title: Speech-Language and Nutritional Sciences in hospital environment: analysis of terminology of food consistencies classification.
abstract: OBJECTIVE
  To verify if there is an agreement between speech-language pathologists and nutritionists about the classification of food textures used in hospitals and their opinions about the possible consequences of differences in this classification.
  
  
  METHODS
  This is a descriptive, cross-sectional study with 30 speech-language pathologists and 30 nutritionists who worked in 14 hospitals of public and/or private network in Belo Horizonte, Brazil. The professionals answered a questionnaire, prepared by the researchers, and classified five different foods, with and without theoretical direction. The data were analyzed using Fisher's exact and Z -tests to compare ratios with a 5% significance level.
  
  
  RESULTS
  Both speech-language therapists (100%) and nutritionists (90%) perceive divergence in the classification and, 86.2% and 100% of them, respectively, believe that this difference may affect the patients' recovery. Aspiration risk was the most mentioned problem. For the general classification of food textures, most of the professionals (88.5%) suggested four to six terms. As to the terminology used in the classification of food presented without theoretical direction, the professionals cited 49 terms and agreed only in the solid and liquid classifications. With theoretical direction, the professionals also agreed in the classification of thick and thin paste.
  
  
  CONCLUSIONS
  Both the professionals recognized divergences in the classification of food textures and the consequent risk of damage to patient's recovery. The use of theoretical direction increased the agreement between these professionals.
authors.affiliation: Clínica Medicina Empresarial, Belo Horizonte, MG, Brasil.
authors.forename: Ana Cláudia Fernandes
authors.initials: AC
authors.lastname: Amaral
authors.affiliation: Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Lívia Azevedo
authors.initials: LA
authors.lastname: Rodrigues
authors.affiliation: Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Renata Maria Moreira Moraes
authors.initials: RM
authors.lastname: Furlan
authors.affiliation: Departamento de Fonoaudiologia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Laélia Cristina Caseiro
authors.initials: LC
authors.lastname: Vicente
authors.affiliation: Departamento de Fonoaudiologia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
authors.forename: Andréa Rodrigues
authors.initials: AR
authors.lastname: Motta
mesh_terms: D001938:Brazil; D003430:Cross-Sectional Studies; D003680:Deglutition Disorders / Q000178:diet therapy; D004032:Diet / Q000592:standards; D005502:Food / Q000145:classification*; D005521:Food Service, Hospital; D006801:Humans; D052756:Nutritional Sciences / Q000592:standards*; D064686:Nutritionists; D012307:Risk Factors; D013066:Speech-Language Pathology / Q000592:standards*; D011795:Surveys and Questionnaires; D009626:Terminology as Topic