181

ASSIGNMENT W4

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:

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

 

REQUIREMENTS:                                                         

 

 

 

 

Essay Portion

 

1)      Identified and prioritized at least four problems



from the simulated home visit with Salle Mae.

 

2)      Summarized each problem identified with evidence to substantiate findings (assessment data).

 

3)      Identified and discussed at least four medical and/or nursing interventions to meet client needs.

 

4)      Provides rational for interventions identified. Discussion of rationale includes support from outside resources (current evidence-based literature).

 

Scripted Dialogue Portion

 

1)      Utilizes information learned from the home visit, health history, and discharge orders presented in the simulation to develop a patient dialog.

 

2)      Dialog addresses physiological, psychosocial, educational, and spiritual needs of the client.



 

Format/Style

 

1)      Essay Portion

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.

Information is paraphrased and not copied/pasted from other sources, including dictionaries, textbooks, e-books, and electronic links.

 

2)      Scripted Dialogue Portion

APA format is not required for this part of the assignment, but solid academic writing is



expected.

                                                                   

Total______pts / 100 x 200=_______% of grade

Possible

 

 

10

 

 

20

       

         

         40

 

 

        



80                       

 

       

 

 

10

        

       

 

20

                  

           

        

 

 

T

 

Essay Portion

 

1)      Identified and prioritized at least four



problems from the simulated home visit with Salle Mae.

 

2)      Summarized each problem identified with evidence to substantiate findings (assessment data).

 

3)      Identified and discussed at least four medical and/or nursing interventions to meet client needs.

 

4)      Provides rational for interventions identified. Discussion of rationale includes support from outside resources (current evidence-based literature).

 

Scripted Dialogue Portion

 

 

 

 

Format/Style

 

1)      Essay Portion

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.

Information is paraphrased and not copied/pasted from other sources, including dictionaries, textbooks, e-books, and electronic links.

 

2)      Scripted Dialogue Portion

APA format is not required for this part of the assignment, but solid academic writing is expected.

                                                                   

Total______pts / 100 x 200=_______% of grade

otal:             



200           

 

10               ______

 
10

Actual

 

______

 

 

______

 

 

______

 

 

    ______

  

 

 

 

 

    ______

 

 

 

    ______

  

 

 

  

    ______

  

 

 

 


data-reactid="129">

Question Field

Asked by jonathanberry
4 years ago
NO ANSWERS YET
RELATED QUESTIONS
89 Rank 481 Views
 HCA 340

Asked by smithchristopher 4 years ago

570 Rank 84 Views
 COMMENT FAITH

Asked by susanbowman 4 years ago

142 Rank 1351 Views
303 Rank 174 Views
206 Rank 893 Views
 COMMET HOLLY

Asked by ajoseph 4 years ago

513 Rank 133 Views
 NRM W9A2

Asked by sydney10 4 years ago

426 Rank 1167 Views
 Prof Lex Only

Asked by diana46 4 years ago

1426 Rank 1286 Views
 Need In 9 Hours 8am My Time

Asked by tracy52 4 years ago

284 Rank 740 Views