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Home Visit With Sallie Mae Fisher
Good morning, Sallie Mae, my name is Alexis Jorgenson and I will be your nurse today. I understand you are not feeling well today?
Sallie: Hello Nurse, I am feeling a little better than last time but still finding it hard to cope.
I understand you are having problems with chronic congestive heart failure.
Sallie: This disease is giving me a lot of problems that range from frequent hospitalizations to excessive medications. I just feel sick when I think about the medication and usually feel like avoiding them.
That's sad to hear. I am here to help identify why you are not feeling very well today.
Sallie: Thank you, I really appreciate your help and hope that I'll be feeling much better very soon.
Nurse: Your medical history shows that you have been hospitalized four times in the past 6 months for exacerbation of congestive heart failure (CHF).
Sallie: Yes, this condition is really taking its toll on me. I mean being in hospital is the worst thing on earth.
Nurse: You were recently discharged after suffering dyspnea, chest pain, and an 8-pound weight gain. Based on your last physical assessment, you have lost 14 pounds since your last hospital admission, which is really great and shows you are slowly improving. I am also happy to inform you that you have significantly improved in relation to dyspnea...
If there is anything I could do to be completely healed, I would do it immediately. No one wants to get and stay sick, not even you, right?
Nurse: Absolutely. According to the findings of the physical assessment, I have identified four problems that are affecting your health and well-being.
Sallie: Oh no! I don't want to hear I have more problems because that leads to hospitalization and more medications, which is really sickening.
Nurse: I totally understand but the identification of these problems and development of effective suitable clinical and/or nursing interventions help in improving your health and well-being.
Sallie: Okay, go ahead.
Nurse: First, I have identified that you are struggling prolonged periods of sadness or probable depression because of the loss of your husband. This is also reflected in the fact that your mind seems clouded and loss of appetite (though this may also be brought by your current medications), and limited family support.
Sallie: I really loved him. If he was here today, I would probably be feeling much better.
Nurse: Secondly, you are probably suffering from dehydration as evident in the dry mucous membranes. In most cases, dry mucous membranes are usually signs of dehydration and can generate various health problems such as frequent bloody…
References
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Haiken, M. (n.d.). Blood Pressure: 90/50. Retrieved December 15, 2015, from https://www.caring.com/charts/blood-pressure-90-50
Orenstein, B.W. & Bass, P.F. (2011, March 30). Bowel Movements: What's Considered Normal? Retrieved December 15, 2015, from http://www.everydayhealth.com/hs/guide-to-constipation-relief/bowel-movements-whats-normal/
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,
Sallie Mae Fisher Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. With her age, and such an acute medical condition, she may undergo substantial changes in function and living standards. Ms. Fisher has been hospitalized four times for exacerbation of her CHF in the last 6 months. One of her primary problems is most likely to be decline in function
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