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1.Assessment

2.Diagnosis

3.Planning

4.Implementation

5.Evaluation

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Christopher Parrish is an 18-year-old male. His mother visited him at his college dormitory and was very concerned with his health; he seemed weak and had lost weight since she last saw him. She took him to see his primary care provider, and the provider admitted him and has ordered a tube feeding. He has an NG tube placed into the right nares about an hour ago. Christopher was diagnosed with cystic fibrosis as a child and has had frequent hospitalizations previously. He reports fatigue and has recently lost 6 kg (13.2 lb) after he registered at the local college and moved to live in a dorm. Christopher is awake and alert. His heart rate and rhythm are regular at 80–85/min. Breath sounds are fine with a respiratory rate at 18/min. His color is a bit pale. Blood pressure is 118/78 mm Hg. He reports no pain and states he's not had much appetite the past few weeks. His belly is flat and nontender. Bowel sounds are active.

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Pancreatic insufficiency result in malabsorption of fat and protein ,including lack of absorption of fat soluble vitamins.

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He seemed weak and had lost weight since she last saw him. He reports fatigue and has recently lost 6kg (13.2lb) he moved to live in a dorm and he reports no pain and he not had much appetite and non tender

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He is 18 year old male and ordered a tube feeding and NG tube placed into the right nares . Christopher is awake and alert his hear rate and rhythm was regular 80-85/min. Breath sound was fine with respiratory rate 118/min his color was a pit pale .Blood pressure was 118/78mmHG. His belly was flat and bowel were active.

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The nursing process is a systematic series of steps that nurses use to provide patient centre care.

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Cystic Fibrosis

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Evaluate Christopher's progress by monitoring his weight weekly to ensure he gains at least 0.5 kg (1 lb) per week. Assess tolerance to the tube feeding regimen and enzyme supplementation. Gather feedback on his understanding of tube feeding management and his emotional well-being. Adjust the care plan as needed based on his nutritional status and psychosocial support needs to ensure he meets his health goals.

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He seemed weak and had lost weight.He reports fatigue and his color was bit pale and belly was flat and his bowl sounds were active.Heart rate was normal 80-85/min and breath sounds fine and his blood pressure was 118/78 mmHg and not much appetite and non tender.

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Two mutual in the cystic fibrosis transmembrane regulator gene can lead to decreased secretion of chloride and increased absorption of sodium and water across epithelial cells, resulting in thick, viscous secretions.

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Initiate a high-calorie tube feeding regimen and administer pancreatic enzymes to optimize nutrient absorption. Monitor his weight weekly to ensure he gains at least 0.5 kg (1 lb) per week. Provide education on tube feeding management and refer him to counselling for psychosocial support. Ensure adequate hydration to maintain overall health. These interventions will help Christopher achieve his weight gain goal and improve his well-being.

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Specific: Christopher will increase his caloric intake through tube feeding.

Measurable: He will aim to gain at least 0.5 kg (1 lb) per week.

Achievable: This goal is realistic with a high-calorie tube feeding regimen and enzyme supplementation.

Relevant: It directly addresses his weight loss and nutritional needs due to cystic fibrosis.

Time-Bound: Christopher will achieve this goal within the next 4 weeks

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Julie C Ruark

Date(16-03-2025)

Time(1:30am)

Key words(Nursing process, Diet , Disease)

Data Base(Nursing process and cystic fibrosis )

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My writing consultant was Kellie

Time(11:10am)

Date(26-03-2025)

Meet the basic minimum requirements

My priorities for revision was checking reference and guidelines.