Sallie Mae Fishe's Home Visit

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SALLIE MAE FISHER’S HOME VISIT
Salle Mae Fisher is Fisher is an eighty two year old woman who has an extensive cardiac history that includes congestive heart failure, atrial fibrillation and hypertension. Patient has been hospitalized multiple times for exacerbation of her disease processes. She was just recently discharged from the hospital with orders to admit to homecare services for monitoring. This paper will look at interventions and safety concerns that are needed to be addressed with this patient to prevent injury and possibly prevent the frequent hospitalizations. Identifying one of Ms. Fisher problems would be the safety of herself and her surroundings in her apartment. Ms. Fisher has a knock on the door and she repeatedly tells them to come on in the door is unlocked; she is unaware at the moment who she is letting in her home. Her door should be locked at all times because she lives alone, this is a safety hazard. Another problem that is noticed about Ms. Fisher is that she is depressed and frayed looking and is still mourning the loss of her husband after being married over 50 years. Ms. Fisher needs some grief counseling and emotional support. It is evident that she is depressed and lonely; she immediately talks about him and shows his picture to the nurse and the student. Ms. Fisher also has prescription bottles on her table that has no proper identification of what kind of medication that she is supposed to be taken. This could potentially cause Ms. Fisher to accidentally overdose on her medication. She points out the 3 new medication bottles that the home health nurse didn’t see on the last visit. Assessment reveals that Ms. Fisher has a poor appetite with hypoactive bowel sounds and no bowel movement in 3 days along with abdominal discomfort. Skin turgor is poor probably due to inadequate hydration. Ms. Fisher is prescribed multiple medications. Ms. Fisher is obviously overwhelmed with her medications. It is going to be difficult for...
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