This patient has been hospitalized for management of cystic fibrosis and associated weakness and weight loss. He reports fatigue, and he has had a recent 6 kg (13.2 lb) weight loss. He was diagnosed with cystic fibrosis as an infant and has had multiple hospitalizations for respiratory and nutritional support. A nasogastric (NG) tube has been placed for feedings. Students are expected to assess his nutritional status, assess vital signs, administer oral medications, begin tube feeding, and educate the patient about his nutritional needs. The steps for administering feedings are similar regardless of the tube used. Feeding can be provided on an intermittent or continuous basis. Position the patient with the head of bed elevated at least 30 to 45 degrees or as near normal position for eating as possible. This position minimizes the possibility of aspiration into the trachea. Assure correct placement of the feeding tube before administering the feedings. The nurse should ensure proper placement of the NG tube by relying on multiple methods and not on one method alone.
Write out an SBAR end of shift report.
Identify the Priority Concept that relate to the above patient care scenario and explain how the care you would provide would address these concepts: