Provide Substantive Evidence (assessment Data) For Each Prob

Question

PROVIDE SUBSTANTIVE EVIDENCE (ASSESSMENT DATA) FOR EACH PROBLEM IDENTIFIED Sallie Mae Fisher is an 82-year-old woman with a complex health profile that presents multiple challenges, including polypharmacy, safety concerns, nutritional issues, and mental health considerations. Her medical history of congestive heart failure (CHF), atrial fibrillation, and hypertension necessitates the use of multiple medications, which increases the risk of adverse drug interactions and side effects—a phenomenon known as polypharmacy (Maher et al., 2014). The extensive medication list, including diuretics, anticoagulants, and cardiac medications, requires diligent assessment to prevent medication errors and adverse events (Frazier et al., 2021). Safety concerns are evident given her recent hospitalizations for CHF exacerbations, suggesting potential issues with home safety, medication management, and oxygen therapy adherence. Her home environment must be evaluated for fall risks, proper oxygen use, and accessibility (Reid et al., 2019). Nutritional status is compromised due to weight fluctuations and dietary restrictions related to her cardiac condition, emphasizing the need for nutritional assessment to prevent malnutrition and electrolyte imbalances (Loh et al., 2018). Moreover, her psychological health must be monitored, given her recent widowhood and limited family support, which are risk factors for depression and social isolation, impacting overall health outcomes (Chen et al., 2020). Conducting a comprehensive assessment of these areas allows for tailored interventions to optimize her health, enhance safety, and improve quality of life through medication reconciliation, home safety modifications, nutritional planning, and mental health support (Johnson et al., 2022).

Dr. Jack HW Helper · Accepted Answer

In evaluating Sallie Mae Fisher’s health status, it is critical to recognize the multifaceted nature of her clinical presentation, particularly focusing on polypharmacy, safety, nutrition, and mental health. These issues are interconnected and significantly influence her overall wellbeing, especially in the context of advanced age and chronic disease. Polypharmacy is a predominant concern for Mrs. Fisher, who is prescribed a substantial number of medications—ranging from cardiovascular agents like Zocar, Minipres, Vasotec, and Lanoxin, to other medications such as Effexor, Prilosec, and potassium supplements. The risk associated with polypharmacy includes drug-drug interactions, medication non-adherence, and adverse drug reactions, which can lead to hospital readmissions (Maher et al., 2014). For instance, her use of diuretics and potassium supplements must be carefully monitored to prevent electrolyte imbalances, which are common in CHF patients and can precipitate arrhythmias (Frazier et al., 2021). Safety assessment involves evaluating her home environment and medication management practices to reduce fall risks and ensure proper oxygen therapy. Since Mrs. Fisher has been hospitalized multiple times for CHF exacerbations, it’s essential to examine her ability to safely use oxygen equipment and her mobility status at home. Falls are a leading cause of morbidity in older adults, and home modifications—such as removing tripping hazards and installing grab bars—are recommended to mitigate these risks (Reid et al., 2019). Additionally, her recent hospital discharge instructions include home health evaluations, which are vital for ongoing safety assessments. Nutrition challenges are another vital consideration. Weight gain of 8 pounds in recent months indicates fluid retention, common in CHF, and may reflect inadequate dietary management or compliance issues. Proper nutritional assessment should focus on fluid restriction, sodium intake, and balanced nutrition to preve

Provide Substantive Evidence (assessment Data) For Each Prob

PROVIDE SUBSTANTIVE EVIDENCE (ASSESSMENT DATA) FOR EACH PROBLEM IDENTIFIED

Paper For Above instruction

References

PROVIDE SUBSTANTIVE EVIDENCE (ASSESSMENT DATA) FOR EACH PROBLEM IDENTIFIED

Paper For Above instruction

References

Related Assignments