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Inpatient management of the Roux-en-Y patient?

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I have a patient in rehab that is S/P Roux-en-Y: 1 year. She has stage

3 and 4 decub ulcers to her sacrum and buttocks. We are doing High

Protein milkshakes 2x/day and Juven 2x/d in addition to her meals (only

25% po intake at meals). Any other suggestions? She continues to lose

weight...down 12lb since admission 1 month ago.

Thanks

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