Significant weight loss: 8 lb over 30 days (≈5.1%), unplanned, with intake dropping to 40% and new coughing at meals — dietitian and provider notified, a swallow evaluation and a fortified/altered diet ordered, aspiration precautions reinforced, the weight loss and the nutritional approach coded on Section K, and the care plan revised with monitoring. RN judgment required to recognize the loss and coordinate the response.
Model abnormal 2
Enteral feeding intolerance: high gastric residuals, new abdominal distension, and one episode of emesis — feeding held per protocol, provider notified, residual/abdomen reassessed, an anti-reflux/prokinetic order and a possible rate change requested; aspiration precautions reinforced; will reassess tolerance and support the Section K update. Skilled assessment required to prevent aspiration.
