Assignment w4 | Nursing homework help
In the home visit with Sallie Mae Fisher, several problems were identified that require urgent attention. These problems include her medication management, her dietary habits, her mobility and fall risk, and her social isolation.
The first problem is Sallie Mae’s medication management. During the home visit, Sallie Mae mentioned that she has trouble remembering to take her medication and often skips doses. According to the American Geriatrics Society, medication non-adherence is common among older adults and can lead to adverse health outcomes such as hospitalization and increased healthcare costs. Sallie Mae’s medication non-adherence puts her at risk of exacerbating her chronic conditions, including hypertension and diabetes.
The second problem is Sallie Mae’s dietary habits. She mentioned that she does not have much of an appetite and often skips meals. She also tends to eat a lot of processed foods, which can be high in sodium and contribute to her hypertension. According to the Academy of Nutrition and Dietetics, poor nutrition can lead to malnutrition and increase the risk of chronic conditions, such as osteoporosis and heart disease.
The third problem is Sallie Mae’s mobility and fall risk. During the home visit, Sallie Mae was observed using a walker and had difficulty getting up from a seated position. She also mentioned that she has fallen in the past. According to the Centers for Disease Control and Prevention, falls are a leading cause of injury among older adults and can lead to hospitalization, functional decline, and even death.
The fourth problem is Sallie Mae’s social isolation. During the home visit, Sallie Mae mentioned that she lives alone and does not have many visitors. Social isolation can lead to negative health outcomes such as depression, anxiety, and cognitive decline.
The substantiating evidence for Sallie Mae’s medication non-adherence includes her admission of forgetting to take her medication and skipping doses. Her hypertension and diabetes diagnoses also indicate a need for consistent medication management. The evidence for her poor dietary habits includes her lack of appetite and tendency to eat processed foods. Her hypertension diagnosis also indicates a need for dietary changes.