¶ … Interventions
Home health visits can be a useful method of identifying potential and actual health issues. Visiting the patient's home may provide the opportunity to identify issues which may not be readily apparent at a medical office. The home health visit is meant to assist in the promotion of the patient's health maintenance; limit further disability, and increase baseline health.
The visiting nurse will gain the ability to build a caring, professional, trusting, patient focused relationship. The home health nurse will be able to assist the patient by identifying, procuring and providing education for interventional items. The nurse will also know how to facilitate the communication of identified patient needs, in the home, to interdisciplinary members of the health care team (Liebel, Powers, Friedman, & Watson, 2012, p. 80).
The patient has been prescribed oxygen for home use by her physician. The patient states the she has not arranged oxygen in her home because it will cost her more money. The nursing intervention is to find out the total associated cost and arrange oxygen delivery and then provide education regarding safety and use. The use of oxygen will improve the patient's respiratory function and improve her quality of life (Criner, 2013, p. 48).
There were several issues identified due to performing a home health visit in Mrs. Fishers home. The home health nurse in the 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 mg once a day
Ibuprofen 400 mg q 4 hours as needed for pain
Darvocet N. 100 mg q…
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The probation officer program, however, has managed to survive past Martinson's "Nothing Works" doctrine. Cullen (2002) suggests that even today, when rehabilitation programs have been met with skepticism by some, "probation officers continue to broker or deliver services when they can" (p.255). In my personal experiences with probation officers, each has seemed to have a genuine interest and care for the delinquents with whom they deal. Each has been
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