Scripted Dialogue Portion

Scripted Dialogue Portion

Home Visit With Sallie Mae Fisher Grading Criteria




Essay Portion


1. Identified and prioritized at least four problems from the simulated home visit with Salle Mae.


1. Summarized each problem identified with evidence to substantiate findings (assessment data).


1. Identified and discussed at least four medical and/or nursing interventions to meet client needs.


1. Provides rational for interventions identified. Discussion of rationale includes support from outside resources (current evidence-based literature).


Scripted Dialogue Portion


1. Utilizes information learned from the home visit, health history, and discharge orders presented in the simulation to develop a patient dialog.


1. Dialog addresses physiological, psychosocial, educational, and spiritual needs of the client.




1. Essay Portion

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Information is paraphrased and not copied/pasted from other sources, including dictionaries, textbooks, e-books, and electronic links.


1. Scripted Dialogue Portion

APA format is not required for this part of the assignment, but solid academic writing is expected.


Total______pts / 100 x 200=_______% of grade



























Total: 200 10 ______10
































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

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