ASSIGNMENT W4 Nursing Assignment Help

As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

  1. Identify, prioritize, and describe at least four problems.
  2. Provide substantiating evidence (assessment data) for each problem identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Sallie Mae Fisher’s Health History and Discharge Orders

Sallie Mae Fisher Health History

Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. During the last 6 months, she has been hospitalized four times for exacerbation of her CHF. She was discharged home last Saturday from the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain.

Ms. Fisher is recently widowed and lives alone. She has a daughter, Thelma Jean, who lives in town but works full time and has family issues of her own. Therefore, family support is limited.

Hospital Discharge Instructions

·          Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety.

·          Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O2 at 2 liters per nasal prongs PRN.

·          Prescriptions given at discharge:

o    Digoxin 0.25 mg once a day

o    Lasix 80 mg twice a day

o    Calan 240 mg once a day

·          Order written to continue other home meds.

Sallie Mae’s Home Medication List

·          Zocar 50 mg once a day

·          Minipres 1 mg once a day

·          Vasotec 10 mg twice a day

·          Prilosec 20 mg once a day

·          Furosemide 40 mg once a day

·          Effexor 37.5 mg at bedtime

·          Lanoxin 0.125 mg every other day

·          Multivitamin once a day

·          Potassium 40 mEq once a day

·          Ibuprofen 400 mg q 4 hours as needed for pain

·          Darvocet N 100 mg q 4 hours as needed for pain

·          Nitroglycerin ointment, apply 1 inch every day

Home Visit With Sallie Mae Fisher Grading Criteria

Expert Solution Preview

In the “Home Visit With Sallie Mae Fisher” video, Sallie Mae Fisher, an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension, is observed during a home visit. Ms. Fisher has been hospitalized four times in the last 6 months for exacerbation of her CHF and was recently discharged home after a 3-day stay.

After viewing the home visit, it is evident that there are several problems that need to be identified, prioritized, and described. Based on the information provided, here are four problems that are evident:

1. Exacerbation of CHF: Ms. Fisher has been hospitalized multiple times in the last few months due to exacerbation of her CHF. As a result, her symptoms, such as increased dyspnea and weight gain, need to be addressed and managed effectively.

2. Living alone with limited family support: Ms. Fisher is recently widowed and lives alone. Her daughter, Thelma Jean, who lives in town, has her own family issues and cannot provide consistent support. This lack of support can impact Ms. Fisher’s ability to manage her health condition effectively.

3. Inadequate medication management: Ms. Fisher is prescribed multiple medications for her various health conditions. However, there is a possibility of medication errors and non-adherence due to the complexity of her medication regimen.

4. Home safety concerns: Ms. Fisher’s living environment needs to be evaluated to ensure that it is safe and conducive to her health condition. This includes assessing for potential fall hazards, medication storage, and accessibility.

To substantiate these identified problems, the following assessment data can be considered:

1. Objective data: Physical assessment findings such as increased dyspnea, weight gain (8-pound), and chest pain can be documented. Vital signs, including blood pressure, heart rate, and oxygen saturation levels, should also be recorded.

2. Subjective data: Ms. Fisher’s self-reported symptoms, experiences, and concerns should be elicited. This may include asking questions about her level of fatigue, exercise tolerance, and pain levels. Additionally, any difficulties she encounters while managing her medications or adhering to her treatment plan can be explored.

3. Medication reconciliation: Reviewing Ms. Fisher’s medication list, including medications prescribed both in the hospital and at home, is crucial. This will help identify any discrepancies, potential drug interactions, or duplicated therapy that could contribute to her health problems.

4. Home environmental assessment: A home visit or assessment can be conducted to determine the safety, accessibility, and suitability of Ms. Fisher’s living environment. This includes evaluating factors such as the presence of assistive devices, proper lighting, and absence of fall hazards.

Overall, the identified problems and assessment data provide a comprehensive understanding of Ms. Fisher’s health status and the challenges she faces at home. By addressing these problems and utilizing the assessment data, healthcare professionals can develop an appropriate care plan that focuses on improving Ms. Fisher’s health outcomes and ensuring her well-being.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Aubre R. presents as a new patient to your practice having Nursing Assignment Help

Aubre R. presents as a new patient to your practice having recently relocated from rural Tennessee. She is 68 years old and complains of irritable bowel syndrome (IBS) with abdominal cramping and frequent diarrhea with occasional constipation. She has a history of domestic violence with resultant anxiety requiring inpatient hospitalization

Aubre R. presents as a new patient to your practice having Nursing Assignment Help

Aubre R. presents as a new patient to your practice having recently relocated from rural Tennessee. She is 68 years old and complains of irritable bowel syndrome (IBS) with abdominal cramping and frequent diarrhea with occasional constipation. She has a history of domestic violence with resultant anxiety requiring inpatient hospitalization

Walden University, LLC. (Producer). (2019b). Alzheimer’s Nursing Assignment Help

To Prepare  Review the interactive media piece for Alzheimer’s Disease.  (76 Year Old Iranian Male) Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned. You

To Prepare Review the interactive media piece for Nursing Assignment Help

To Prepare  Review the interactive media piece for Alzheimer’s Disease.  (76 Year Old Iranian Male) Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece. Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned. You

Students are required to maintain weekly reflective Nursing Assignment Help

Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course. In your journal, you will reflect on the personal knowledge and skills gained throughout

Please respond to one discussion post. Compare your Nursing Assignment Help

Please respond to one discussion post. Compare your experience with the Active Verbs activity with that of your peer. Was their experience with the activity similar to yours? If they had similar experiences with the questions, discuss why you think you had similar outcomes. If they had different experiences with

1. Read: Discussion Background This week you are learning Nursing Assignment Help

1. Read: Discussion Background  This week you are learning about codes for services and procedures assigned from the Medicine Section. As you work on assigning codes for services performed from the Medicine Section, reflect on the purpose and meaning of the guidelines found throughout this section.  2. Initial Post: Create a new