Why RTF is insuffiency to provide enough nutritional values to this

patient ?
Patient who can tolerate EN and can be fed approximately to the target values no
additional PN should be given. However, if patient canot be fed SUFFICIENTLY
enterally, the DEFICIT should be supplemented parenterally.
PN support should be given to geriatrics if intake is likely to be insufficient for
more than 7-10days. Besides that, PN is an effective method of nutritional
supply in geriatric, however compared to EN and oral nutritional supplements
are much less often justified.
The age associated changes in the physiology of gastrointestinal tract should
be considered in regard to the effectiveness of nutrient absorption. Hence, PN
and EN should complement to each another to improve the benefit of patient.
(ESPEN guidelines on Parenteral nutrition on geriatrics, 2009)
ESPEN also suggested that in patient with chronic catabolic disease (condition
categorized by rapid weight loss, loss of fat, muscle mass), target calories /day
should be met FULLY using supplemenary PN if necessary. So, in our case,
patient experienced rapid weight loss for the pass few months, hence PN route of
nutritional supply is more appropriate in this patient if possible.
Hence, supplemental PN should be introduced to this patient , who cannot be fed
sufficnetly via enteral route.
(ESPEN guidelines on Enteral nutrition : intensive care, 2006)

The efficacy of TPN in increasing weight ?

Not yet..i pening d..i find later .g9
References
ESPEN Guidelines on Parenteral Nutrition: Geriatrics ( 2009)