IDDSI Level 5 diet with nectar-thick liquids using precautions (upright, small bites, chin tuck), no coughing/wet voice, intake adequate. Skilled swallowing/aspiration management required daily; supports Section K. (Nutrition reference.)
Safe diet progression
Advanced puree → mechanically altered per the SLP re-evaluation, tolerating without coughing/wet voice, precautions maintained. Skilled management of the safe progression and aspiration surveillance required; supports Section K.
Taste-change intake management
Post-radiation taste changes reducing intake — flavor/texture strategies used, intake monitored, aspiration precautions maintained. Skilled management of the intake impact required; supports Section K. (Nutrition/Mouth references.)
