Clinical Worksheet
Date: 01/04/2021 Student Name: Elizabeth Brandhagen Assigned vSim: Christopher Parrish
Initials: CP Diagnosis: Cystic HCP: Isolation: No IV Type: N/A Critical Labs: Other Services: N/A
Fibrosis Location: N/A
Age: 18 Albumin
Fall Risk: No Prealbumin
M/F: Male Consults: Nutrition Fluid/Rate: N/A Consults Needed: N/A
CMP
Length of Stay: 1 day
Code Status: Full Transfer: No
Allergies: NKA
Why is your patient in the hospital (Answer in your own words and include the History of present Illness):
Patient is in the hospital presenting with worsening of cystic fibrosis which has caused impaired dietary intake as evidenced by unintentional weight loss of 6 kg.
Health History/Comorbities (that relate to this hospitalization): The patient has a history of cystic fibrosis.
Shift Goals/ Patient Education Needs:
1. Client will be able to explain knowledge of dietary needs
2. Client will improve dietary intake
3. Client will be able to ingest an adequate amount of each meal
4. Client will be able to understand the need to monitor BMI
Path to Discharge: Client will have improved his dietary intake and continue to follow the prescribed HCP diet and medication therapy
Date: 01/04/2021 Student Name: Elizabeth Brandhagen Assigned vSim: Christopher Parrish
Initials: CP Diagnosis: Cystic HCP: Isolation: No IV Type: N/A Critical Labs: Other Services: N/A
Fibrosis Location: N/A
Age: 18 Albumin
Fall Risk: No Prealbumin
M/F: Male Consults: Nutrition Fluid/Rate: N/A Consults Needed: N/A
CMP
Length of Stay: 1 day
Code Status: Full Transfer: No
Allergies: NKA
Why is your patient in the hospital (Answer in your own words and include the History of present Illness):
Patient is in the hospital presenting with worsening of cystic fibrosis which has caused impaired dietary intake as evidenced by unintentional weight loss of 6 kg.
Health History/Comorbities (that relate to this hospitalization): The patient has a history of cystic fibrosis.
Shift Goals/ Patient Education Needs:
1. Client will be able to explain knowledge of dietary needs
2. Client will improve dietary intake
3. Client will be able to ingest an adequate amount of each meal
4. Client will be able to understand the need to monitor BMI
Path to Discharge: Client will have improved his dietary intake and continue to follow the prescribed HCP diet and medication therapy
