Continue testing different stirring methods ○ Dr. Brown’s Formula Mixing Pitcher](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-91.jpg)
![Thickened Liquids for the Adult Population Immersive Learning PHYC 469: Viscosity & Measurements of Thickened Liquids for the Adult Population Immersive Learning PHYC 469: Viscosity & Measurements of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-92.jpg)
![Dysphagia Who is at Risk? ➢ ➢ ➢ CVA/Stroke patients Parkinson’s Disease Cerebral Palsy Dysphagia Who is at Risk? ➢ ➢ ➢ CVA/Stroke patients Parkinson’s Disease Cerebral Palsy](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-93.jpg)
![Why is Dysphagia a Concern to the Geriatric Population? ❖ Impacts patient and family Why is Dysphagia a Concern to the Geriatric Population? ❖ Impacts patient and family](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-94.jpg)
![International Dysphagia Diet Standardization Initiative (IDDSI) & Viscosity ❖ Created to determine different textures International Dysphagia Diet Standardization Initiative (IDDSI) & Viscosity ❖ Created to determine different textures](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-95.jpg)
![Consistency Categories ❖ Thin (0 - 50 c. P) ❖ Sometimes, too thick or Consistency Categories ❖ Thin (0 - 50 c. P) ❖ Sometimes, too thick or](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-96.jpg)
![Our Goals for Targeted Population ❖ Wanted to create a sense of variety in Our Goals for Targeted Population ❖ Wanted to create a sense of variety in](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-97.jpg)
![Thik & Clear vs. Simply Thick Thik & Clear (Gum based) ❖ Pros ➢ Thik & Clear vs. Simply Thick Thik & Clear (Gum based) ❖ Pros ➢](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-98.jpg)
![How We Mixed *Used sample-size measurements for all our liquids so we poured 4 How We Mixed *Used sample-size measurements for all our liquids so we poured 4](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-99.jpg)
![Varibar Barium - Bracco Diagnostics What is it? An steady oral contrast agent for Varibar Barium - Bracco Diagnostics What is it? An steady oral contrast agent for](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-100.jpg)
![Community Partner: St. Vincent ❖ In contact with St. Vincent Health Systems (Molly Jones Community Partner: St. Vincent ❖ In contact with St. Vincent Health Systems (Molly Jones](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-101.jpg)
![Liquids Tested ❖ Chicken Broth: ➢ Regular ➢ Low sodium ❖ Beef Broth: ➢ Liquids Tested ❖ Chicken Broth: ➢ Regular ➢ Low sodium ❖ Beef Broth: ➢](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-102.jpg)
![Chicken Broth Goal: Nectar thick | Result: Level 1 (Slightly Thick) under both thickeners. Chicken Broth Goal: Nectar thick | Result: Level 1 (Slightly Thick) under both thickeners.](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-103.jpg)
![Chicken Broth - 50% Less Sodium Goal: Nectar thick | Result: Level 1 (Slightly Chicken Broth - 50% Less Sodium Goal: Nectar thick | Result: Level 1 (Slightly](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-104.jpg)
![Beef Broth Goal: Nectar thick | Results: Simply Thick- Level 1 (Slightly Thick) | Beef Broth Goal: Nectar thick | Results: Simply Thick- Level 1 (Slightly Thick) |](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-105.jpg)
![Beef Broth - 50% Less Sodium Goal: Nectar thick | Result: Level 1 (Slightly Beef Broth - 50% Less Sodium Goal: Nectar thick | Result: Level 1 (Slightly](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-106.jpg)
![Vegetable Broth Goal: Nectar thick | Result: Level 1 (Slightly Thick) under both thickeners Vegetable Broth Goal: Nectar thick | Result: Level 1 (Slightly Thick) under both thickeners](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-107.jpg)
![Ensure Plus Baseline. Ensure Plus 2 nd Batch: Goal: Nectar thick (Level 2) Result: Ensure Plus Baseline. Ensure Plus 2 nd Batch: Goal: Nectar thick (Level 2) Result:](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-108.jpg)
![Iced Tea Goal: Nectar thick | Result: Mildly thick (Level 2) Iced Tea Goal: Nectar thick | Result: Mildly thick (Level 2)](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-109.jpg)
![Root Beer Goal: Honey Thick | Result: Level 4 (Extremely Thick) Root Beer Goal: Honey Thick | Result: Level 4 (Extremely Thick)](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-110.jpg)
![Recommendations ❖ When mixing with Thik & Clear, instead of dumping the entire teaspoon Recommendations ❖ When mixing with Thik & Clear, instead of dumping the entire teaspoon](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-111.jpg)
![Conclusion Simply Thick Thik & Clear ❖ If the liquid is already thick, ❖ Conclusion Simply Thick Thik & Clear ❖ If the liquid is already thick, ❖](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-112.jpg)
![IMMERSIVE LEARNING: ANALYSIS OF FLUID VISCOSITIES TO TREAT HUMAN DYSPHAGIA BALL STATE UNIVERSITY (SPRING IMMERSIVE LEARNING: ANALYSIS OF FLUID VISCOSITIES TO TREAT HUMAN DYSPHAGIA BALL STATE UNIVERSITY (SPRING](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-113.jpg)
- Slides: 113
![IMMERSIVE LEARNING ANALYSIS OF FLUID VISCOSITIES TO TREAT HUMAN DYSPHAGIA BALL STATE UNIVERSITY SPRING IMMERSIVE LEARNING: ANALYSIS OF FLUID VISCOSITIES TO TREAT HUMAN DYSPHAGIA BALL STATE UNIVERSITY (SPRING](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-1.jpg)
IMMERSIVE LEARNING: ANALYSIS OF FLUID VISCOSITIES TO TREAT HUMAN DYSPHAGIA BALL STATE UNIVERSITY (SPRING 2019)
![What is Physics 469 Immersive Learning Course Carries academic credit Team of What is Physics 469? Immersive Learning Course ● ● Carries academic credit Team of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-2.jpg)
What is Physics 469? Immersive Learning Course ● ● Carries academic credit Team of students working on a project that is interdisciplinary Forms a connection to professional in the community Creation of a project that impacts the community Purpose: ● The thickness levels of varibar barium used in swallow studies is inconsistent to the commercial thickeners being sent home with patients ● Finding recipes to achieve the appropriate thickness level according to the IDDSI classification and barium viscosity levels
![Community Partners St Vincent Health Systems Molly Jones M A CCCSLP BCSS Community Partners St. Vincent Health Systems ● Molly Jones M. A. , CCC-SLP, BCS-S](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-3.jpg)
