Discussion - Artificial Nutrition Routes
You are a nurse in an Intensive Care Unit. Your patient, Mr. Brown, has been on a vent for about 71 hours. He is receiving IV fluids but no other nutrition (by IV or mouth).
Why would it be important to keep the interdisciplinary team updated with the following: the amount of days on a vent, fluids via 0.9NaCl (NS) in a 24-hour period, and the amount of time he has been NPO ("nil per os", nothing by mouth).
How would you explain to the family what is happening with the patient's nutritional and fluid status when they ask, "How is Mr. Brown receiving nutrition? The man loved to eat!"

Answers

Answer 1

The interdisciplinary team needs to be updated with the following information because the patient's nutritional status will be affected. Mr. Brown is receiving no nutrition through his mouth or IV.

It is essential to keep track of the amount of days on a vent because the longer a patient is on the vent, the more they will experience muscle wasting and an increased metabolic rate. The interdisciplinary team needs to be aware of the number of days on a vent to determine when to begin nutrition support. Mr. Brown is on 0.9NaCl (NS) for fluids, and it is necessary to keep track of the amount of fluid in a 24-hour period because it will influence his fluid balance, which is essential for overall health.

How is Mr. Brown receiving nutrition? The man loved to eat! When the family of Mr. Brown asks, "How is Mr. Brown receiving nutrition? The man loved to eat!" you can explain that Mr. Brown is not eating or receiving nutrition through IV at this time. It is important to ensure that his body is getting adequate fluids while he is receiving no nutrition.

It is also important to provide the family with reassurance that the interdisciplinary team is closely monitoring Mr. Brown's nutritional status and will provide nutrition support when it is appropriate. You may explain that the team is currently working to stabilize him before beginning nutrition support.

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Related Questions

Rubric Criteria:
Analysis of the role of leadership and advocacy in the provision of health care.
Questions:
Leadership is a component of Rob’s role as a registered nurse within the clinic.
Define leadership within the nursing context.
Give two examples of how Rob might enact this in his daily practice (400 words)
Rob is also required to act as an advocate in his role as a registered nurse.
Define advocacy within the nursing context.
Give two examples of how Rob might enact this in his daily practice (400 words)

Answers

Leadership within the nursing context can be defined as the ability to influence, guide, and motivate others towards achieving common goals in the delivery of quality patient care.

It involves taking responsibility, making decisions, and effectively communicating with the healthcare team to ensure optimal outcomes. In Rob's role as a registered nurse within the clinic, leadership is an essential component of his responsibilities. Two examples of how Rob might enact leadership in his daily practice are as follows: Setting a positive example: As a leader, Rob can demonstrate leadership by setting a positive example through his own actions and behaviors. He can exhibit professionalism, compassion, and integrity in his interactions with patients, colleagues, and other members of the healthcare team.

Promoting teamwork and collaboration: Leadership involves fostering a collaborative and cohesive team environment. Rob can actively engage with other healthcare professionals, such as doctors, nurses, and support staff, to promote effective teamwork and interdisciplinary collaboration. By encouraging open communication, active listening, and respecting the input of others, Rob can facilitate a culture of mutual respect and shared decision-making, ultimately leading to improved patient outcomes.

Advocacy within the nursing context refers to the act of supporting and advocating for the rights, needs, and well-being of patients. Nurses often serve as the voice of their patients, ensuring their concerns are heard and their best interests are protected. In his role as a registered nurse, Rob is required to act as an advocate for his patients. Two examples of how Rob might enact advocacy in his daily practice are as follows:

Patient education and empowerment: Rob can advocate for his patients by providing them with the necessary information, resources, and support to make informed decisions about their healthcare. He can educate patients about their conditions, treatment options, and potential risks and benefits, empowering them to actively participate in their care. By ensuring that patients have access to accurate information, Rob enables them to make autonomous choices and actively engage in shared decision-making.

Ensuring patient rights and dignity: Advocacy also involves safeguarding the rights and dignity of patients. Rob can advocate for his patients by respecting their privacy, confidentiality, and cultural values. He can ensure that patients are treated with empathy, compassion, and respect by advocating for their needs and preferences within the healthcare setting. This may include addressing any concerns or conflicts that arise, promoting patient-centered care, and advocating for equitable access to healthcare services.

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