“Normal/at-baseline” means the patient is swallowing safely on the ordered texture with correct precautions, or a chronic dysphagia is stable and well-managed. Each line states the finding, the comparison to baseline, and the skilled reason a nurse was required — a bare “eats fine” does not qualify.
Tolerates the ordered IDDSI texture without coughing, throat-clearing, a wet voice, or pocketing across an observed meal or trial.
No aspiration signs — no post-meal shortness of breath, wet voice, or pattern of respiratory infection.
Food and liquid textures consumed match the ordered IDDSI level, with thickened liquids prepared correctly.
Positioning correct — upright at ninety degrees for and after meals — with safe feeding technique.
Oral control adequate without significant residue or pocketing after the swallow.
Taste and appetite at baseline supporting adequate intake (cross-reference Nutrition).
A chronic dysphagia stable and well-managed on the current plan, appropriate to continue, with SLP coordination current.
