How should a pt transition from tube to oral feeding ?

### Assess patient ability to swallow, stop tube feedings 1 hr. ac/pc to promote appetite, decrease tube feeding volume as PO intake increases, discontinue tube feeding when oral intake consistently exceeds 2/3 of estimated energy requirements (~65-75%).

## Step1: Assess Patient's Ability to Swallow### Before transitioning a patient from tube feeding to oral feeding, it is crucial to assess their ability to swallow safely. This involves evaluating the patient's muscle coordination, gag reflex, and overall readiness to prevent choking.## Step2: Gradual Reduction of Tube Feedings### Gradually reduce the frequency of tube feedings by stopping them 1 hour before and after meals to promote appetite and oral feeding. This step helps in acclimatizing the patient to oral intake without overwhelming them.## Step3: Decrease Tube Feeding Volume### As the patient begins to take in more oral feedings, decrease the volume of tube feeding. This allows the patient's digestive system to adjust to the changes in feeding method and volume.## Step4: Discontinue Tube Feeding### Discontinue tube feeding when the patient's oral intake consistently meets at least 2/3 of their estimated energy requirements, which is approximately 65-75%. This ensures that the patient's nutritional needs are met through oral feedings alone.