.NUT_NORMAL

Skilled nutrition assessment: following {diet}, intake adequate, appetite baseline; weight {###} lb stable vs goal, no malnutrition indicators; chewing/swallowing adequate; [enteral tolerated, site intact]; no GI sx limiting intake. RN judgment applied to evaluate intake/diet adherence and screen malnutrition risk given {dx}. Continued skilled monitoring indicated.

.NUT_ASSESS

Intake ~{%} of meals; diet {prescribed} adherence {ok/gap}; appetite {baseline/reduced}; weight {###} lb, {change} over {timeframe} ({%}); wasting {y/n}; GI sx {nausea/early satiety/none}.

.NUT_ENTERAL

Enteral {tube type}; formula {name} at {rate}; residual/tolerance {value}; site {intact/erythema/leakage}; flushed {volume} per protocol; position {HOB ≥ 30°}.

.NUT_SKILL

Screened malnutrition risk vs trend; reinforced {diet}; recommended {supplement/small frequent meals}; managed enteral per order; coordinated {dietitian/labs}; mitigated {access/dentition} barrier.

.NUT_TEACH

Reviewed {diet specifics/intake strategies/enteral care} with {pt/cg}; method {teach-back/return-demo}; mastery {##}%.

.NUT_COORD

Provider notified at {time} re {weight loss/intake decline/enteral issue}; reported {content}; order received {supplement/labs/referral}; reassessment {when}.

.NUT_SAFETY

Call for declining intake, unintended weight change, or enteral intolerance; 911 for choking or aspiration during intake.

.NUT_NECESSITY

Skilled nursing required today to {action} for {RN-level reason} given {dx}, resulting in {measurable effect}.