Sallie Mae Fisher: Scripted dialogue
Instructions: 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: 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. 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: Digoxin 0.25 mg once a day Lasix 80 mg twice a day 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 This is the part i want you guys to do Nurse: “Good morning, Salle Mae, my name is _red_____ and I will be your nurse today. I understand you are experiencing problems with _medication management_______.”(dialogue related to medication management) 100 words for medication management (2 doses of digoxin and lasix) reconcile med with physician, and the rationale possible pill box for safety, oxygen would be a med order as well
Sallie Mae Fisher: Scripted dialogue
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Scripted dialogue
Nurse: Good Morning Sallie Mae, I am Nurse-, and will be your nurse today. I understand you do not feel well today?
Sallie: Hello Nurse, I am doing better but still feel low and finding it hard to cope.
Nurse: You medical history, shows that you were recently discharged after suffering dyspnea, and chest pain. Were you given any advice and talk on dyspnea?
Sallie: Sure, I was discharged, and the doctor informed me that it was related to breathing difficulties.
Nurse: That is right dyspnea is associated with breathing difficulties and mainly occurs when there is inadequate oxygen to the lungs. I would like to understand whether you have taken the prescribed medication? Heart failure is associated with fatigue and shortness of breath (NIH,2014). Digoxin 0.25 mg once a day/> Lasix 80 mg twice a day and Calan 240 mg once a day were provided after discharge to reduce the risk of congestive heart failure.
Sallie: I have been taken the medication, but at times it is difficult to follow up on the medications, when my daughter is not around.
Nurse: Well, if possible you can live with your daughter, as this would also encourage communication and better medicat...