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Medicaid Managed Cerebral Enteral Nutrition (Nutritional Supplement) Order Form Age 21+ Patient Name: ___ DOB: ___/__ /___Member ID Number:___ Member Mailing Address:___Member Phone Number:___ Physician
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How to fill out parenteral and enteral nutrition

01
Consult a healthcare provider or nutritionist to determine the appropriate type and amount of parenteral or enteral nutrition needed.
02
Follow the healthcare provider's instructions on preparing and administering the parenteral or enteral nutrition.
03
For parenteral nutrition, ensure sterile technique when preparing and administering the solution.
04
For enteral nutrition, use the proper feeding tube and follow guidelines for feeding tube placement.
05
Monitor the patient's tolerance and response to the parenteral or enteral nutrition and adjust as needed.

Who needs parenteral and enteral nutrition?

01
Individuals who are unable to consume adequate nutrition orally due to medical conditions such as gastrointestinal disorders, malabsorption, or swallowing difficulties may need parenteral or enteral nutrition.
02
Patients who are undergoing certain medical treatments that require nutritional support, such as chemotherapy or radiation therapy, may also benefit from parenteral or enteral nutrition.
03
Those who have difficulty eating or digesting food properly, such as patients with severe burns or trauma, may require parenteral or enteral nutrition for nourishment.
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Parenteral nutrition is given through a vein, while enteral nutrition is given through the digestive tract.
Healthcare professionals and facilities providing parenteral and enteral nutrition are required to file.
Parenteral and enteral nutrition must be filled out with accurate information about the patient's needs and treatment.
The purpose is to provide essential nutrients to patients who are unable to eat or digest food normally.
Information such as patient details, type of nutrition, dosage, and administration schedule must be reported.
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