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The document is a detailed nutrition assessment and intervention plan for a 29-year-old male patient who underwent surgery due to a gunshot wound to the abdomen. It includes comprehensive data on the patient's medical history, anthropometrics, biochemical tests, and nutritional needs. The assessment identifies increased protein requirements due to metabolic stress and impaired nutrient utilization. The intervention recommends continuing total parenteral nutrition (TPN) with specific protein goals, monitoring tolerance of feeding, and adjusting nutritional support based on ongoing evaluations.
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  1. Click ‘Get Form’ to open the Nutrition Documentation Form in our editor.
  2. Begin by entering your name in the designated field at the top of the form. This identifies you as the user responsible for this documentation.
  3. Fill in the 'Date Due' and 'Time' fields accurately to ensure timely submission of your case study.
  4. In the 'Nutrition Assessment' section, provide detailed information regarding client history and physical anthropometrics. Use checkboxes where applicable to indicate findings.
  5. Complete the 'Food/Nutrition-Related History' section by inputting any known dietary intake and relevant biochemical test results.
  6. For the 'Nutrition Diagnosis' section, clearly state your PES statements based on your assessment findings.
  7. Finally, review all entries for accuracy before submitting. Utilize our platform's features to save or share your completed form easily.

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