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You have to fill in the MOBILITY Ability to change and, NUTRITION Usual food in, take FRICTION AND SHEAR, OR is N, PO, 1 and, or maintained on, receives less than optimum amount, and is on a tube feeding or T, PN, 3 space with the required details.

Put down the vital information since you are within the OR is N, PO, 1 and, or maintained on, receives less than optimum amount, TOTAL SCORE, ASSESS, DATE, Total score of 12 or less, EVA, LU, AT, OR SIGNATURE, TITLE ASSESS, DATE, EVA, LU, AT, OR SIGNATURE, TITLE NAME, Last First, Middle, Attending Physician, and Record No section.

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