Mrs. A. is an 84-year-old woman who was recently discharged from the hospital with a diagnosis that includes an exacerbation of congestive heart failure (CHF). She also has diabetes and hypertension. Mrs. A. was discharged from the hospital on multiple medications and lives alone. Home care services were initiated with skilled nursing care visits, some home health aide support, and orders to include daily tele-monitoring of her vital signs. The telehealth device will remotely monitor Mrs. A.’s blood pressure, heart rate, oxygen saturation, and weight. In addition, the patient will answer customized questions about her disease on a daily basis. This information will then be transmitted daily to the home care agency, where the Telemetry nurse can determine appropriate clinical actions based on the data trends and preset baseline alerts that indicate when set parameters have been exceeded.
1) Develop a work flow for a telehealth nurse to ensure all needs would be covered for a hypertensive patient. From the initial greeting to the end of conversation, must be at least 10 steps.
2) As a telehealth nurse would you have any recommendations to Mrs. A’s physician or any other members of the health care team to provide adequate care? Name at least three professionals with recommendations for each.
2.
As a telehealth nurse I would have some recommendations for this patient to be cared for by different professionals.
a. Cardiologist- I would like to recommend a weekly telehealth assessment of this patient by her acquired cardiologist, as she has a history of cardiac disease this recommendation would help manage her health well.
b. Endocrinologist- I would also recommend Mrs. A to refer to her endocrinologist or general physician for the diabetes monitoring and follow up, this would help her maintain and manage her diabetes and other comorbidities.
c. Dietician- I would recommend Mrs. A to be referred to a dietician for her proper meals and medication routine. This would help her get routine recalls for proper and nutritious meal and medication adminsitration on time.
(Please create individual order for each question)
Mrs. A. is an 84-year-old woman who was recently discharged from the hospital with a diagnosis...
Mrs. A. is an 84-year-old woman who was recently discharged from the hospital with a diagnosis that includes an exacerbation of congestive heart failure (CHF). She also has diabetes and hypertension. Mrs. A. was discharged from the hospital on multiple medications and lives alone. Home care services were initiated with skilled nursing care visits, some home health aide support, and orders to include daily tele-monitoring of her vital signs. The telehealth device will remotely monitor Mrs. A.’s blood pressure, heart...
Mrs. A. is an 84-year-old woman who was recently discharged from the hospital with a diagnosis that includes an exacerbation of congestive heart failure (CHF). She also has diabetes and hypertension. Mrs. A. was discharged from the hospital on multiple medications and lives alone. Home care services were initiated with skilled nursing care visits, some home health aide support, and orders to include daily tele-monitoring of her vital signs. The telehealth device will remotely monitor Mrs. A.’s blood pressure, heart...
Mrs. A. is an 84-year-old woman who was recently discharged from the hospital with a diagnosis that includes an exacerbation of congestive heart failure (CHF). She also has diabetes and hypertension. Mrs. A. was discharged from the hospital on multiple medications and lives alone. Home care services were initiated with skilled nursing care visits, some home health aide support, and orders to include daily tele-monitoring of her vital signs. The telehealth device will remotely monitor Mrs. A.’s blood pressure, heart...
1. Which laboratory results are consistent with CHF? 2. A client with a diagnosis of congestive heart failure (CHF) is being discharged from the hospital. Describe appropriate patient teaching for prescribed medications and diet before discharge? 3. The home health nurse is making an initial visit to the patient recently discharged form the hospital. What would the nurse include in the home care assessment?
1.Which laboratory results are consistent with CHF? 2. A client with a diagnosis of congestive heart failure (CHF) is being discharged from the hospital. Describe appropriate patient teaching for prescribed medications and diet before discharge? 3. The home health nurse is making an initial visit to the patient recently discharged form the hospital. What would the nurse include in the home care assessment
Mrs. Smith is 82 years old and is diagnosed with hypertension, diabetes, and congestive heart failure. Her two children live in California, while she lives in North Carolina in a small family home on 10 acres of land in the blue ridge mountains. Mrs. Smith in the hospital four times in the last year due to congestive heart failure. As her eyesight and mobility get worse with age, she has found it a challenge to stay on her medical plan...
A. Chronic Pressure Ulcer – Stage 4 Your patient is a 47-year-old woman who has had a history of diabetes for the past 25 years, is a stroke survivor, and has congestive heart failure. She developed a stage 4 pressure ulcer following an above the knee amputation six months ago during her hospital stay. She lives at home with her daughter, who is a nurse, and also has home health care three days a week for dressing changes. Home health...
Holistic Health Assessment The home care nurse is seeing a 68-year-old Vietnamese woman for an initial visit. The patient was discharged from the hospital with a diagnosis of congestive heart failure (CHF). The home health nurse notices the patient's blood pressure is elevated, and the patient has a productive cough. The patient speaks very little English. However, the patient's daughter is present and able to interpret. The nurse completes a full health assessment, including a review of medications, and notes...
Mrs. Smith is a 63 year old obese, diabetic woman who is transferred from the hospital to the skilled nursing facility (SNF) where you work as a charge nurse. Mrs. Smith is being managed with IV vancomycin 1 gm IV piggyback (IVPB) every 12 hours for osteomyelitis resulting from an arterial foot ulcer. On review of her admission orders, you note that she has a newly inserted intermittent saline lock in her right forearm and is prescribed to receive the...
Mrs. Smith is 82 years old and is diagnosed with hypertension, diabetes, and congestive heart failure. Her two children live in California, while she lives in North Carolina in a small family home on 10 acres of land in the Blue Ridge Mountains. Mrs. Smith has been in the hospital four times in the last year due to congestive heart failure. As her eyesight and mobility get worse with age, she has found it a challenge to stay on her...