Nurse Assignment Week 4| Nursing homework help
Sallie Fisher, a woman of 72 years old who recently left the hospital due to a hip injury after falling down. Sallie Mae had several problems during her visit at home. In this essay, the purpose is to list, explain, and prioritize at least four health problems. It also includes substantiating proof for each identified problem.
Problem 1 : Pain and Mobility Limitations The pain and limitations in mobility were the most common problems identified by home visitors. Sallie Mae stated that her hip was hurting and she could not walk without using a walker. Sallie Mae’s recent injury and fall to her hip is evidence of this problem. It is also documented in the health records and discharge orders.
Medical and Nursing Intervention 1: Pain management The first intervention for Sallie Mae’s pain and mobility limitations is pain management. Pain management can be accomplished through over-the-counter and prescription medications as well as by physical therapy, rehabilitation or any other form of treatment. The rationale for this intervention is to relieve Sallie Mae’s pain and improve her mobility, thus allowing her to participate in activities of daily living and reduce the risk of future falls.
Problem 2: dehydration Dehydration was the second problem identified at home. Sallie Mae stated that she did not drink enough fluids, and experienced symptoms of dehydration such as fatigue and dry mouth. This problem can be assessed by the dry mucous tissues and the report of a decreased fluid intake as reported in her medical history and discharge order.
Medical and Nursing Intervention 2: Fluid management The second intervention for Sallie Mae’s dehydration is fluid management. It is possible to achieve this by increasing the fluid intake either orally, intravenously or both. This is done to avoid further dehydration which could lead to kidney failure and other complications.
Problem 3: Medication management The third problem identified by the Home Visitor is medication administration. Sallie mae said that it was difficult for her to keep track of all the medications she takes and take them according to prescription. Assessment data that supports this issue is the non-compliance with medication, documented in Sallie’s health history and discharge order.
Medical and Nursing Intervention 3: Medication reconciliation and education The third intervention for Sallie Mae’s medication management is medication reconciliation and education. It is possible to achieve this by reviewing Sallie Mae’s current medication and dosage regime, while also educating her about the importance of taking medications according to prescription. Sallie mae’s condition is being treated with the most effective and appropriate treatment.
Problem 4: Fall risk The fourth concern that was raised during the visit to the home is the possibility of a fall. Sallie Mae stated that she recently fell and hurt her hip. She is also at risk for future falls because of her limited mobility. Sallie Mae’s recent injury and fall to the right hip as well as her use of a walker for ambulation, documented in both her medical history and discharge order, are evidence that this is a problem.
Medical and Nursing Intervention 4: Fall prevention The fourth intervention for Sallie Mae’s falls risk is fall prevention. The combination of interventions can include modifying Sallie Mae’s living environment in order to eliminate tripping hazards; providing her a mobility device such as a walker, or educating her about fall prevention techniques. It is important to use this type of intervention to lower the chances of future injuries and falls.
In conclusion, Sallie Mae Fisher’s home visit revealed several health problems that require attention, including pain and mobility limitations, dehydration, medication management, and falls risk. For each problem, medical and nursing intervention has been determined, including medication education, reconciliation and management of medications, pain management and fluid management. The rationale for each of these interventions was discussed, highlighting the importance of addressing these issues in order to improve Sallie Mae’s overall health and well-being. As a healthcare provider, it is important to prioritize and address these health problems in a comprehensive and holistic manner, considering the individual’s needs and circumstances.