Community Partners St. Vincent Health Systems ● Molly Jones M. A. , CCC-SLP, BCS-S Meridian Pediatric Rehabilitation ● Catherine Seitz, M. A. , CCC-SLP ● Marissa Barnett, M. A. , CCC-SLP
![Dysphagia Definition Disorder of or difficulty swallowing An impairment of emotion cognitive sensory andor Dysphagia Definition: Disorder of or difficulty swallowing An impairment of emotion, cognitive, sensory, and/or](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-4.jpg)
Dysphagia Definition: Disorder of or difficulty swallowing An impairment of emotion, cognitive, sensory, and/or motor acts involved with transferring a substance from the mouth to stomach, resulting in failure to maintain hydration and nutrition, and posing a risk of choking and aspiration. (Tanner DC: Case studies in communicative sciences and disorders, Columbus, OH 2006, Pearson Prentice Hall. ) Common Signs: Coughing, increased meal time (more than 30 minutes), weight loss or dehydration, recurring pneumonia, wet or gurgly vocal quality after eating or drinking
![National Dysphagia Diet Levels Thin 0 50 c P Nectar Thick 51 National Dysphagia Diet Levels Thin ● 0 -50 c. P Nectar Thick ● 51](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-5.jpg)
National Dysphagia Diet Levels Thin ● 0 -50 c. P Nectar Thick ● 51 -350 c. P Honey Thick ● 351 -1750 c. P Spoon Thick ● >1750 c. P
![IDDSI International Dysphagia Diet Standardization Initiative IDDSI: International Dysphagia Diet Standardization Initiative](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-6.jpg)
IDDSI: International Dysphagia Diet Standardization Initiative
![Testing Viscosity with IDDSI Flow Test Pediatric Recipes Based on WIC Criterion Presented by Testing Viscosity with IDDSI Flow Test Pediatric Recipes Based on WIC Criterion Presented by:](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-7.jpg)
Testing Viscosity with IDDSI Flow Test Pediatric Recipes Based on WIC Criterion Presented by: Abby Pranger, Lydia Oberley, Julia Waters, and Lexi Harmacinski
![WIC is Special Supplemental Nutrition Program for Women Infants and Children This program WIC is Special Supplemental Nutrition Program for Women, Infants, and Children ● This program](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-8.jpg)
WIC is Special Supplemental Nutrition Program for Women, Infants, and Children ● This program helps to provide nutritional referrals and education for women and their children under 5 years of age to prevent the risk of malnutrition. ● Meridian cares for many families who utilize WIC in the local area. Image courtesy of www. in. gov
![Thik Clear A commercialized instant food thickener that is intended Thik & Clear ● ● ● A commercialized instant food thickener that is intended](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-9.jpg)
Thik & Clear ● ● ● A commercialized instant food thickener that is intended to thicken hot and cold foods A gum based thickener which means it should reach maximum thickness within five minutes and should not continue to thicken over time They advertise that it should mix with all types of liquids and pureed foods and that you simply need to follow the recipe on the container for the desired thickness Image courtesy of www. msdonline. com
![International Dysphagia Diet Standardisation Initiative What is IDDSI According to the International Dysphagia Diet Standardisation Initiative ● ● What is IDDSI? ○ According to the](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-10.jpg)
International Dysphagia Diet Standardisation Initiative ● ● What is IDDSI? ○ According to the IDDSI website, “The International Dysphagia Diet Standardisation Initiative (IDDSI) is a global standard with terminology and definitions to describe texture modified foods and thickened liquids used for individuals with dysphagia of all ages, in all care settings, and for all cultures. ” What is the purpose? ○ IDDSI provides an international standard for medical professionals and families to determine a thickened liquid IDDSI Flow Test Image courtesy of www. iddsi. org
![IDDSI Flow Test IDDSI Flow Test](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-11.jpg)
IDDSI Flow Test
![How to read data Red line Milliliters left on syringe How to read data: ● ● ● Red line = Milliliters left on syringe](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-12.jpg)
How to read data: ● ● ● Red line = Milliliters left on syringe Blue line = Corresponding thickness of Barium Boxes = Corresponding IDDSI number for intended thickness (this matches the color of the IDDSI number) ○ Yellow = IDDSI #3 (Honey thick) ○ Pink = IDDSI #2 (Nectar thick) ○ Light blue = IDDSI #1 -2 (Half-nectar thick)
![Gerber Gentle www amazon com Gerber Gentle www. amazon. com](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-13.jpg)
Gerber Gentle www. amazon. com
![Gerber Gentle Notes Clumping due to stirring method as instructed on Thik Gerber Gentle Notes: ● ● Clumping due to stirring method as instructed on Thik](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-14.jpg)
Gerber Gentle Notes: ● ● Clumping due to stirring method as instructed on Thik & Clear packet Above intended IDDSI #
![Gerber Gentle Notes Trial 1 and 2 were tested at 22 degrees celsius Gerber Gentle Notes: ● Trial 1 and 2 were tested at 22 degrees celsius](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-15.jpg)
Gerber Gentle Notes: ● Trial 1 and 2 were tested at 22 degrees celsius ● Trial 3 was tested at 19 degrees celsius
![Gerber Gentle Notes Trial 1 tested at 14 degrees celsius Trials 2 Gerber Gentle Notes: ● Trial 1 tested at 14 degrees celsius ● Trials 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-16.jpg)
Gerber Gentle Notes: ● Trial 1 tested at 14 degrees celsius ● Trials 2 -4 tested at 1516 degrees celsius ● Trial 5 tested at 19 degrees celsius
![Gerber Gentle Notes Halfnectar recipe was the most reliable Gerber Gentle Notes: ● Half-nectar recipe was the most reliable](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-17.jpg)
Gerber Gentle Notes: ● Half-nectar recipe was the most reliable
![Gerber Soothe www parenting com Gerber Soothe www. parenting. com](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-18.jpg)
Gerber Soothe www. parenting. com
![Gerber Soothe Gerber Soothe](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-19.jpg)
