Christopher Parrish Documentation Assignments; questions and answers, complete solution.

Christopher Parrish Documentation Assignments 1. Document your focused gastrointestinal and dietary assessment of Christopher Parrish. I place the patient in sitting position to begin assessment. Before starting the nasogastric feeding, the placement of the nasogastric tube was assessed and found to be in place. The abdomen was auscultated and normal bowel sounds were noted. I ask the patient about the consistency of his bowel movements, the patient replies: “1-2 bowel movements, normally formed but soft.” I educate the patient on diet, the patient needs to be on a high calories and high fat protein and carb diet due to his history with Cystic fibrosis which lacks pancreatic enzymes to properly breakdown food. 2. Document two nursing diagnoses for this patient. The first diagnosis for this patient is impaired nutrition. The patient has recently lost 6kg and reports not having an appetite. The second diagnosis is risk for respiratory issues since his past medical history stated he has been previously hospitalized numerous times for breathing issues. 3. Document your priorities for care of this patient. The priorities for this patient is to educate the patient about nutrition and BMI. It is vital for the patient to eat a high calorie and high fat carb diet due to loss of absorption and breakdown. The patient needs to maintain a healthy weight. The patient should keep a food frequency assessment of the food intake/outtake. 4. Describe the age-related considerations you will use when caring for Christopher Parrish. The age-related considerations for Christopher Parrish is to take into account that he is an 18 -year-old college student. At 18, the patient is legally considered an adult, which means if he is of sound mind, he can make his own medical decisions. As a student nurse, I would educate Mr. Parrish about his medical care routine, and any information pertaining to his treatment. I would encourage him to participate by asking questions about his treatment, medications, etc. to be involved in his care routine. I would build a trusting relationship with Mr. Parrish by providing a comfortable, warm room temperature, a room free of distraction, active listening, and sitting with him. 5. Referring to your feedback log, document the nursing care, including patient education about nutritional needs and therapy, which you provided to Christopher Parrish. Include his response. From vSim for Nursing | Fundamentals. © Wolters Kluwer This study source was downloaded by from CourseH on :04:53 GMT -06:00 GRADED A+ I enter the room and immediately perform hand hygiene. I introduce myself and identify the patient. I ask the patient if he has any allergies and he stats, “No, I am not allergic to anything.” I then ask the patient is he was experiencing any pain today. He replies, “No, I don’t have any pain.” I assist the patient into fowler’s position and assess the vital signs including blood pressure (118/70 mmHg) with the appropriate size fitting cuff, respiration (12 breaths per minute), temperature (99 degrees F), pulse (85/min), pulse oximeter on the finger to measure saturation, SPO2 (96%) skin integrity. I auscultate the abdominal region and listen to normal bowel sounds. I perform hand hygiene, don gloves, and assess the placement of the nasogastric tube. After confirming the placement of the NG tube, I educate the patient on tube feeding, risk for aspiration, diagnosis, and intake/outtake. After education, I aspire on the NG tube and then flushed the tube with normal saline solution. I doff the gloves and perform hand hygiene. I don new gloves for the next procedure. Next, I educate the patient on body mass index and diet. I explained to the patient, your weight and BMI can affect general health. I advise Mr. Parrish to continue a high-calorie diet to gain weight. I checked the patient’s record and MAR compared to the medication label. Then I administered orally, 5 tablets of pancrelipase indicated in the order. After, I check the medical record and medication label to administer the feeding, 480 mL of fluid nutrition at 1.5k/cal at 60mL/hr. The feeding was administered and the patient was handed-off