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I have experience in dealing with situations like what you describe. I work in acute care (the hospital). Initially, patients are "fed" through IV with either PPN (partial parenteral nutrition)which is given through a peripheral IV site or TPN(total parenteral nutrition) which usually requires a central line. IV feedings are risky, and they require close monitoring of bloodwork and weight, intake and output. There is risk of infection as the TPN is a great place for bacteria to live in and gain direct access to the bloodstream. Also there is a risk of extravasation, in which the PPN doesn't stay in the vein but is injected in the tissue which causes severe damage to the body part. TPN and PPN require a daily order written by the patient's doctor. This is why IV nutrition is only done in the hospital as it requires the close monitoring of doctors and nurses. IV nutrition is only done on people who have a non-functioning gastrointestinal tract and for a short period of time such as a few weeks. For example, patients with bowel obstructions, patients undergoing abdominal surgery like a colectomy or colostomy, etc. would qualify. IV nutrition is also done for patients who are awaiting placement of a feeding tube. Feeding tubes are used for term nutritional support. They are inserted in a minor OR under conscious sedation. tubes are placed in patients who need term nutritional support and can be maintained in a nursing home or even at home. Unliscensed people can administer tube feeding if they are trained. Feeding tubes also have risks such as aspiration, where they can choke on their tube feeding and develop pneumonia if positioned with their head at less than a 45 degree. patients on tube feeding suffer from constant diarrhea and subsequent bed sores if their body cannot adjust to the feeding. Whether or not a patient gets a feeding tube is a decision made by both the family and the patient's doctors, and if the person had a living -/advanced directives that is taken into consideration. It's a difficult choice to make and there's no easy way about it. That's why the decision is individualized. I that helped you and I'm sorry your family is going through this. Garneill Montana cum sluts
thanks for the pee explanation :) I'm not sure these are unfair expectations like when I stumble to the bathroom in the middle of the night and trip over his shoes (happenned times), almost cracking my head open on the dresser. i have relented on of my "expectations" of him (like him rinsing the sink after he brushes his teeth), but I guess the issue is, how far does one go before it ceases to be a compromise? and, we don't have a car to fix, nor a lawn to mow, nor a roof to shingle, nor wood to chop, or any other typical "male" stuff. i won't iron his work shirts, so he spends money on the dry cleaner instead. sorry, this is turning into bitching instead of being constructive. i'll do some more thinking. looking for monday eveningKnowing that she get no work done in the state she is in, she slides her hands down her body, lingering momentarily to tease her nipples through her sweater, across her stomach and down to her skirt. Her hands dance up each of her thighs, teasing herself and hiking up her skirt all in one motion. She runs the middle finger of her right hand along her slit, spreading around the heat and slickness as bolts of pleasure course through her body. From top to bottom she continues stroking herself, lingering at the top each time to rub and circle the hardening bundle of nerves growing there. As she runs her finger down her wetness again, she slips it inside as far as she can, caressing her inner walls. She can't believe how turned on she is her natural moisture already coating her fingers She slides a second finger easily inside of herself, and even as she gasps in pleasure she hears a rustling behind her. "Can I help you?" a deep voice, husky with asks from the entrance to her cubicle. Face already flushing red, she looks over her shoulder to him. Dressed in khakis, a button down shirt and a tie, her new boy-toy cuts a striking figure; arms folded, leaning against the side of her cubicle, clearly enjoying the show. He takes another moment to drink in her compromising position, his eyes afire with passion, before he practiy pounces upon her from behind, kissing her deeply, twisting her neck slightly to achieve the perfect. His hands slide down her tingling body and he replaces her hands with his own, he pushes his fingers inside of her to continue the wonderful friction he had interrupted. He releases her mouth from his passionate embrace and begins licking and sucking the exposed flesh of her neck. She is panting for breath now, but is able to gasp out a question, "So I guess you liked what you saw?" She can feel his lips stretch into a grin at the rhetorical question. He pulls away from her and bites his lower lip coyly "I'm not sure," he replies, "I couldn't much with you facing away from me. I think I need a closer look." dating sites in uk
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