please write 3 PES statement for this case The patient is a 48…
please write 3 PES statement for this case The patient is a 48 year-old man with a past medical history of alcohol abuse and chronic pancreatitis. He is admitted to the hospital with severe abdominal pain and is found to have a perforated duodenal ulcer. He goes to the operating room for an exploratory laparotomy with duodenotomy and oversewing of the duodenal ulcer as well as ligation of the gastroduodenal artery. On day 3 of hospitalization, he reperforates his repair and is urgently returned to the operating room for a re-do exploratory laparotomy, lysis of adhesions, washout, and ligation of the gastroduodenal artery and repair of the duodenotomy. He develops a prolonged postoperative ileus that has persisted since day 3 of hospitalization. At this time, he has been without nutrition for 7 days (day 7 of hospitalization), and the surgeons anticipate there will be a prolonged recovery course prior to re-initiation of EN. As a result, PN is to be initiated on day
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