Sallie Mae Fisher’s Medical Problems
Instructions:
As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).
Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.
Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:
Essay Portion
After viewing the home visit, write an essay of 300 words in which you do the following:
1-Identify, prioritize, and describe at least four problems.
2-Provide substantiating evidence (assessment data) for each problem identified.
Prepare this step of the assignment according to the APA guidelines. Please make sure that this essay follows APA format such as proper in text citations, articles used no more than 5 years old, and the online sources have URL. This essay need to be submitted to Turnitin in order to check plagiarism so please make sure that is unique.
Thank you very much.
Notice that patient Health History and Discharge Orders which are needed to complete this essay are placed in Essential Sources.
Solution
Sallie Mae Fisher’s Medical Problems
Sallie, an 82-year old woman, is experiencing a number of medical problems. As such, this essay transcends an identification as well as prioritization of the most dominant clinical manifestations that Sallie faces. First, the case study reveals that the patient’s principal illness is associated with congestive heart failure. According to Scott and Winters (2015), Congestive Heart Failure refers to a heart condition in which the heart it cannot fulfill normal functioning. Abbreviated as CHF, it is a chronic condition that initiates inadequate blood supply to the body organs as a result of a faulty right or left ventricles. Research suggests that approximately 670,000 individuals are diagnosed with CHF each year in America (Hall, Levant, & DeFrances, 2012). The manifestation of CHF can be triggered by coronary heart disease, a heart attack, a form of cardiomyopathy, and when one is predisposed to conditions that overwork the heart such as renal failure, diabetes, thyroid disease, and valve diseases (O’Brien & Davis, 2013).
Second, the patient experiences atrial fibrillation, a condition that Lip, Tse, and Lane (2012) describe as a fast and fluttering heartbeat characteristic of the heart initiated by a dysfunction of the atria. Statistics suggest that 2 million Americans experience this “off-kilter” rhythm of the heartbeat(Goralnick & Bontempo, 2015). Abbreviated as Afib, atrial fibrillation is characterized by shortness of breath, constant fatigues, and palpitations(Atzema & Barrett, 2015). Anyone can develop this condition, and it is primarily caused by excessive consumption of alcohol, coronary heart disease, valve diseases, and high blood pressure(Nijjer & Lefroy, 2012).
Third, the patient is experiencing hypertension. Hypertension, an associative condition to high blood pressure, is a condition in which the blood pressure on the heart’s wall are abnormally high(NHS Choices, 2014). Hypertension is triggered by the decreased size in the blood vessels of an individual(CDC, 2016). A patient with hypertension or high blood pressure will experience shortness of breath and increased heartbeat rate. Also, the condition is triggered by poor diet eating pattern and excessive alcohol consumption.
Last, Sallie
experiences dyspnea. Dyspnea is a manifestation of congestive heart failure, and it describes a shortness of breath (Barbera & Jones, 2016). Additionally, the patient
might be suffering from alcohol addiction which needs to be attended to before
any medication plan is stipulated.
References
Atzema, C. L., & Barrett, T. W. (2015). Managing Atrial Fibrillation. Annals of Emergency Medicine, 65(5), 532–539. https://doi.org/10.1016/j.annemergmed.2014.12.010
Barbera, A. R., & Jones, M. P. (2016). Dyspnea in the Elderly. Emergency Medicine Clinics of North America. https://doi.org/10.1016/j.emc.2016.04.007
CDC. (2016). High Blood Pressure Fact Sheet. Division for Heart Disease and Stroke Prevention, 1–3.
Goralnick, E., & Bontempo, L. J. (2015). Atrial Fibrillation. Emergency Medicine Clinics of North America. https://doi.org/10.1016/j.emc.2015.04.008
Hall, M. J., Levant, S., & DeFrances, C. J. (2012). Hospitalization for congestive heart failure: United States, 2000-2010. NCHS Data Brief, (108), 1–8.
Lip, G. Y. H., Tse, H. F., & Lane, D. A. (2012). Atrial fibrillation. In The Lancet (Vol. 379, pp. 648–661). https://doi.org/10.1016/S0140-6736(11)61514-6
NHS Choices. (2014). High blood pressure (Hypertension) – Causes – NHS Choices.
Nijjer, S. S., & Lefroy, D. C. (2012). Atrial fibrillation. British Journal of Hospital Medicine (London, England : 2005), 73(5), C69-73. https://doi.org/10.1586/erc.11.89
O’Brien, T. X., & Davis, C. P. (2013). Congestive Heart Failure Causes, Symptoms, Treatment – Congestive Heart Failure Stages. Medicine Health, 5.
Scott, M. C., & Winters, M. E. (2015). Congestive Heart Failure. Emergency Medicine Clinics of North America. https://doi.org/10.1016/j.emc.2015.04.006
