Identify nursing interventions to meet client needs..
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
Identify nursing interventions to meet client needs.
