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Inadequate nutrition
In advanced COPD - fatigue due to caused by any effort can lead to a lack of adequate intake. The increased demands of increased WOB leading to an increase in req’d energy .
Assess nutritional status - , history & skinfold if applicable
Document input and liaise with re: higher energy diet
Monitor lab values including serum and electrolytes (the individual may not be getting enough protein)
Provide frequent, meals with between-meal supps
Position patient appropriately for meals
Assist to choose meals; encourage family members to bring food from home if allowed
Bedside snacks
Provide mouth-care to increase
If oral intake is inadequate discuss or parenteral feeding with medical staff