Gerber Soothe
![Gerber Soothe Gerber Soothe](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-20.jpg)
Gerber Soothe
![Gerber Soothe Gerber Soothe](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-21.jpg)
Gerber Soothe
![Gerber Soothe Gerber Soothe](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-22.jpg)
Gerber Soothe
![Juicy Juice 100 Apple Juice www amazon com Juicy Juice 100% Apple Juice www. amazon. com](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-23.jpg)
Juicy Juice 100% Apple Juice www. amazon. com
![Apple Juice Trials 1 2 are from Batch 1 Trials 3 5 Apple Juice ● ● Trials 1 -2 are from Batch 1 Trials 3 -5](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-24.jpg)
Apple Juice ● ● Trials 1 -2 are from Batch 1 Trials 3 -5 are from batch 2
![Apple Juice Trial 1 is from batch 1 Trials 2 4 are Apple Juice ● ● Trial 1 is from batch 1 Trials 2 -4 are](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-25.jpg)
Apple Juice ● ● Trial 1 is from batch 1 Trials 2 -4 are from batch 2
![Apple Juice Apple Juice](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-26.jpg)
Apple Juice
![Apple Juice Trials 1 2 were tested immediately after mixing Trials 3 Apple Juice ● ● Trials 1 -2 were tested immediately after mixing Trials 3](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-27.jpg)
Apple Juice ● ● Trials 1 -2 were tested immediately after mixing Trials 3 -4 were tested from the same batch after letting it sit for 5 minutes
![Apple Juice Trials 1 2 were tested immediately after mixing Trials 3 Apple Juice ● ● Trials 1 -2 were tested immediately after mixing Trials 3](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-28.jpg)
Apple Juice ● ● Trials 1 -2 were tested immediately after mixing Trials 3 -4 were tested from the same batch after letting it sit for 5 minutes
![Great Value Vitamin D Milk www walmart com Great Value Vitamin D Milk www. walmart. com](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-29.jpg)
Great Value Vitamin D Milk www. walmart. com
![Vitamin D Milk Notes Trials 1 and 2 came from batch Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-30.jpg)
Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch 1 Trials 3 and 4 came from batch 2
![Vitamin D Milk Notes Trials 1 and 2 came from batch Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-31.jpg)
Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch 1 Trials 3 and 4 came from batch 2
![Vitamin D Milk Notes Trials 1 and 2 came from batch Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-32.jpg)
Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch 1 Trials 3 and 4 came from batch 2
![Vitamin D Milk Notes Trials 1 and 2 came from Vitamin D Milk Notes : ● ● ● Trials 1 and 2 came from](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-33.jpg)
Vitamin D Milk Notes : ● ● ● Trials 1 and 2 came from batch 1 Trials 3, 4 and 5 came from batch 2 Trials 6 and 7 came from batch 3
![Vitamin D Milk Notes Trials 1 and 2 came from batch Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-34.jpg)
Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch 1 Trials 3 and 4 came from batch 2
![Vitamin D Milk Notes Trials 1 and 2 came from batch Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-35.jpg)
Vitamin D Milk Notes : ● ● Trials 1 and 2 came from batch 1 Trials 3 and 4 came from batch 2
![Vitamin D Milk Trial 1 was tested from batch 1 Trials 2 Vitamin D Milk ● ● Trial 1 was tested from batch 1 Trials 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-36.jpg)
Vitamin D Milk ● ● Trial 1 was tested from batch 1 Trials 2 -3 were tested from batch 2
![Vitamin D Milk Vitamin D Milk](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-37.jpg)
Vitamin D Milk
![Vitamin D Milk Trials 1 2 were tested from batch 1 Trials Vitamin D Milk ● ● Trials 1 -2 were tested from batch 1 Trials](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-38.jpg)
Vitamin D Milk ● ● Trials 1 -2 were tested from batch 1 Trials 3 -4 were tested from batch 2
![Recommendations When using Thik and Clear Slowly stir the powder into the liquid Recommendations When using Thik and Clear… ● Slowly stir the powder into the liquid](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-39.jpg)
Recommendations When using Thik and Clear… ● Slowly stir the powder into the liquid instead of pouring the powder into the cup first. ● We found that this method resulted in less clumping of the product. Because of the inconsistency of results that we obtained through our testing we recommend that, if possible, foods are used as thickeners instead of the commercialized products.
![For Further Research More trials dealing with the clumping of baby formula and For Further Research… ● More trials dealing with the clumping of baby formula and](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-40.jpg)
For Further Research… ● More trials dealing with the clumping of baby formula and Thik and Clear ○ Other brands/types ● Analyze if there is an existing correlation between temperature and thickness when using Thik and Clear ● More research into using applesauce as an effective thickener
![Conclusion Success with modified mixing method for Thik Clear in effectiveness of Conclusion ● Success with modified mixing method for Thik & Clear in effectiveness of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-41.jpg)
Conclusion ● Success with modified mixing method for Thik & Clear in effectiveness of thickening liquids. ● Food thickeners mixed much more effectively and provided the best results
![Pediatric Cereal BEECHNUT VS GERBER Mallory Polter Sarah Riedford Sydney Lange Alexis Goglia and Pediatric Cereal BEECHNUT VS. GERBER Mallory Polter, Sarah Riedford, Sydney Lange, Alexis Goglia, and](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-42.jpg)
Pediatric Cereal BEECHNUT VS. GERBER Mallory Polter, Sarah Riedford, Sydney Lange, Alexis Goglia, and James Barnes
![Purpose of our Testing The goal of our research was to find recipes of Purpose of our Testing The goal of our research was to find recipes of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-43.jpg)
Purpose of our Testing The goal of our research was to find recipes of infant cereals and Gerber Soothe formula to match the viscosity levels of Varibar Barium. We chose rice and oatmeal because they are common thickeners for pediatric patients. Not only did we compare rice and oatmeal, but we also compared Beechnut and Gerber.
