Home Visit With Sallie Mae Fisher

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

1. PROVIDE SUBSTANTIVE EVIDENCE (ASSESSMENT DATA) FOR EACH PROBLEM IDENTIFIED. (WRITE AN ESSAY 160 WORDS WITH)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.

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(http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

PROBLEMS IDENTIFIED:

*POLYPHARMACY

*SAFETY

*NUTRITION

*MENTAL HEALTH

2. Utilizing the information write a scripted dialogue in which you provide Sallie Mae EDUCATION ABOUT THE SUBSTANTIVE EVIDENCE (ASSESSMENT DATA) FOR EACH PROBLEM IDENTIFIED.

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