Scripted Dialogue Portion
Home Visit With Sallie Mae Fisher Grading Criteria
Sallie Mae Fisher’s Health History and Discharge Orders
Sallie Mae Fisher Health History
Ms. Fisher 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. Fisher is recently widowed and lives alone. She has a daughter, Thelma Jean, 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 80 mg twice a day
· Calan 240 mg once a day
Order written to continue other home meds.
Sallie Mae’s Home Medication List
Zocar 50 mg once a day
Minipres 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 q 4 hours as needed for pain
Darvocet N 100 mg q 4 hours as needed for pain
Nitroglycerin ointment, apply 1 inch every day