![What did we test Formula Gerber Soothe Thickeners Gerber Rice Gerber Oats What did we test? Formula: Gerber Soothe Thickeners: ● ● Gerber Rice Gerber Oats](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-44.jpg)
What did we test? Formula: Gerber Soothe Thickeners: ● ● Gerber Rice Gerber Oats Beech. Nut Rice Beech. Nut Oats
![Gerber Rice with Gerber Soothe Meridians Half Nectar Recipe Recipe 4 oz water 2 Gerber Rice with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-45.jpg)
Gerber Rice with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 1 tbsp Gerber Rice IDDSI volume: 0 m. L at 7. 63 secs. IDDSI: 0 Range of c. P: 25 -200 c. P
![Gerber Rice with Gerber Soothe Meridians Nectar Recipe Recipe 4 oz water 2 scoops Gerber Rice with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 scoops](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-46.jpg)
Gerber Rice with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 2 tbsp Gerber Rice IDDSI volume: 5. 53 IDDSI: 2 Range of c. P: 51 -350 c. P
![Gerber Rice with Gerber Soothe Target Nectar Recipe 4 oz water 2 scoops of Gerber Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-47.jpg)
Gerber Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 3 tbsp Gerber Rice IDDSI volume: 7. 18 IDDSI: 2 Range of c. P: 51 -350 c. P
![Summary of Gerber Rice Summary of Gerber Rice](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-48.jpg)
Summary of Gerber Rice
![Gerber Oats with Gerber Soothe Meridians Half Nectar Recipe Recipe 4 oz water 2 Gerber Oats with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-49.jpg)
Gerber Oats with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 1 tbsp Gerber Oats IDDSI volume: 0 m. L at 7. 71 secs. IDDSI: 0 Range of c. P: 25 -200 c. P
![Gerber Oats with Gerber Soothe Meridians Nectar Recipe Recipe 4 oz water 2 scoops Gerber Oats with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 scoops](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-50.jpg)
Gerber Oats with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 2 tbsp Gerber Oats IDDSI volume: 0. 4 m. L IDDSI: 0 Range of c. P: 51 -350 c. P
![Gerber Oats with Gerber Soothe Target Nectar Recipe 4 oz water 2 scoops of Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-51.jpg)
Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 3 tbsp Gerber Oats IDDSI volume: 3. 86 IDDSI: 1 Range of c. P: 51 -350 c. P
![Gerber Oats with Gerber Soothe Target Nectar Recipe 4 oz water 2 scoops of Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-52.jpg)
Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 4 tbsp Gerber Oats IDDSI volume: 7. 67 IDDSI: 2 Range of c. P: 51 -350 c. P
![Gerber Oats with Gerber Soothe Target Nectar Recipe 4 oz water 2 scoops of Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-53.jpg)
Gerber Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 5 tbsp Gerber Oats IDDSI volume: 9. 83 IDDSI: 3 Range of c. P: 51 -350 c. P
![Summary of Gerber Oats Summary of Gerber Oats](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-54.jpg)
Summary of Gerber Oats
![Beech Nut Rice with Gerber Soothe Meridians Half Nectar Recipe Recipe 4 oz water Beech. Nut Rice with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water,](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-55.jpg)
Beech. Nut Rice with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 1 tbsp Beech. Nut Rice IDDSI volume: 0 m. L at 7. 12 secs. IDDSI: 0 Range of c. P: 25 -200 c. P
![Beech Nut Rice with Gerber Soothe Meridians Nectar Recipe Recipe 4 oz water 2 Beech. Nut Rice with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-56.jpg)
Beech. Nut Rice with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 2 tbsp Beech. Nut Rice IDDSI volume: 0 IDDSI: 0 Range of c. P: 51 -350
![Beech Nut Rice with Gerber Soothe Target Nectar Recipe 4 oz water 2 scoops Beech. Nut Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-57.jpg)
Beech. Nut Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 2. 5 tbsp Beech. Nut Rice IDDSI volume: 4. 4 m. L IDDSI: 2 Range of c. P: 51 -350
![Beech Nut Rice with Gerber Soothe Target Nectar Recipe 4 oz water 2 scoops Beech. Nut Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-58.jpg)
Beech. Nut Rice with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 3 tbsp Beech. Nut Rice IDDSI volume: 8. 4 m. L IDDSI: 2 Range of c. P: 51 -350
![Summary of Beech Nut Rice Summary of Beech. Nut Rice](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-59.jpg)
Summary of Beech. Nut Rice
![Summary of Beech Nut Rice Summary of Beech. Nut Rice](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-60.jpg)
Summary of Beech. Nut Rice
![Beech Nut Oats with Gerber Soothe Meridians Half Nectar Recipe Recipe 4 oz water Beech. Nut Oats with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water,](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-61.jpg)
Beech. Nut Oats with Gerber Soothe [Meridian’s Half. Nectar Recipe] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 1 tbsp Beech. Nut Oats IDDSI volume: 0 m. L at 7. 9 secs. IDDSI: 0 Range of c. P: 25 -200 c. P
![Beech Nut Oats with Gerber Soothe Meridians Nectar Recipe Recipe 4 oz water 2 Beech. Nut Oats with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-62.jpg)
Beech. Nut Oats with Gerber Soothe [Meridian’s Nectar Recipe] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 2 tbsp Beech. Nut Oats IDDSI volume: 1. 86 m. L IDDSI: 1 Range of c. P: 51 -350 c. P
![Beech Nut Oats with Gerber Soothe Target Nectar Recipe 4 oz water 2 scoops Beech. Nut Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-63.jpg)
Beech. Nut Oats with Gerber Soothe [Target: Nectar] Recipe: 4 oz. water, 2 scoops of Gerber Soothe, 3 tbsp Beech. Nut Oats IDDSI volume: 5. 9 m. L IDDSI: 2 Range of c. P: 51 -350 c. P
![Summary of Beech Nut Oats Summary of Beech. Nut Oats](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-64.jpg)
Summary of Beech. Nut Oats
![Summary of Beech Nut Oats Summary of Beech. Nut Oats](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-65.jpg)
Summary of Beech. Nut Oats
