Date: Date:Mon.Tues.Wed. Thurs. Fri. Sat. Sun. Weight Amount of Formula Taken: Volume Calories Rate Oral Intake, Food and Liquid Amount of Water Taken Through the Tube Urine: Color/Odor Stool Consistency: Liquid (#/day) Soft (#/day) Hard (#/day) Constipated (Yes/No) Nauseous Notes Thurs. Fri. Sat. Sun. Guide to Adult Tube Feeding | 27

Guide to Adult Tube Feeding at Home  - Page 29 Guide to Adult Tube Feeding at Home Page 28 Page 30