My MIL is in a SNF over an hour away- she had a ruptured cerebral aneurysm before DH and I ever met. I don't know her that well, nor do we often speak to that side of his family (no ill feelings, DH is just bad at keeping in touch). When she was placed in the facility, DH (who was only in his early 20's) couldn't really handle being her HCP and making decisions anymore, so another family member has power of attorney now. So honestly, I feel I have no right interfering in her care, but... she had a PEG placed less than a month ago, and when we went to visit her Christmas Eve, the nurse came in to start her feeding, and asked us to step out for a minute. When we went back in, she was lying completely flat in bed, with a tube feed running at 80ml/hr. I simply raised the HOB out of instinct, and on the way home, hubby asked why. I matter of factly said that it's best to elevate the head with tube feeds running. He was a little upset I hadn't said anything to the nurse. Would you have?