NRS 410 Assignment Home Visit with Sallie Mae Fisher
NRS 410 Assignment Home Visit with Sallie Mae Fisher
Collaborative Learning Community: Home Visit with Sallie Mae
Fisher
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 Fishers 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 Fishers 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.
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 Maes
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 LopesWrite.
Refer to the directions in the Student Success Center. Only Word documents can
be submitted to LopesWrite.
Sallie Mae Fishers 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 Maes 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
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