(1) Document your focused gastrointestinal and dietary assessment of Christopher Parrish
My focuses on gastrointestinal and dietary assessment of Christopher Parrish are to:
-Obtain vital signs
-Assess bowel sounds and when last bowel movements occur
-Assess placement of NG tube, and this should be done before aspirating and flushing
-Assess for special diets implemented by doctors, and check patient understanding of high calorie, high fat diet
-Assess patient’s eating habits
-Are they getting the meal they need on a daily basis
-Assess use of vitamins or food supplements
-Ensure patients positioning in semi fowler or higher
-Check patient understanding of tube feeding or aspiration
-Administer the medication and fluid nutrition
-Check orders for nutrition order
-Compare fluid nutrients to MAR
-Administer fluid nutrients as ordered
-Educate about I/O, BMI, Ng tubes, and aspiration
(2) Document two nursing diagnoses for this patient.
-Impaired gas exchange maybe related airway obstruction by nasal obstruction as evidence by activity intolerance
-Imbalance nutrition less than body requirements maybe related to Increased caloric needs as evidence by weight loss, weight plateau, and low fat soluble vitamins level .
(3) Document your priorities for care of this patient.
My priorities for care of this patient are to:
-Establishing nursing relationships
-Educate about nutrition, diseases process, BMI, how to maintain a healthy weight
-Obtain vital signs and assessment of dietary gastrointestinal
-Administer prescribe medication
-Administer prescribe fluid nutrition
-Check position first, then aspirated and flush
(4) Describe the age-related considerations you will use when caring for Christopher Parrish.
Establishing independence is very important at this age so, I will allow Christopher Parrish to partake because he is still a teenager who just moves out of home. The stress of college as well the adjustment to moving out can put strain on his body, and contribute to his weight loss. It is going to be difficult to teach him because is not being happy about being back to the hospital and he is not well educated on the disease.
(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.
I took the patient vitals’ signs which he did not appeared to be happy about. I administered his medication, and initiated his tube feeding which he was not also happy about. He was slightly resistance to teaching. I educated him on the risk of aspirations, intake and the output, NG tube and his diet; He seemed he responded very well to the conversation. He asked some reasonable questions and he was attentive…