Triggers:

Check if  applicable

K5b – Feeding tube present

Evaluate:

B1              Comatose

B5              Delirium

E1n            Repetitive physical movements

E1e            Resists assistance with eating

H2b           Constipation

H2c            Diarrhea

H2d            Fecal impaction

I1dd           Anxiety

I1ee            Depression

I1t               CVA

J1c              Dehydrated

J1h              Fever

J1k              Recurrent lung aspirations

J1l               Shortness of breath

J3c              Chest pain

K1a             Chewing problem

K1b             Swallowing problem

K1c             Mouth pain

K4c              Failure to eat

P9                Abnormal lab values

Cardiac distress

Respiratory problems

Proceed with care-planning

Do not proceed with care-planning

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