Description
– Observe the simulated “Home Visit With Sallie Mae Fisher” video:
https://youtu.be/VW3NFyYZ7hQ?list=PLqKj_eriTOI9x7VPX9UT8J8GGKphyeIrI
– Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.
– Using “Grading Criteria” and “Sallie Mae Fisher’s Health History and Discharge Orders” complete the following components of this assignment:
– Please follow the Grading Rubric “Grading Criteria”.
Essay Portion
-After viewing the home visit, write an essay of 500-750-words in which you do the following:
- Describe the nutrition and diet for a patient with congestive heart failure (CHF).
- Provide substantiating evidence (assessment data) for these recommendations regarding nutrition and diet for a patient with CHF.
- Identify and describe one medical and/or nursing interventions regarding nutrition and diet in a patient with CHF.
- Discuss your rationale for the intervention identified.
**Discussion of nutrition and diet for a patient with congestive heart failure, including data (signs, symptoms, history, statements) from the case study that show it is a problem with our patient, followed by evidence- based interventions that will prevent, lessen or mitigate the problem. Make sure the interventions are backed up by research and you cite the resource. This is worth a great deal of points on your paper.**
-Prepare this step of the assignment according to APA guidelines
-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 nutritional and dietary problems and the intervention 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 ________.”
**The narrative portion of the assignment should connect with the diagnosis that you discuss in your paper, but does not have to be in APA format, but solid academic writing is expected.
-This assignment is submitted to a plagiarism checker
Criteria
Comments
Score
Essay portion
Identified and prioritized at least four
problems from the simulated home visit with
Salle Mae.
Summarized each problem identified with
evidence to substantiate findings
(assessment data).
10
See my comments on your paper
#1
#2
#3
#4
Identified and discussed at least four medical
and/or nursing interventions to meet client
needs
Provides rational for interventions identified.
Discussion of rationale includes support from
outside resources (current evidence-based
literature).
Scripted Dialogue Portion
Utilizes information learned from the home
visit, health history, and discharge orders
presented in the simulation to develop a
patient dialog.
Dialog addresses physiological, psychosocial,
educational, and spiritual needs of the client
Format /Style
Essay Portion
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.
Information is paraphrased and not
copied/pasted from other sources, including
dictionaries, textbooks, e-books, and
electronic links
Scripted Dialogue Portion
APA format is not required for this part of the
assignment, but solid academic writing is
expected.
Score
20
40
80
10
.
20
10
10
200
Home Visit With Sallie Mae Fisher Grading
Criteria
REQUIREMENTS:
Possible
Actual
Essay Portion
______
1) Identified and prioritized at least four problems from the
simulated home visit with Salle Mae.
2) Summarized each problem identified with evidence to
substantiate findings (assessment data).
10
______
20
______
3) Identified and discussed at least four medical and/or nursing
interventions to meet client needs.
40
4) Provides rational for interventions identified. Discussion of
rationale includes support from outside resources (current
evidence-based literature).
80
______
Scripted Dialogue Portion
1) Utilizes information learned from the home visit, health
history, and discharge orders presented in the simulation to
develop a patient dialog.
2) Dialog addresses physiological, psychosocial, educational,
and spiritual needs of the client.
10
______
20
______
10
______
10
______
Format/Style
1) Essay Portion
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.
Information is paraphrased and not copied/pasted from other
sources, including dictionaries, textbooks, e-books, and electronic
links.
2) Scripted Dialogue Portion
APA format is not required for this part of the assignment, but
solid academic writing is expected.
Total:
Total______pts / 100 x 200=_______% of grade
© 2013. Grand Canyon University. All Rights Reserved.
200
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
© 2013. Grand Canyon University. All Rights Reserved.
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