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The purpose of the nursing process was to assist nurses in critically thinking by creating a framework to adhere to.

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Assessment: Gathering patient data through observation, interviews, and physical assessment.

Diagnosis: Analyzing and clustering patient data to identify patient issues.

Planning: Prioritizing the nursing diagnosis and identifying goals that are specific, measurable, attainable, realistic, and timely.

Implementation: Intervening nursing interventions and treatments to attain formed goals.

Evaluation: Determine whether the implementations were successful and if they need to be reevaluated to achieve patient goals.

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Christopher Parrish is an 18-year-old adolescent male who is hospitalized for management of cystic fibrosis with weakness and weight loss. He reports fatigue, and he has had a recent 6 kg weight loss.

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Patient states fatigue, decreased appetite, and a recent weight loss, with no pain.

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Patient is alert and oriented. His vitals include a temperature of 98 degrees Fahrenheit, a blood pressure of 118/78mmHg, a heart rate of 85 bpm, and a respiration rate of 18 rpm.

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The patient will maintain a weight of 82 kg or higher by the time of discharge.

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Imbalanced Nutrition: less than body requirements related to cystic fibrosis, insufficient dietary intake, and malabsorption as evidenced by decreased appetite, fatigue, weight loss of 6 kg, and pale skin color.

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The data collected from the patient and clustered into groups of similar information was weakness, fatigue, pale skin color, and weight loss of 6 kg. The nursing diagnosis was imbalanced nutrition.

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Weigh the patient daily until discharge to monitor patient progress, insert nasogastric tube for daily feedings that provider orders to increase patient weight by discharge, observe patient for potential barriers to eating as depression can cause decreased appetite, and notify provider to order nutritionist consult for patient to educate patient on dietary intake.

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The patient received tube feeding during the nurse's twelve-hour shift. Also, the patient was observed for barriers or signs of depression that would decrease patient appetite, the nutritionist met with the patient to discuss appropriate nutritional intake for cystic fibrosis, and the patient was weighed daily to show an increase of weight from 82 kg or higher.

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I worked with Sami from MSU using the 24/7 librarian chat at 6:00 pm on March 21, 2024.

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She showed me the NURS 201 research guide to find scholarly sources with OneSearch.

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Toney-Butler, T. J., & Thayer, J. M. (2023). Nursing Process. In StatPearls. StatPearls Publishing.

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Met with Pat Anderson on 3/26/2024 at 11:00am