NUR : Pre-Sim Assignment – Christopher Parrish Scenario Background (complete solution) Fall 2021/22

NUR : Pre-Sim Assignment – Christopher Parrish Scenario Background (complete solution) Fall 2020 NUR : Pre-Sim Assignment – Christopher Parrish Scenario Background  Situation: Christopher Parrish is an 18-year-old male who was admitted at 1900 today. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. A 8-Fr, 42-inch feeding tube was placed in his right nare, and x-ray has confirmed placement in the stomach. He is on bed rest with bathroom privileges.  Background: Christopher was diagnosed with cystic fibrosis as a child and has had frequent hospitalizations previously. He reports fatigue and has recently lost 6 kg (13.2 lb) after he registered at the local college and moved to live in a dormitory. Learning Objectives General  Assess patients to recognize normal versus abnormal findings.  Respond to changes in patient status  Assume accountability for the plan of care by order of priority, implementation, and evaluation  Use standard precautions when caring for the patient  Ensure patient and healthcare provider safety  Collaborate appropriately with the healthcare team in a timely, organized, and patient-specific manner  Use critical thinking when making clinical judgements and decisions  Establish a therapeutic environment for the patients and their families  Use therapeutic communication techniques in a manner that illustrates caring for the patient’s overall well-being Scenario Specific  Implement safety precautions for a patient receiving enteral feeding  Implement enteral feeding through NG tube