Home visit with Sallie Mae Fisher
Nursing Interventions for Problems Identified
1. Medication Intervention: Offer a written timetable for taking all the medicines in addition to a pillbox that could be filled each week by the home healthcare nurse. Calls the main MD to elucidate Digoxin and Lasix for the duplicate treatment. Timetable the visit of each nurse with their patient to discuss about the medicines intake and their effects. Teaches the patient with the teach-back technique to strengthen the status of using the medicines in the correct way. Recognize constraints for several medicines and how to observer it from home
2. Loneliness and Depression: offer emotive provision to the patient and corroborate her feelings. Offer the resources for social assistance and movement (bingo, adult courses, ex-senior center) Offer the resources on the transport to these events and activities if the patient cannot drive. Several adult-day programs would pick-up participants at their house and provide conveyance for them to the program and from the program. Support the patient to be a part of those programs if she is taking an interest in it. Observers the emotive stance each week, and to execute of a suicide-assessment, and to keep in connection with main MD in order to start an anti-depressant program if required.
3. Safety Intervention: The key intervention with respect to the safety is teaching. Inspiring the patient in order to eliminate the clutter or throw-rugs to avert the fall. Several times patients would alter their homes if the education is provided on reductions and the outcome of the fall. Inspire individual safety and barring the gate. Offer a locker box to suspend on the gate so that the nurse could have a code to arrive at the home in case of an emergency. Offer information and education on the usage of the life emergency or some other calling instrument. These could be encoded to make a call to 911 or a family member, or home healthcare organization. Education on the advantages of oxygen support and how this could feel the patient better and have a better health and quality life. Encourage and educate the patient to the immediate response of any symptom of illness, the problems, for example, constipation, nausea to her harbor to assist and manages the indications. Furthermore, educate the patient to inform about all new medicines to health care nurse also
4. Nutrition Intervention: Offer edification on why good hydration and nutrition has so much value, particularly with using medicines. Offer a thermos or jug that the patient could use to make it sure that she is eating in a sufficient amount of fluid every day and observers I&O. Help the patient with the registration for the delivering of meal program that would provide a hot meal to their patient for each day of the week. The Education on regular weights and assist the patient to possess a log nearer to the scale to note down her weights.
