NRS410 Path: Collaborative Learning Community: Home Visit with Sallie Mae Fisher

NRS410 Path: Collaborative Learning Community: Home Visit with Sallie Mae Fisher

NRS410 Path: Collaborative Learning Community: Home Visit with Sallie Mae Fisher

NRS410 Path
Physiology and Nursing Management of Client’s Health

Week 4 Assignment

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 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.

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 LopesWrite.
Refer to the directions in the Student Success Center. Only Word documents can
be submitted to LopesWrite.

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