Identify, prioritize, and describe at least four problems
From the book; Reading the World, Ideas That Matter, Michael Austin 2nd Ed.
July 5, 2020Reflection on my relationship with the written word
July 5, 2020Identify, prioritize, and describe at least four problems
Number of Pages: 1 (Double Spaced)
Writing Style: APA
Number of sources: 2
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 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
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
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Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety.
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Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O2 at 2 liters per nasal prongs PRN.
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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
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Order written to continue other home meds.
Sallie Mae’s Home Medication List
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Zocar 50 mg once a day
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Minipres 1 mg once a day
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Vasotec 10 mg twice a day
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Prilosec 20 mg once a day
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Furosemide 40 mg once a day
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Effexor 37.5 mg at bedtime
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Lanoxin 0.125 mg every other day
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Multivitamin once a day
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Potassium 40 mEq once a day
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Ibuprofen 400 mg q 4 hours as needed for pain
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Darvocet N 100 mg q 4 hours as needed for pain
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Nitroglycerin ointment, apply 1 inch every day
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