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2/18: Soft for dentition (chopped) with cardiac restrictions and Chocolate Glucerna
and Magic Cup BID
2/28: Continuous feeds of Nepro @ 65 mL/hr with 1 liquid protein supplement. This
provided 2918 kcals (100%) and 150 gm protein (100%)
Nutrition Care Process: Monitoring and
Evaluation
Monitoring:
● Food and beverage intake
● Enteral nutrition prescription
● Swallow status
● Labs
Evaluation:
● Tolerating diet order (oral and/or EN)
● Meeting needs through enteral nutrition
Current status update
3/3: SLP re-assessed patient and upgraded his diet to Dysphagia 2 diet, tube
feeding discontinued
3/6: Diet upgraded to Soft for dentition (chopped) and appetite improving with
improved mental status
THANK YOU!
References
1. Mahan, L. K., Raymond, J. L., & Escott-Stump, S. (2013). Krause's food & the nutrition care
process (13th ed.). Saint Louis: Saunders.
2. Ischemic Heart Disease. (n.d.). Retrieved from https://www.nhlbi.nih.gov/health-topics/ischemic-
heart-disease
3. Framingham: Past and Present. (n.d.). Retrieved from https://www.framinghamheartstudy.org/
4. Understand Your Risks to Prevent a Heart Attack. (n.d.). Retrieved from
https://www.heart.org/en/health-topics/heart-attack/understand-your-risks-to-prevent-a-heart-
attack
5. Coronary Artery Bypass Grafting. (n.d.). Retrieved from https://www.nhlbi.nih.gov/health-
topics/coronary-artery-bypass-grafting
6. Kulik, A., Ruel, M., Jneid, H., Ferguson, T. B., Hiratzka, L. F., Ikonomidis, J. S., . .Zimmerman,
L. (2015). Secondary Prevention After Coronary Artery Bypass Graft Surgery. Circulation,
131(10), 927-964. doi:10.1161/cir.0000000000000182