Feedback from Dr.Tollison by Mahsan Saber

Date and time of my writing studio appointment

mahsansaber2 — 2024-08-25 23:39:52 UTC

My Writing consultant was:

mahsansaber2 — 2024-08-25 23:42:43 UTC

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

My draft meets the basic minimum requirements:

mahsansaber2 — 2024-08-25 23:44:30 UTC

My draft meet the basic minimum 400 words in APA format

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

mahsansaber2 — 2024-08-25 23:46:30 UTC

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

1- Librarian's name

mahsansaber2 — 2024-08-25 23:50:08 UTC

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 .

2- Key words

mahsansaber2 — 2024-08-25 23:50:55 UTC

ADPIE

PES

SBAR

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

3- Paste and copy of citation in APA format

mahsansaber2 — 2024-08-25 23:56:01 UTC

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

Describe the purpose and significance of the nursing process

mahsansaber2 — 2024-08-30 15:19:36 UTC

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.

Steps of the nursing(ADPIE)

mahsansaber2 — 2024-08-30 15:20:53 UTC

Step of the Nursing process:

1-Assessment

2-Diagnosis

3-Planning

4-Implementation

5-Evaluation

Secenario

mahsansaber2 — 2024-08-30 15:22:19 UTC

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.

Assessment:list subjective

mahsansaber2 — 2024-08-30 15:23:15 UTC

Reports of decreased appetite (subjective)
Mother's concerns about significant weight loss (subjective)
Reports of fatigue (subjective)

Assessment:list objective

mahsansaber2 — 2024-08-30 15:23:34 UTC

Weight loss of 6 kg since moving to college (objective)
Heart rate: 80-85 bpm (objective)
Respiratory rate: 18 breaths per minute (objective)
Blood pressure: 118/78 mmHg (objective)
Pale appearance (objective)
Flat and nontender abdomen (objective)
Active bowel sounds (objective)

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

mahsansaber2 — 2024-08-30 15:25:00 UTC

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”

Diagnose: priority problem

mahsansaber2 — 2024-08-30 15:25:24 UTC

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

Planning SMART Goal divelopment

mahsansaber2 — 2024-08-30 15:26:23 UTC

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).

Interventions:evidence-Rational

mahsansaber2 — 2024-08-30 15:27:04 UTC

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.

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

mahsansaber2 — 2024-08-30 15:39:30 UTC

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.

care plan for clinical concept: CF

mahsansaber2 — 2024-09-01 17:25:30 UTC