![Comparison Thin Barium vs Cereal 1 tbsp Comparison: Thin Barium vs. Cereal (1 tbsp. )](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-66.jpg)
Comparison: Thin Barium vs. Cereal (1 tbsp. )
![Comparison ½ Nectar Barium vs Cereal 4 tbsp Comparison: ½ Nectar Barium vs. Cereal (4 tbsp. )](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-67.jpg)
Comparison: ½ Nectar Barium vs. Cereal (4 tbsp. )
![Recommended Caloric Intake for Infants birththree months 360 640 calories per day Recommended Caloric Intake for Infants birth-three months: ● 360 -640 calories per day ●](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-68.jpg)
Recommended Caloric Intake for Infants birth-three months: ● 360 -640 calories per day ● 18 -32 ounces of breast milk or formula per day Infants 4 -6 months: ● 505 -800 calories per day ● 28 -40 ounces of breastmilk or formula per day (cereal starts to be incorporated) Infants 7 -12 months: ● 795 -920 calories per day ● Ounces of breastmilk and formula decreased to 18 -30 ounces around 10 months of age and soft foods, fruits and veggies are incorporated into diet
![Scenario A five month old infant is recommended to consume 500 800 calories per Scenario A five month old infant is recommended to consume 500 -800 calories per](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-69.jpg)
Scenario A five month old infant is recommended to consume 500 -800 calories per day. To prevent aspiration, the infant was placed on mildly thickened liquids (nectar) using Gerber Oats. The child should consume 7 -10 4 oz. Bottles per day (or 28 -40 oz. ) Each ounce is contains 18 -20 calories (not including cereal thickeners). On average one tablespoon of Gerber Oats adds 15 calories to the formula. According to our research, 4 tablespoon of Gerber Oats must be added to each 4 oz bottle in order to reach the intended thickness level. This adds between 420 -600 calories per day. This infant will consume 9241400 calories per day.
![How Do Thickeners Affect Infant Caloric Intake Cereal Thickeners can add calories that exceed How Do Thickeners Affect Infant Caloric Intake? Cereal Thickeners can add calories that exceed](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-70.jpg)
How Do Thickeners Affect Infant Caloric Intake? Cereal Thickeners can add calories that exceed the recommended amount for typical growth and development which can lead to weight gain. Why is this important? ● While infants need a high fat diet to support growth, providing excess calories can cause the infant to gain too much weight, delaying mental and physical development, including crawling and walking.
![Challenges In order to achieve certain thickness levels it was necessary to add Challenges ● In order to achieve certain thickness levels, it was necessary to add](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-71.jpg)
Challenges ● In order to achieve certain thickness levels, it was necessary to add significant amounts of cereal, which then increases the infant’s caloric intake ● When testing the liquids with IDDSI, rice and oat particles often clogged the syringe, which skewed our IDDSI numbers. ● Our group members mixed the formulas for different amount of times ● Inconsistencies in IDDSI numbers and viscosity numbers ● No set c. P range for half nectar ● Having a barrier between science and functionality
![Recommendations for Future Research Testing Neosure 22 and other formulas with rice and Recommendations for Future Research ● Testing Neosure 22 and other formulas with rice and](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-72.jpg)
Recommendations for Future Research ● Testing Neosure 22 and other formulas with rice and oat cereals ● Finding consistency in timing the mixing and speed of the stir ● Finding the amount of rice or oat cereal that it takes to reach the same thickness level as Varibar nectar ○ May not be practical due to the caloric intake ● Measure the temperature of each mixture to record if this impacts the viscosity thickness
![Pediatric Formula Testing Mixing Techniques By Amy Boesen Avery Brown Kassidy Mc Donald Carly Pediatric Formula Testing Mixing Techniques By: Amy Boesen, Avery Brown, Kassidy Mc. Donald, Carly](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-73.jpg)
Pediatric Formula Testing Mixing Techniques By: Amy Boesen, Avery Brown, Kassidy Mc. Donald, Carly Link & Cecilia Collins
![Focus Our goal this semester was to find different mixing methods that helped reduce Focus Our goal this semester was to find different mixing methods that helped reduce](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-74.jpg)
Focus Our goal this semester was to find different mixing methods that helped reduce the amount of clumpage created when mixing formula and thickener together. The mixing methods we focused on were stirring with spoons and forks, and shaking the formula and thickener in baby bottles. For most trials, we had the formula premade before mixing in the thickener, and for our last few trials we mixed the thickener and formula simultaneously. Our hopes in all of this testing was to find the best method that resulted in the least amount of clumping in the formula for the baby to successfully and safely drink.
![Stirring Methods Spoon Fork Bottle Formula mixed first and then thickener Bottle Formula and Stirring Methods Spoon Fork Bottle- Formula mixed first and then thickener Bottle- Formula and](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-75.jpg)
Stirring Methods Spoon Fork Bottle- Formula mixed first and then thickener Bottle- Formula and thickener added simultaneously **Each 4 ounce solution was stirred for one minute and set for 5 minutes, followed by an IDDSI test and then a viscometer**
![Reasons for Testing Similac Advance and Thik Clear Mostly used in Hospital Reasons for Testing Similac Advance and Thik & Clear - Mostly used in Hospital](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-76.jpg)
Reasons for Testing Similac Advance and Thik & Clear - Mostly used in Hospital settings - A popular choice for families to use at home - Similac Advance and Thik and Clear were not tested together in previous semesters.
