Christopher Parrish DA PDF

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Christopher Parrish Documentation Assignments 1. Document your focused gastrointestinal and dietary assessment of Christopher Parrish. o Obtain vitals o Assess bowel sounds and ask for last BM occurrence o Assess placement of NG tube - before aspirating and flushing o Assess for special diet prescribed by doctor  High calorie, high fat o Asess pt eating habits  Getting meals needed on a daily basis? o Assess use of vitamin or food supplements o Change patients positioning to semi-fowlers or higher. o Educate pt on tube feedings and aspiration o Administer medication and fluid nutrition 2. Document two nursing diagnoses for this patient. o Risk for aspiration as evidence by nasal tube and enteral feedings o Risk for ineffective airway clearance as evidence by respiratory condition (Cystic Fibrosis) 3. Document your priorities for care of this patient. o Obtain vital signs and assessment of dietary and gastrointestinal system  With a cystic fibrosis diagnosis it is important to keep SpO2 up 94% or higher. o Administer prescribed medication o Administered prescribed fluid nutrition  Check position, then aspirate and flush  Keep at semi-fowler’s or higher to prevent aspiration o Provide patient education about aspiration, intak/output, BMI, tube feedings, diagnostics and the nutrition importance with his diagnosis. 4. Describe the age-related considerations you will use when caring for Christopher Parrish. o Because Mr Parrish is a new adult it is important he understands and is informed on his medical care, I will encourage him to ask questions, while keeping him educated and giving options for his care. Privacy is important at this age so I will main tain his privacy in the room. He is in charge of his health I will do all I can to assist him and get him the care he desires but not go against his orders either.

From vSim for Nursing | Fundamentals. © Wolters Kluwer

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. o SWIPE IN  Wash hands, introduce, and Identify patient o Asked Pt if he was allergic to anything  Replied with “no I am not allergic to anything” o Review orders and patient log o Ask about last Bm  Pt replied with “usually have one or two, and they are mostly formed but soft” o Run through vitals  Pulse ox attached  Breathing rate of 12 breaths per minute  Checked radial pulse, pulse of 85 beats per minute  Check the temperature at ear, reported temperature of 37.2 C  Measured BP at 120/72, o Educate PT  Body mass index  Diagnositics  Diet  Intake and Output  Medication  Risk of aspiration  Tube feeding o Check placement of nasogastric tube o Put on gloves o Aspirated nasogastric tube o Flushed nasogastric tube o Compared medication label with MAR (Pancreliase) o Gave 5 tablet dose of Pancreliase orally, 5 rights were used as indicated by order o Compared medication label with MAR (tube feeding) o Calculated the amount of fluid nutrition 1.5 kCal/mL needed  480 mL at 60 mL/hr o Started 480mL tube feeding at 60mL/hr o Patient Hand off performed

From vSim for Nursing | Fundamentals. © Wolters Kluwer...