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Date and time of my writing studio appointment

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Date and time of my writing studio appointment

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My draft meets the basic minimum requirements:

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My draft meets the basic minimum requirements:

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My draft meet the basic minimum 400 words in APA format

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Brian Wilson . I had an appointment at tutoring center with Brian Wilson in 10th of October at 10 and we discuss about my draft nursing process.

Liberian:12:15, 24th October I had chat conversation with Tina Soliday and ask about how to find a good reference with peer review .

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ADPIE

PES

SBAR

In Christopher parish case, CF, Nutrition, Fatigue, wait loss

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3- Paste and copy of citation in APA format

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3- Paste and copy of citation in APA format

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American Nurses Association. (2021). Nursing: Scope and standards of practice (4th ed.). Nursesbooks.org.

Brown, S. J., Smith, M. J., & Johnson, T. H. (2019). Nutritional intervention in cystic fibrosis: Evidence-based strategies. Journal of Cystic Fibrosis, 18(2), 210-218. Doi: 10.1016/j.jcf.2018.10.004

Brownell, J. N., Bashaw, H., & Stallings, V. A. (2019). Growth and nutrition in cystic fibrosis. Seminars in Respiratory and Critical Care Medicine, 40(6), 775. https://doi.org/10.1055/s-0039-1696726

Häggström, E., Hultman, A., & Kullberg, A. (2020). The role of nursing assessment in reducing patient complications in acute care settings. International Journal of Nursing Studies, 109, 103643. https://doi.org/10.1016/j.ijnurstu.2020.103643

Giddens, J. (2021). Concepts for nursing practice (3rd ed.). Elsevier

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my writing consultant was angel who help me how organize my writing in APA format.

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we read over my draft and discussed revisions for my essay. Here are my priorities for revision:

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we read over my draft and discussed revisions for my essay. Here are my priorities for revision:

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I revise my first journal based on writing center adviser . I also talk about my nursing process paper in APA format and I shown her my Padlet and talk about that

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Describe the purpose and significance of the nursing process

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Describe the purpose and significance of the nursing process

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The nursing process is a systematic, patient-centered approach used by nurses to ensure effective and efficient care. It provides a structured method for assessing, planning, implementing, and evaluating patient care.

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Christopher Parish, an 18-year-old with cystic fibrosis, has experienced significant weight loss (6 kg) and fatigue since starting college. Concerned about his health, his mother brought him to his primary care provider, who admitted him for evaluation and initiated NG tube feeding. He was awake and alert, with stable vital signs, but appeared pale and reported a lack of appetite over the past few weeks.

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Step of the Nursing process:

1-Assessment

2-Diagnosis

3-Planning

4-Implementation

5-Evaluation

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1. Reports of decreased appetite (subjective)

2. Mother's concerns about significant weight loss (subjective)

3. Reports of fatigue (subjective)

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1.  Weight loss of 6 kg since moving to college (objective)

2. Heart rate: 80-85 bpm (objective)

3. Respiratory rate: 18 breaths per minute (objective)

4. Blood pressure: 118/78 mmHg (objective)

5. Pale appearance (objective)

6. Flat and nontender abdomen (objective)

7. Active bowel sounds (objective)

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Christopher's priority problem is "Malnutrition”.  As the mechanisms underlying the pathology of CF and its implications on nutrient absorption and energy expenditure have been elucidated, nutrition support has become increasingly sophisticated. Data related to nutrition, such as weight loss, fatigue, and decreased appetite, cluster together to support the diagnosis of " Malnutrition”. A potential problem could be "Risk for Infection" related to his cystic fibrosis and the recent placement of the NG tube

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Planning is the third step of nursing process is prioritizing the nursing diagnoses and identify short- and long-term goals that are specific, measurable, and attainable, realistic and timely. For Christopher, a SMART goal could be: "Christopher will gain 0.5 kg within one week after initiating tube feeding." This goal is specific (gain weight), measurable (0.5 kg), attainable, relevant (to improve his nutritional status), and time-bound (one week).

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Importance of clustering data and identifying an appropriate nursing diagnose(provide evidence)

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Importance of clustering data and identifying an appropriate nursing diagnose(provide evidence)

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Clustering data allows nurses to organize and group related information about a patient’s health status. This helps in identifying patterns that might indicate specific health issues, guiding accurate nursing assessments.

in parish case , Data related to nutrition, such as weight loss, fatigue, and decreased appetite, cluster together to support the diagnosis of " Malnutrition”

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Implementation means identify specific actions that may aid in outcome attainment, and describe why the intervention are appropriate for the priority problem and SMART goal. This is initiate specific nursing intervention and treatment designed. in Christopher case this includes monitoring his tube feeding, ensuring he receives the correct formula and volume, and assessing his tolerance to the feeding regimen.

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Evaluation:identify measurement and monitoring plans that will gauge progression toward goal attainment

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Evaluation:identify measurement and monitoring plans that will gauge progression toward goal attainment

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It is important to determine whether the patient’s goals are met, unmet or in progress, and whether the plan of care should be discontinued, continued or revised. This includes monitoring Christopher's weight, appetite, and overall well-being. If the goal of gaining 0.5 kg within a week is not met, the nursing interventions may need to be adjusted based on his tolerance to the tube feeding and any other underlying issues.