Question

This is a CLC assignment. As a group, observe the simulated "Home Visit With Sallie Mae Fisher" video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php). 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: After viewing the home visit, write an essay of 500-750-words in which you do the following: Identify, prioritize, and describe at least four problems. Provide substantiating evidence (assessment data) for each problem identified. Identify and describe at least four medical and/or nursing interventions. Discuss your rationale for the interventions 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.

 

Answer 1

Identify, prioritize, and describe at least four problems.

Fall risk:

She is elderly, dehydrated, and depressed which increased the risk of fall. Additionally, she is on multiple medications and faced issues with ambulating to the door increases the risk of falls.

Polypharmacy:

Polypharmacy is the putting on multiple medications. She is almost prescribed for 15 medications. As her older age makes confused with her prescription chart. Moreover, there is a chance of missing with similar medication which needs to be educated.

Nutritional Imbalance:

Her poor appetite and inadequate nutrition which further complicates her problem and increases the risk of fall. The diet is inadequate to meet the requirements.

Depression/Lack of Support:

Her disease condition, multiple drugs, dehydration, and physical symptoms make her depressed. Further, the loneliness, and thoughts of her husband make her feel hopelessness and lack of support.

Provide substantiating evidence (assessment data) for each problem identified.

The assessment data for fall risk

She said that having trouble reaching the door and almost slipped to fell. Her skin turgor shows dehydrated and lack of oxygen leads to trouble in ambulating which increases the risk of falls.

The assessment data for polypharmacy

She is on multiple medications. Previously she was on Lanoxin 0.125mg which has been changed into digoxin 0.25mg that need to be clarified her. She is on combination therapy of calan 240mg and previously she was on Minipress 1mg for hypertension and heart failure. so the blood pressure to be checked as her BP is already 90/60. She is on diuresis and the lack of knowledge of medication. she needs an education of intake of medications.

The assessment data for nutritional imbalance:

The CHF, poor intake, weight loss, lack of bowel movements, electrolyte imbalance shows that the Salle is on imbalanced nutrition. Hear failure decreases the appetite and intake of adequate calories. Her bending posture shows the nutritional imbalance.

The assessment data for Depression/lack of support

Her physical symptoms, hopelessness, loneliness, loss of her husband, and inability to do the daily activities make her depressed with her condition. Her mind is cloudy and confused.

Identify and describe at least four medical and/or nursing interventions.

• Maintain non-slippery floor to prevent the hazard of fall. Provide adequate lighting and ventilation. Provide a cane or walker to navigate within the house. Medications should be arranged in proper order so that she can be taken without missing and interchanging. Keep the medication box within reach. Provide adequate nutrition and supplements to improve the nutritional status. Provide a diet plan that can be prepared and cooked easily. Establish rapport with the patient and make her mingle with the neighborhood to get adequate support. Provide emotional support and make her daughter visit frequently

Discuss your rationale for the interventions identified.

Non-slippery floors and non-slippery shoes will minimize the risk of falls. Walker supports her to mobilize safely. Arranging of medication in the box minimize the confusion and errors. Easily prepared and appropriate diet will improve the nutritional status. Decreased workload make her comfortable. Communication gives support and eliminates depression. Adequate support increases her self-esteem.