SOAP NOTE CONTINUED Assessment Patient is dehyrated and malnourished on admission. BUN, Hct, and Serum Sodium levels were elevated upon admission, which are all indicative of clinical dehydration. The Nutrition Department was consulted due to the patientÕs marasmic state. The patientÕs level of compliance with nutritional recommendations is low because of her AD diagnosis. Plan Out goals include rehydrading the patient, increasing PO intake, and maintaining protein status and vitamin intake, while repleting energy stores. We are going to put the patient on an Intermittent enteral feeding of osmolite HN Plus (NG tube). We are giving 1300kcal = 1083 mL/day six times a day (180mL per feeding) plus 2 scoops of Promod to meet protein needs, and 89 mL of flushing before and after each feeding. We plan on educating the family about the TF as well as the possibility of continuing TF at home if patient does not graduate to PO.