![IDDSI Testing Vs Viscosity Testing We tested Moderately thick honey Mildly thick nectar and IDDSI Testing Vs. Viscosity Testing We tested Moderately thick (honey), Mildly thick (nectar), and](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-77.jpg)
IDDSI Testing Vs. Viscosity Testing We tested Moderately thick (honey), Mildly thick (nectar), and Slightly thick IDDSI ranges for all liquids. All tests were also completed on the Viscometer. This allowed for the identification of c. P ranges for the National Dysphagia Diet levels. We took the average of 4 IDDSI tests and how many m. L they had remaining to get the most accurate result. Conclusions from IDDSI and Viscosity testing: ● ● ● IDDSI levels and c. P levels from viscometer do not align when clumps were present the IDDSI results ran thinner than when no clumps were present When clumps were presented the levels on the viscometer varied
![Graph Results Similac Advance with no thickening agent Thin liquids requirements IDDSI 0 Viscosity Graph Results Similac Advance with no thickening agent Thin liquids requirements: IDDSI: 0 Viscosity:](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-78.jpg)
Graph Results Similac Advance with no thickening agent Thin liquids requirements: IDDSI: 0 Viscosity: 0 -50 c. P
![Label Recipe for Nectarlike liquid Usage per 4 fluid ounces serving Equal to ½ Label Recipe for Nectar-like liquid Usage per 4 fluid ounces serving: Equal to ½](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-79.jpg)
Label Recipe for Nectar-like liquid Usage per 4 fluid ounces serving: Equal to ½ cup 2 teaspoons : 4 oz fluid
![Nectarlike liquid requirements IDDSI 2 Viscosity 51 350 c P Conclusions spoon stir was Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir was](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-80.jpg)
Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir was clumpy but closest to barium -fork stir was thicker but there were no clumps Recommendations: -fork stirring method with less thickener
![Nectarlike liquid requirements IDDSI 2 Viscosity 51 350 c P Conclusions spoon stir was Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir was](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-81.jpg)
Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir was too thin -IDDSI-0 -viscosity-less than 50 c. P Recommendations: -would not recommend this recipe for nectar-like
![Nectarlike liquid requirements IDDSI 2 Viscosity 51 350 c P Conclusions spoon stirshookIDDSI 1 Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir/shook-IDDSI 1](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-82.jpg)
Nectar-like liquid requirements: IDDSI: 2 Viscosity: 51 -350 c. P Conclusions: -spoon stir/shook-IDDSI 1 -spoon/shook were super clumpy -fork stir-IDDSI 2 -fork stir was closest to barium Recommendations: -fork stir -4 oz formula : 1. 5 teaspoons thickener
![Label Recipe for HoneyLike Liquid Usage per 4 fluid ounces serving Equal to ½ Label Recipe for Honey-Like Liquid Usage per 4 fluid ounces serving: Equal to ½](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-83.jpg)
Label Recipe for Honey-Like Liquid Usage per 4 fluid ounces serving: Equal to ½ cup 3 teaspoons : 4 oz fluid
![Honeylike requirements IDDSI 3 Viscosity 351 1750 c P Conclusions fork stir is closest Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -fork stir is closest](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-84.jpg)
Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -fork stir is closest to barium -fork/spoon/shook-IDDSI 3 -shook/spoon were super clumpy Recommendations: -fork stir -4 oz formula : 2. 5 teaspoons thickener
![Honeylike requirements IDDSI 3 Viscosity 351 1750 c P Conclusions ¼ less teaspoon drastically Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -¼ less teaspoon drastically](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-85.jpg)
Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -¼ less teaspoon drastically changed the thickness -not even close to barium -spoon/fork IDDSI-3 Recommendations: -this recipe could be used to wean off of honey-thick
![Honeylike requirements IDDSI 3 Viscosity 351 1750 c P Conclusions very clumpy shook in Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -very clumpy -shook in](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-86.jpg)
Honey-like requirements: IDDSI: 3 Viscosity: 351 -1750 c. P Conclusions: -very clumpy -shook in bottle-IDDSI 2 -shook in bottle-c. P less than/equal to 350 Recommendations -would not recommend this recipe or mixing method because there were too many clumps in the bottle *thickener and formula were added to the bottle at the same time-swirled the bottle while they were added*
![Label Recipe for Slightly ThickThin Liquid There was no recommended recipe for a thin Label Recipe for Slightly Thick/Thin Liquid There was no recommended recipe for a thin](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-87.jpg)
Label Recipe for Slightly Thick/Thin Liquid There was no recommended recipe for a thin liquid on the back of the Thik & Clear canister.
