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...Mr chavez is years old and has amyotrophic lateral sclerosis als ventilator dependence a percutaneous endoscopic gastrostomy peg feeding tube he alert oriented but totally dependent for all adls tall currently weighs pounds recently lost the registered dietitian calculated his nutritional needs as follows calories grams protein cc fluid she recommended increasing fibersource enteral formula to hr hours each day down time from m adl care which would provide free water also recommends flushes of before after medication administration shift well an additional plan diagnosis problem goals approaches interventions discipline resolution review ate nutrition will maintain x hrs nursing resident receives secondary weight between meet presently adequate fluids cbw tolerating en continue monthly ordered potential monitor gastric residuals complaints gi weekly unintentional gain upset tolerance continuous loss related per month until ubw reached minimum medications every via recent tolerate gravi...