NURSING 116 Post-Sim Assignment – Christopher Parrish

NURSING 116 Post-Sim Assignment – Christopher Parrish/ NURSING 116 Post-Sim Assignment – Christopher Parrish/ NURSING 116 Post-Sim Assignment – Christopher Parrish NUR : Post-Sim Assignment – Christopher Parrish Scenario Overview Overview  Situation: Christopher Parrish is an 18-year-old male who was admitted at 1900 today. 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. A 8-Fr, 42-inch feeding tube in his right nares were placed, and x-ray has confirmed placement in the stomach. He is on bed rest with bathroom privileges.  Background: 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 dormitory. Debriefing Scenario Review  How did the simulated experience of Christopher Parrish’s case make you feel? I felt it was very time consuming. However, it the real life, I do a lot of patient education which I really enjoy doing. I don’t do a lot of tube feedings in my current line of work so this is something new to me. I must remember to do the enzymes prior to feeding him and remembering to aspirate the NG tube to check for placement. I felt nervous at first but once I got use to the Sim I felt fine.  What do you think went well in the scenario? I think patient education went well. In the real world before I do anything with my patient I always make sure they know what I am doing and why I am doing it prior to me doing what I will do. So in this scenario I feel that went well because I remembered to tell him what I was going to to before I did it.  What would you do differently if you were to repeat this scenario? How might your patient care change? Click here to enter text. Discussion Questions  What priority problems did you identify for Christopher Parrish? The main priority problems for him was respiratory function and O2 because of the CF can impair respiratory. Other priority problems were VS, nutrition, IV, pancreas, liver and kidneys  What potential problems could arise due to Christopher Parrish’s identified Vitamin D deficiency? This study resource was Inadequate levels are associated with the high prevalence of bone disease or osteoporosis in CF patients, which is associated with increased morbidity including fractures, kyphosis, and worsening pulmonary status.  Discuss the relationship between pancreatic enzymes, malabsorption, and cystic fibrosis? shared via CourseHero.com CFTR disrupts the sodium and chloride ion transport across the membrane in exocrine part of the pancreas. As a result thick, sticky mucus is formed in the duct that obstructs the passageway of the duct. Due to obstruction of the duct, pancreatic enzymes do not reach the duodenum that impairs the digestion and absorption. As pancreatic enzymes contain several enzymes (Trypsin, Chymotrypsin,