![Slightly ThickThin liquid requirements IDDSI 1 Viscosity 0 50 c P Conclusions shookIDDSI 0 Slightly Thick/Thin liquid requirements: IDDSI: 1 Viscosity: 0 -50 c. P Conclusions: -shook-IDDSI 0](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-88.jpg)
Slightly Thick/Thin liquid requirements: IDDSI: 1 Viscosity: 0 -50 c. P Conclusions: -shook-IDDSI 0 -shook in bottle-c. P within the thin liquid range but was super clumpy -spoon/fork-IDDSI 1 -spoon/fork-c. P is above thin liquid range Recommendations: -fork or spoon (although it is thicker, there are less clumps) *further testing will be needed - evaluate the difference between IDDSI and c. P*
![Slightly ThickThin liquid requirements IDDSI 1 Viscosity 0 50 c P Conclusions ¼ teaspoon Slightly Thick/Thin liquid requirements: IDDSI: 1 Viscosity: 0 -50 c. P Conclusions: -¼ teaspoon](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-89.jpg)
Slightly Thick/Thin liquid requirements: IDDSI: 1 Viscosity: 0 -50 c. P Conclusions: -¼ teaspoon more of thickener drastically changed the thickness -spoon/fork/shook-IDDSI 1 -spoon/fork/shook-c. P within the nectar range Recommendations: -would not recommend this recipe for a thin liquid because IDDSI levels align, but viscosity levels do not align (too much variance in the results)
![Conclusion National Dysphagia Diet Levels Thin 0 50 c P Nectarlike 51 350 c Conclusion National Dysphagia Diet Levels Thin (0 -50 c. P) Nectar-like (51 -350 c.](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-90.jpg)
Conclusion National Dysphagia Diet Levels Thin (0 -50 c. P) Nectar-like (51 -350 c. P) Honey-like (351 -1750 c. P) ● ● ● International Dysphagia Diet Standardisation Initiative Thin - 0 Slightly thick - 1 Mildly thick - 2 (nectar like) Moderately thick - 3 (honey like) Extremely thick - 4 Slightly thick was added to the IDDSI levels (changes the current levels). ○ harder to truly say what each liquid is (thin nectar, half nectar, thin honey, etc. ) ○ the m. L on the syringe has such a wide range for identification of the type of liquid When comparing the viscometer results to the syringe test, we gathered different thickness levels. ○ c. P from our data trials do not match up with the IDDSI levels on all of our tests It is going to be harder to implement this because not all the results align. More testing will need done for IDDSI to have a better understanding of the thickness level. There is always going to be human error: stirring methods, amount of thickener, etc. Best stirring method would be stirring with a fork, worst is shaking the formula and thickener at the same time
![Further Research Continue testing different stirring methods Dr Browns Formula Mixing Pitcher Further Research ● Continue testing different stirring methods ○ Dr. Brown’s Formula Mixing Pitcher](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-91.jpg)
Further Research ● Continue testing different stirring methods ○ Dr. Brown’s Formula Mixing Pitcher ● Trying different stirring methods with food based thickeners ● Find closer recipes to barium ● Testing to find which c. P range best fits the slightly thick level of IDDSI
![Thickened Liquids for the Adult Population Immersive Learning PHYC 469 Viscosity Measurements of Thickened Liquids for the Adult Population Immersive Learning PHYC 469: Viscosity & Measurements of](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-92.jpg)
Thickened Liquids for the Adult Population Immersive Learning PHYC 469: Viscosity & Measurements of Human Dysphagia Gabriella Hernandez Megan Matzen Noelle Robinson Taylor Scher
![Dysphagia Who is at Risk CVAStroke patients Parkinsons Disease Cerebral Palsy Dysphagia Who is at Risk? ➢ ➢ ➢ CVA/Stroke patients Parkinson’s Disease Cerebral Palsy](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-93.jpg)
Dysphagia Who is at Risk? ➢ ➢ ➢ CVA/Stroke patients Parkinson’s Disease Cerebral Palsy Head/Neck cancer patients TBI patients Premature infants ➢ Natural aging adults
![Why is Dysphagia a Concern to the Geriatric Population Impacts patient and family Why is Dysphagia a Concern to the Geriatric Population? ❖ Impacts patient and family](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-94.jpg)
Why is Dysphagia a Concern to the Geriatric Population? ❖ Impacts patient and family dynamics → eating is considered a “social” event ❖ Aspirationis a major cause of morbidity and mortality in the elderly ➢ Aspirationoccurs when food or liquids enter the airway and travel below the vocal folds by accident
![International Dysphagia Diet Standardization Initiative IDDSI Viscosity Created to determine different textures International Dysphagia Diet Standardization Initiative (IDDSI) & Viscosity ❖ Created to determine different textures](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-95.jpg)
International Dysphagia Diet Standardization Initiative (IDDSI) & Viscosity ❖ Created to determine different textures and consistencies of various foods and beverages. ❖ Viscositycorresponds to informal concepts of “thickness” ❖ It’s important to realize that the viscosity of any fluid depends strongly on temperature ❖ Measured in centipoise (c. P)
![Consistency Categories Thin 0 50 c P Sometimes too thick or Consistency Categories ❖ Thin (0 - 50 c. P) ❖ Sometimes, too thick or](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-96.jpg)
Consistency Categories ❖ Thin (0 - 50 c. P) ❖ Sometimes, too thick or thin liquids can be of danger to patients suffering ❖ Nectar thick (51 - 350 c. P) with dysphagia. ❖ Honey thick (351 - 1750 c. P) ❖ “Nectar thick” serves as a nice ❖ Spoon thick (> 1750 c. P) middle ground between too thin liquids and too thick liquids.
![Our Goals for Targeted Population Wanted to create a sense of variety in Our Goals for Targeted Population ❖ Wanted to create a sense of variety in](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-97.jpg)
Our Goals for Targeted Population ❖ Wanted to create a sense of variety in class data gatherings ❖ More options when it comes to testing liquids ❖ Dysphagia is not only common in pediatric community ❖ Focus to improve the overall quality of life for patients
![Thik Clear vs Simply Thick Thik Clear Gum based Pros Thik & Clear vs. Simply Thick Thik & Clear (Gum based) ❖ Pros ➢](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-98.jpg)
Thik & Clear vs. Simply Thick Thik & Clear (Gum based) ❖ Pros ➢ Mixes with both hot and cold beverages and foods ➢ Remains stable over time ❖ Cons ➢ Clumps significantly which makes it difficult to create the right recipe ➢ Time consuming Simply Thick (Gum based) ❖ Pros ➢ Mixes easily ➢ Less time to prepare ❖ Cons ➢ Can cause issues within the digestive system (gas)
![How We Mixed Used samplesize measurements for all our liquids so we poured 4 How We Mixed *Used sample-size measurements for all our liquids so we poured 4](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-99.jpg)
How We Mixed *Used sample-size measurements for all our liquids so we poured 4 oz of liquid into our cups to mix with the thickeners Thik & Clear 1. Pour 4 m. L of liquid into cup Simply Thick 1. Pour 4 m. L of liquid into cup 2. If the liquid is too hot, let sit for at least a 1: 30 2. Selected package intended for 4 oz of liquid 3. Gradually shake thickener into the liquid (to 3. Stir immediately for 20 seconds avoid clumping) while stirring. 4. Stir continuously for 20 seconds 5. Let sit for 5 minutes. 4. Ready to serve after 20 seconds of stirring.
