The skills needed by the student nurse to ensure that patients in her care receive the best nursing care possible? Case summary: The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

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Answer 1

Question

Chapter 36, Problem 4RP

Summary Introduction

To discuss:

The skills needed by the student nurse to ensure that patients in her care receive the best nursing care possible?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Summary Introduction

To discuss:

The evidence in the nursing literature provides guidance for decision making regarding care of this patient?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

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A 65 year old male with a small bowel obstruction is to be started on TPN. He is 5’ 9” and weighs 70 kg. 3.1 What is his kcal requirements using Mifflin St Jeor equation? Assume an activity factor of 1.2. 1770 kcal 1980 kcal 2020 kcal 2080 kcal 3.2 What is his fluid requirements (ml)? 2000 ml 2100 ml 2200 ml 2300 ml 3.3 The patient has just undergone a small bowel resection. His albumin dropped to 2.2. He has no significant past medical history except for a minor bicycle accident when he was 10 years old. How many grams of protein will this patient require based on your assessment? 105 – 126 g/day 110 – 130 g/day 84 – 105 g/day 110 – 180 g/day

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Nutrition Internvention

Answer 2

Question

Chapter 36, Problem 4RP

Summary Introduction

To discuss:

The skills needed by the student nurse to ensure that patients in her care receive the best nursing care possible?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Summary Introduction

To discuss:

The evidence in the nursing literature provides guidance for decision making regarding care of this patient?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

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Answer 3

Question

Chapter 36, Problem 4RP

Summary Introduction

To discuss:

The skills needed by the student nurse to ensure that patients in her care receive the best nursing care possible?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Summary Introduction

To discuss:

The evidence in the nursing literature provides guidance for decision making regarding care of this patient?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Expert Solution & Answer

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Answer 4

Question

Chapter 36, Problem 4RP

Summary Introduction

To discuss:

The skills needed by the student nurse to ensure that patients in her care receive the best nursing care possible?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Summary Introduction

To discuss:

The evidence in the nursing literature provides guidance for decision making regarding care of this patient?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Expert Solution & Answer

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Answer 5

Chapter 36, Problem 4RP

Summary Introduction

To discuss:

The skills needed by the student nurse to ensure that patients in her care receive the best nursing care possible?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Summary Introduction

To discuss:

The evidence in the nursing literature provides guidance for decision making regarding care of this patient?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Answer 6

Chapter 36, Problem 4RP

Summary Introduction

To discuss:

The skills needed by the student nurse to ensure that patients in her care receive the best nursing care possible?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Answer 7

Chapter 36, Problem 4RP

Summary Introduction

To discuss:

The skills needed by the student nurse to ensure that patients in her care receive the best nursing care possible?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Answer 8

Summary Introduction

To discuss:

The evidence in the nursing literature provides guidance for decision making regarding care of this patient?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Answer 9

Summary Introduction

To discuss:

The evidence in the nursing literature provides guidance for decision making regarding care of this patient?

Case summary:

The nursing student is caring for a 67-year-old female patient Mrs. G, who is admitted in a long-term care facility for the end stages of advanced dementia. The patient cannot able to swallow and has a record of aspiration pneumonia and several hospitalizations in the past year. For the past six weeks, the patient is given enteral feeding from percutaneous endoscopic gastrostomy tube (PEG). The family of Mrs. G is very devoted to her and visits her daily in the long-term facility. The patient’s Husband Mr. G asked the student nurse, if we withdraw the tube she will be starved to death, isn’t she?. The student nurse have not got such experiences and don’t know how respond to the patient’s husband’s query.

Answer 10

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Answer 11

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Answer 12

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Answer 13

Ch. 36 - Prob. 1RP Ch. 36 - Prob. 2RP Ch. 36 - Prob. 3RP Ch. 36 - Prob. 4RP Ch. 36 - Prob. 5RP Ch. 36 - Prob. 1PFN Ch. 36 - Prob. 2PFN Ch. 36 - Prob. 3PFN Ch. 36 - Prob. 4PFN Ch. 36 - Prob. 5PFN

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