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Sallie Mae Fisher Health History Case Study

Sallie Mae Fisher Health History Case Study Sallie Mae Fisher Health History Case StudyAssignment: Sallie Mae Fisher’s Health HistoryRefer 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 PortionAfter viewing the home visit, write an essay of 500-750-words in which you do the following:Sallie Mae Fisher Health History Case StudyIdentify, 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.Sallie Mae Fisher Health History Case StudyORDER A PLAGIARISM-FREE PAPER HEREPrepare 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 PortionUtilizing 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.”Sallie Mae Fisher Health History Case StudySallie Mae Fisher’s Health History and Discharge Orders – As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (https://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:Sallie Mae Fisher Health History Case StudyEssay PortionAfter 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 PortionUtilizing 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 ________.”Sallie Mae Fisher Health History Case StudyAPA 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 Assignmentidentify and discuss at least 4 key medical and/or nursing interventions. Provide a rational for the four interventions and support with outside resources.Sallie Mae Fisher’s Health History and Discharge OrdersSallie Mae Fisher Health HistoryMs. 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.Sallie Mae Fisher Health History Case StudyMs. 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 dayo Lasix 80 mg twice a dayo Calan 240 mg once a day• Order written to continue other home meds.Sallie Mae Fisher Health History Case StudySallie 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 dayTyping Template for APA Papers: A Sample of Proper Formatting for the APA 6th EditionThis is an electronic template for papers written in APA style (American Psychological Association, 2010). The purpose of the template is to help the student set the margins and spacing. Margins are set at 1 inch for top, bottom, left, and right. The type is left-justified only—that means the left margin is straight, but the right margin is ragged. Each paragraph is indented five spaces. It is best to use the tab key to indent. The line spacing is double throughout the paper, even on the reference page. One space is used after punctuation at the end of sentences. The font style used in this template is Times New Roman and the font size is 12.Sallie Mae Fisher Health History Case StudyNursing DiagnosisThe four key problems that Ms. Fisher have are the following: 1) fluid volume deficit related to several factors such [a) decreased motivation to drink fluids, b) related to the diet, and c) related to depression], 2) risk for fluid and electrolyte imbalance related to inadequate oral fluid intake and use of diuretics 3) risk for falls related to the illness, 4) risk for imbalance nutrition related to inadequate dietary intake less than body requirements.Sallie Mae Fisher Health History Case StudyEvidence to Support the DiagnosisThe assessment data that would support the first diagnosis of fluid volume deficit are as follows: 1) the fact that her blood pressure was only 90/56, 2) her skin turgor is coarse with the finding of tenting of the skin (normal skin when pinched for a few seconds should go immediately back to its original state), 3) her mucous membranes are dry. The second diagnosis is risk for fluid and electrolyte imbalance related to inadequate fluid intake and use of diuretics with the assessment showing hypoactive bowel sounds, low blood pressure, and her verbalization that her mind is cloudy. The third diagnosis of risk for falls related to her illness is that she almost tripped on the floor rug, her low blood pressure, and her verbalization that her mind is cloudy and she did not exhibit good balance as she was walking to the door. The fourth diagnosis is risk for imbalance nutrition related to inadequate dietary intake related to less than body requirement as evidenced by her fourteen pounds weight loss, walks slow, posture bent forward and her verbalization that she only had a can of soup for food .The subheading above would be used if there are several sections within the topic labeled in a heading. The subheading is flush left and bolded, with each word of four letters or more capitalized. Sallie Mae Fisher Health History Case Study

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