Running head: PURPLE GROUP 1
Home Visit with Sallie Mae Fisher
Lisa Jennings
Marie Lubin
Mofolake Fateru
Ifeoma Ozugha
Grand Canyon University: NRS-410V
January 24, 2016
,Running head: PURPLE GROUP 2
Question #1 By Lisa
Sallie Mae Fisher has more than four problems going on in the video. Identify, prioritize,
and describe at least four problems.
1. High fall risk: She is elderly, on multiple medications, dehydrated and depressed.
With multiple issues a patient has a hard time ambulating and getting around
furniture which puts them at risk.
2. Polypharmacy: She has twelve medications plus three that were prescribed on
discharge. Elderly patients can get confused when taking multiple medications
and they need education on them to be able to understand what they are taking,
when and why they are taking the medication. A few of her medications are
duplicates and that needs to be clarified.
3. Dehydration: The patient has not felt like doing anything, isn’t eating or drinking
much, this can also contribute to being a high fall risk.
4. Depression: Patient is lonely, she misses her husband who always made her
laugh. Depression can be very debilitating and if you are dehydrated along with
depression it just makes you feel terrible and hopeless.
Question #2 By Lisa
Provide substantiating evidence (assessment data) for each problem identified.
1. High fall risk: According to the assessment data as Sallie Mae Fisher was
attempting to answer the door there was a throw rug on the floor that was already
in disarray and she had trouble navigating it as she was answering her door. She
almost fell. Also because of the oxygen deprivation and dehydration Sallie Mae is
definitely at a high risk for falls.
2. Polypharmacy: According to the assessment data Sallie Mae has twelve
medications on her home list and was prescribed three more at the time of
, Running head: PURPLE GROUP 3
discharge that her daughter got filled for her. In observing the three new
medications it looks like she was prescribed Digoxin 0.25mg once a day and on
her home list she takes Lanoxin (which is Digoxin) 0.125mg every other day and
she probably was taking both because of the different names on them and because
she was also instructed at discharge to continue her home meds. This needs to be
clarified with the doctor. Another issue that will need clarification with the doctor
is her new medication Calan 240 mg once a day for hypertension and arrhythmia
and then on her home list she takes Minipres 1mg once a day for hypertension and
Vasotec for hypertension and heart failure. These should be clarified because her
blood pressure is 90/56. Sallie Mae should be educated about using only one
pharmacy for her medications so she would not be doubling up her medications.
3. Dehydration: According to the assessment data when the nurse stated Sallie
Mae’s vital signs they were as follows…Respirations 24, Heart Rate 58, and Blood
Pressure 90/56. Since Sallie Mae hasn’t had the energy to do anything, her blood
pressure is low, she has poor skin turgor with some tenting and her mucous
membranes are dry; she is dehydrated. According to her medication list she was
sent home with Lasix 80mg twice a day and also told to continue her other home
medications and on her home list she was taking Furosemide (which is also Lasix)
40mg once a day. Because of the two different names being used she probably has
taken both and has become dehydrated. Because she was ordered to also continue
her home medications the nurse needs to get this clarified with the doctor as to
which one he wants her to take.
4. Depression: According to the assessment data the patient is dressed in her
bathrobe, she doesn’t smile except when she talks of her husband who she misses
Home Visit with Sallie Mae Fisher
Lisa Jennings
Marie Lubin
Mofolake Fateru
Ifeoma Ozugha
Grand Canyon University: NRS-410V
January 24, 2016
,Running head: PURPLE GROUP 2
Question #1 By Lisa
Sallie Mae Fisher has more than four problems going on in the video. Identify, prioritize,
and describe at least four problems.
1. High fall risk: She is elderly, on multiple medications, dehydrated and depressed.
With multiple issues a patient has a hard time ambulating and getting around
furniture which puts them at risk.
2. Polypharmacy: She has twelve medications plus three that were prescribed on
discharge. Elderly patients can get confused when taking multiple medications
and they need education on them to be able to understand what they are taking,
when and why they are taking the medication. A few of her medications are
duplicates and that needs to be clarified.
3. Dehydration: The patient has not felt like doing anything, isn’t eating or drinking
much, this can also contribute to being a high fall risk.
4. Depression: Patient is lonely, she misses her husband who always made her
laugh. Depression can be very debilitating and if you are dehydrated along with
depression it just makes you feel terrible and hopeless.
Question #2 By Lisa
Provide substantiating evidence (assessment data) for each problem identified.
1. High fall risk: According to the assessment data as Sallie Mae Fisher was
attempting to answer the door there was a throw rug on the floor that was already
in disarray and she had trouble navigating it as she was answering her door. She
almost fell. Also because of the oxygen deprivation and dehydration Sallie Mae is
definitely at a high risk for falls.
2. Polypharmacy: According to the assessment data Sallie Mae has twelve
medications on her home list and was prescribed three more at the time of
, Running head: PURPLE GROUP 3
discharge that her daughter got filled for her. In observing the three new
medications it looks like she was prescribed Digoxin 0.25mg once a day and on
her home list she takes Lanoxin (which is Digoxin) 0.125mg every other day and
she probably was taking both because of the different names on them and because
she was also instructed at discharge to continue her home meds. This needs to be
clarified with the doctor. Another issue that will need clarification with the doctor
is her new medication Calan 240 mg once a day for hypertension and arrhythmia
and then on her home list she takes Minipres 1mg once a day for hypertension and
Vasotec for hypertension and heart failure. These should be clarified because her
blood pressure is 90/56. Sallie Mae should be educated about using only one
pharmacy for her medications so she would not be doubling up her medications.
3. Dehydration: According to the assessment data when the nurse stated Sallie
Mae’s vital signs they were as follows…Respirations 24, Heart Rate 58, and Blood
Pressure 90/56. Since Sallie Mae hasn’t had the energy to do anything, her blood
pressure is low, she has poor skin turgor with some tenting and her mucous
membranes are dry; she is dehydrated. According to her medication list she was
sent home with Lasix 80mg twice a day and also told to continue her other home
medications and on her home list she was taking Furosemide (which is also Lasix)
40mg once a day. Because of the two different names being used she probably has
taken both and has become dehydrated. Because she was ordered to also continue
her home medications the nurse needs to get this clarified with the doctor as to
which one he wants her to take.
4. Depression: According to the assessment data the patient is dressed in her
bathrobe, she doesn’t smile except when she talks of her husband who she misses
