Collaborative Learning Community: Home Visit with Sallie Mae Fisher
Details: This is a CLC assignment. As a group, observe the simulated "Home Visit With Sallie Mae Fisher" video (http://lc(dot)gcumedia(dot)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. 3.Identify and describe at least four medical and/or nursing interventions. 4.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. Scripted Dialogue Portion Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae's physiological, psychosocial, educational, and spiritual needs when developing your dialogue. Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue: Nurse: "Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________." APA format is not required for this part of the assignment, but solid academic writing is expected. Refer to "Home Visit With Sallie Mae Fisher Grading Criteria." Entire Assignment You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin. NRS410V.R.HomeVisitWithSallieMaeFisherGradingCriteria_Student_02-11-13.docx NRS410V.R.SallieMaeFishersHealthHistoryandDischargeOrders_Student_02-11-13.docx I know you can get the website of the movie in the beginning of the question. But if you cannot get the attachments at the bottom of the question. Let me know immediately so that I can paste it for you. Thanks. with the past experience of you not getting attachment, I have decided to paste the attachments for this question. The 1st attachment is just the grading criteria which you don't really need. But the 2nd attachment is the Sallie Mae's Health History and Discharge Orders, which you really need for you to work on. 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 10 Actual ______ ______ ______ ______ ______ ______ ______ The grading criteria didn't come out well. But mind you really need it. The one you need is the history. Thanks.
Home Visit with Sallie Mae Fisher
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Ms. Fisher, an 82 years old woman has had medical conditions in the past. First, she has a history of chronic congestive heart failure (CHF). She has been hospitalized four times in the past six months due to the aggravation of her CHF. Secondly, she has a history of atrial fibrillation. Third, she has a history of hypotension. Fourth, she also suffered dyspnea and had been discharged from hospital the previous Saturday after a 3-day stay to treat this condition. As a result of her dyspnea, she has been instructed to use an oxygen concentrator to give her enough oxygen.
Ms. Fisher at the moment has four conditions that need the intervention of a nurse to help her manage them. First of all, her body retains a lot of water making her body to be swollen and also an increase in weight. A condition referred to as “Oedema”. As a result her Lasix dose has been increased. She needs to lose some weight and do some physical exercises to manage her condition. Hypotension: People who have a reading of 90/60 or less are considered to be hypotensive. Ms. Fisher’s blood pressure reads 90/56. With the help of a nurse, she needs to monitor her body’s response to medication to control her blood pressure. This is because of the side effects of high dosage and a patient’s motivation to take anti-hypertensive drugs. (White, Duncan, & Baumle (2011)). Atrial fibrillation: to reduce the occurrence of this condition, Ms. Fisher would need to maintain a good habit to rest physically and emotionally. This is to reduce the demands of oxygen by her body which makes her hear beat fast and irregularly. (Kowey et al (2010)). Dyspnea: since this problem is associated with her breathing system, she needs to be trained proper methods to increase intake of oxygen in the body. The patient needs to learn appropriate ways of breathing and coughing to enhance clearance of secretions. She also needs to learn other methods like yawning to increase air intake to the body. These methods will greatly reduce the occurrence of going short of breath. Also the patient will learn to avoid activities that demand hard breathing. (Mahler & Donn...