The Food Intake Level Scale (FILS) can be used to describe a patient's usual nutritional intake. It can be used to evaluate a patient with dysphagia or a gastrointestinal disorder. It has been used primarily in Japan.
Oral Intake
Alternative Nutrition
Items
yes
no
7 to 10
yes
yes
4 to 6
no
NA
1 to 3
Items:
(10) normal without dietary restrictions with usual number of meals
(9) diet adjusted for medical considerations but otherwise normal
(8) avoids difficult to swallow foods but otherwise normal
(7) easy-to-swallow food ingested for meals with no alternative nutrition
(6) easy-to-swallow food supplemented by alternative nutrition
(5) easy-to-swallow food for 1 or 2 meals with remainder alternative nutrition
(4) easy-to-swallow food for less than 1 meal with remainder alternative nutrition
(3) no oral intake with swallowing training with small amount of food
(2) no oral intake with swallowing training without food
(1) no oral intake and no swallowing training with or without oral care
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