![Varibar Barium Bracco Diagnostics What is it An steady oral contrast agent for Varibar Barium - Bracco Diagnostics What is it? An steady oral contrast agent for](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-100.jpg)
Varibar Barium - Bracco Diagnostics What is it? An steady oral contrast agent for modified barium swallow (MBS) studies It’s Job? Fill up or coat region of interest ❖ Premixed and premeasured MBS allows for studies to: ➢ Reduce preparation time ➢ Support high quality imaging ➢ Avoid undesirable coating How to read a Barium label: ❖ GI tract diagram given ➢ Black filled in or black outline = region of interest ❖ Viscosity listed ❖ Density (w/v, w/w) ❖ Flavor
![Community Partner St Vincent In contact with St Vincent Health Systems Molly Jones Community Partner: St. Vincent ❖ In contact with St. Vincent Health Systems (Molly Jones](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-101.jpg)
Community Partner: St. Vincent ❖ In contact with St. Vincent Health Systems (Molly Jones M. A. , CCC-SLP BCS-S) throughout the semester to determine what liquids were being tested in the St. Vincent Facility and what thickeners they were using. ❖ Suggestions from Molly concerning what liquids to test included: ➢ Coffee ➢ Tea ➢ Lemonade ➢ V 8
![Liquids Tested Chicken Broth Regular Low sodium Beef Broth Liquids Tested ❖ Chicken Broth: ➢ Regular ➢ Low sodium ❖ Beef Broth: ➢](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-102.jpg)
Liquids Tested ❖ Chicken Broth: ➢ Regular ➢ Low sodium ❖ Beef Broth: ➢ Regular ➢ Low sodium ❖ Vegetable Broth ❖ Chocolate Ensure Plus ❖ Lipton Tea (Iced) ❖ Root Beer
![Chicken Broth Goal Nectar thick Result Level 1 Slightly Thick under both thickeners Chicken Broth Goal: Nectar thick | Result: Level 1 (Slightly Thick) under both thickeners.](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-103.jpg)
Chicken Broth Goal: Nectar thick | Result: Level 1 (Slightly Thick) under both thickeners.
![Chicken Broth 50 Less Sodium Goal Nectar thick Result Level 1 Slightly Chicken Broth - 50% Less Sodium Goal: Nectar thick | Result: Level 1 (Slightly](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-104.jpg)
Chicken Broth - 50% Less Sodium Goal: Nectar thick | Result: Level 1 (Slightly Thick) under each thickener
![Beef Broth Goal Nectar thick Results Simply Thick Level 1 Slightly Thick Beef Broth Goal: Nectar thick | Results: Simply Thick- Level 1 (Slightly Thick) |](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-105.jpg)
Beef Broth Goal: Nectar thick | Results: Simply Thick- Level 1 (Slightly Thick) | Thik & Clear- Level 2 (Mildly Thick)
![Beef Broth 50 Less Sodium Goal Nectar thick Result Level 1 Slightly Beef Broth - 50% Less Sodium Goal: Nectar thick | Result: Level 1 (Slightly](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-106.jpg)
Beef Broth - 50% Less Sodium Goal: Nectar thick | Result: Level 1 (Slightly Thick) under both thickeners.
![Vegetable Broth Goal Nectar thick Result Level 1 Slightly Thick under both thickeners Vegetable Broth Goal: Nectar thick | Result: Level 1 (Slightly Thick) under both thickeners](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-107.jpg)
Vegetable Broth Goal: Nectar thick | Result: Level 1 (Slightly Thick) under both thickeners
![Ensure Plus Baseline Ensure Plus 2 nd Batch Goal Nectar thick Level 2 Result Ensure Plus Baseline. Ensure Plus 2 nd Batch: Goal: Nectar thick (Level 2) Result:](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-108.jpg)
Ensure Plus Baseline. Ensure Plus 2 nd Batch: Goal: Nectar thick (Level 2) Result: Honey thick (Level 3) 3 rd Batch: Goal: Nectar thick (Level 2) Result: Honey thick (Level 3)
![Iced Tea Goal Nectar thick Result Mildly thick Level 2 Iced Tea Goal: Nectar thick | Result: Mildly thick (Level 2)](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-109.jpg)
Iced Tea Goal: Nectar thick | Result: Mildly thick (Level 2)
![Root Beer Goal Honey Thick Result Level 4 Extremely Thick Root Beer Goal: Honey Thick | Result: Level 4 (Extremely Thick)](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-110.jpg)
Root Beer Goal: Honey Thick | Result: Level 4 (Extremely Thick)
![Recommendations When mixing with Thik Clear instead of dumping the entire teaspoon Recommendations ❖ When mixing with Thik & Clear, instead of dumping the entire teaspoon](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-111.jpg)
Recommendations ❖ When mixing with Thik & Clear, instead of dumping the entire teaspoon into liquid, gradually shake powder into the liquid while stirring to avoid excess clumping. ❖ Try using powder based thickeners with carbonated beverages. ❖ When mixing hot foods/drinks with Thik & Clear, allow time for a slight cool down. Extremely hot foods clump much more.
![Conclusion Simply Thick Thik Clear If the liquid is already thick Conclusion Simply Thick Thik & Clear ❖ If the liquid is already thick, ❖](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-112.jpg)
Conclusion Simply Thick Thik & Clear ❖ If the liquid is already thick, ❖ Less clumping with cooler using simply thick will make liquids than hotter liquids. it much thicker. (Ensure Plus, Iced Tea. ) ❖ Thinner liquids (broths) were much more consistent with the targeted consistency. ❖ Thin liquids were more consistent with target consistency.
![IMMERSIVE LEARNING ANALYSIS OF FLUID VISCOSITIES TO TREAT HUMAN DYSPHAGIA BALL STATE UNIVERSITY SPRING IMMERSIVE LEARNING: ANALYSIS OF FLUID VISCOSITIES TO TREAT HUMAN DYSPHAGIA BALL STATE UNIVERSITY (SPRING](https://slidetodoc.com/presentation_image_h/1392eb360ec378137f05ac63dbbe5e89/image-113.jpg)
IMMERSIVE LEARNING: ANALYSIS OF FLUID VISCOSITIES TO TREAT HUMAN DYSPHAGIA BALL STATE UNIVERSITY (SPRING 2019)
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