Identify and describe at least four medical and four nursing interventions to meet client needs.Ms. Davis is an 82-year old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension.

Identify and describe at least four medical and four nursing interventions to meet client needs.

Health history

Ms. Davis 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 Davis is recently widowed and lives alone. She has a daughter, Tammy Faye, 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:
Digoxin 0.25 mg once a day
Lasix 89 mg twice a day
Calan 240 mg once a day
Order written to continue other home meds.

Home Medication List

Zocar 50 mg once a day

Minipress 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 every 4 hours as needed for pain

Darvocet N 100 mg every 4 hours as needed for pain

Nitroglycerin ointment, apply 1 inch every day


 

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