Nursing Assessment Essay

Another type of administration similar to bolus feeding is intermittent feeding. Unlike bolus, it is administered over at least a half-hour. A pump or gravity can be used to control flow rate. A third type of administration is continuous feedings, which is administered over a ten to twenty four hour period. This type is used most in institution settings with a pump. No one type of administration has proven better than any other type of administration.

Tools: Nurse will explain to patient/family the importance of a balanced meal in aiding with boosting the immune system. Nurse will also talk about foods that will aide in keeping a balanced meal. In addition, a consult for a nutritionist will be ordered. Evaluation: Patient/family will make a daily diet plan. The patient will be able to verbally give examples/ explain the importance of maintain a balance meal.

The common problem in recovering patients in acute care settings is malnutrition and dehydration. “Malnutrition affects 45% of patients admitted to hospital, leading to longer stays and increased risk of re-admission” since patients are not properly recovered when they leave the hospital and are not aware of the effects of malnutrition (Dietitians of Canada, 2015). In addition to readmission, patients who are malnourished throughout hospitalization often leads to morbidity and mortality, thus increasing the cost for the patients’ healthcare for their own recovery from having unhealthy nutrition (Keller et al., 2014). Improper fluid intake can lead to illnesses and diseases, including stroke, uncontrolled blood glucose levels for patients with

Nutrition Essentials for Nursing Practice is a class that is not only required but also necessary for the future endeavors of my career. These past weeks, although on the internet, this class is and has been very informative. We have covered several topics that have included topics such as but not limited to Peptic Ulcer, Cardiac, Vitamin D Deficiency, and the one that I appreciated the most, Chronic Kidney Disease, in which I was just diagnosed since starting this term. So not only did we view and discuss these topics, but we were given cases to study as real clients. This class is to help us assist our patients clients with their nutrition needs. This class taught us to figure BMI of our clients as well as how to help figure how many

The importance of proper nutrition for patients in acute care began with the practices that Florence Nightingale has done in her work with the sick patients and continued in the Royal College of Nursing of the UK’s enhanced nutritional care. According to Florence Nightingale, the food of the patient should be given at the time when they are supposed to eat, not leaving the food beside them and waiting for the patient to eat when they want to (Nightingale, 1860). About 150 years later, The RCN’s nutritional care explains that setting a timescale for patients to eat helped nurses prevent them from not eating enough every day and made sure patients are eating the food (Royal College of Nursing, 2016). Nightingale theorized that if patients did not eat in acute cases because the food does not come on time or at all, patients would die (Nightingale, 1860), which the RCN placed awareness on for nurses, and thus improved their nutritional care so patients today will not die due to not receiving food at the right time the patients will eat (Royal College of Nursing, 2016).

It is so crucial to confirm the tube placement because of possible harm that can be done to the patient. About 1.9% of feeding tubes are misplaced every year. This can lead to pneumothorax in 1 in every 5 patients and dead in 1 in 39 patients (Taylor S. et al., 2014). Using X-ray to confirm placement would be too late to prevent lung trauma. PH is done also but is not always accurate and should not be used solely as proof to confirm placement. Waiting on the confirmation of placement can delay the administration of treatment or nutrition. Using the EM tracking system the patient is less likely to have the tube enter the lungs. While a patient is unconscious their gag reflex is often impaired (Potter et al., 2013). This increases the patient’s risk for aspiration. When inserting the tube in an unconscious patient there is a greater risk for harm. Potter suggests that X-ray is the better option for confirmation of placement but X-ray exposure can also be harmful to the patient (Windle E. et al.,

• Once your bowels are working again, you will first be given clear liquids and then solid food as much as you can

After this, we want to work with the patient to set goals that are achievable. We have to acknowledge other concerns, if a patient does not like the food he/she is eating, provide more options that they can eat and involve the patients in every decision made so that they can feel positive. The workarounds may involve social work if the primary motive for failure to comply is finances. Social work could help if the client needs finances to do it or if the client cannot prepare meals and needs assistance. They could provide funds to make this happen and ensure the assistant is capable of preparing and ensuring that the diabetic client is eating the right foods and is also learning how to prepare them. This helps to provide a buffer, increase self-efficacy, limit negative health behaviors and relieves the stresses the individual is already going through living with diabetes. If an inability to prepare diabetic meals is the problem; patient education will be necessary and the patient will need to apply what he/she has learned while in the hospital so that we know that they can do it right. If the patient is forgetful, technology can be used to remind the patient to only consume a particular food at a particular time. Lastly, if physical limitations are the cause, a physiotherapist can see patient weekly in addition

The main objective of this paper is to convey the importance of proper tube feeding technique and understanding to be a nurse who can provide quality care. The method of to reach this level of understanding is discussed through physical characteristics of tubes. Including how to name tubes and indicate lumen size with measurements in "Frenches" Disease understanding and associated complications are also of vital importance, and are discussed more in depth. Conclusions are drawn that a nurse must be highly aware of all of the discussed methods of tube feeding technique and understanding to administer high quality care.

I believe the best way to feed the patient is via enteral feeding. This is due by nutrition being directly pumped into the stomach. The can be very beneficial to a patient who is suffering from gastric ulcers and esophageal disorder. It may be much too painful for the patients to take food orally thus enteral feeding would be the best alternative prevent pain. esophageal disorder may cause a problem with enteral feeding though. the producer for enteral feeding need to be checked parodically to avoid infection where the insertion of the feeding tube sits on the stomach.

• The tube that drains bile from the new liver (bile duct) will be attached to the upper part of your child’s

Nutrition is not the problem with feeding tubes. Most resident are immobile, and are dependent when they have feeding tubes, having to wait for others to change their positions, hygiene care, and fluid intake. Most feeding tube patients cannot drink or eat anything to prevent aspiration and they do not have swallowing reflex. Although though some residents are able to drink, speech therapist needs to come and observed the residents. They cannot eat or drink by themselves. Feed tubing resident depend on nurses for everything. Prolonged immobility causes pressure ulcer, a common problem for residents on feeding tubes. Their bodies get weaker, body stiffness, and their skin injuries easily. It is not only a resident’s choice to use feeding tubes.

Enteral routes of nutrient administrations is appropriate in a patient who still has a functioning gastrointestinal system. The patient, for whatever reason, is having difficulty chewing or swallowing, or perhaps they need to bypass the stomach all together due to surgery. Nevertheless, nutrition is administered directly to the GI tract through several methods. For short term delivery (less than four weeks), the nasogastric, also called orogastric or nasoenteric, is appropriate. This is where the nurse would place a levin tube down the nose and throat and into the stomach of the patient. The salem sump could also be used, however for extended use, the levin tube would be more comfortable for the patient. This method of delivery has a few risks

Varieties of malnutrition tools are available today to assist health care providers in diagnosing and treating malnourish older adults. All those tools are begins from the patient’s health history because it is important to know patient’s life style, medications, and any possible health obstacles such

Dietitian consult to educate patient on maintaining proper diabetic nutrition and referral to outpatient diabetes clinic for continued support after hospitalization.