Sallie Mae Fisher is a recently widowed‚ depressed‚ 82-year-old-female with congestive heart failure (CHF)‚ atrial fibrillation‚ and hypertension. She has been hospitalized four times for CHF exacerbation. With limited family support‚ and a long list of medications‚ she is having difficulty managing her CHF. During a home health visit‚ the nurse and nursing student assess Sallie Mae and identify several concerns. Subjective Information Subjectively‚ Sallie states‚ “My mind just feels so cloudy”
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Problem 1 The client shows symptoms of Iron deficiency anemia‚ evidenced by the preliminary work up and symptoms. Microcytic anemia is defined as the presence of small‚ often hypochromic‚ red blood cells in a peripheral blood smear and is usually characterized by a low MCV (less than 83 microns). Iron deficiency is the most common cause of microcytic anemia. The absence of iron stores in the bone marrow remains the most definitive test for differentiating iron deficiency from the other microcytic
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medications demonstrate an attempt to treat these signs and symptoms (GCU‚ 2013b) but Mrs. Fisher may neither truly understand her disease process‚ nor comprehend the potential side effects of her medications (GCU‚ 2013a). For these reasons‚ more nursing care‚ specifically‚ increased home health visits will be beneficial. Mrs. Fisher’s poor health and decreased knowledge means that she will need a nurse to visit at least twice weekly‚ in order to obtain vital signs and provide a physical assessment so there
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what is the reading about. This usually happen when they are reading about a topic that they are familiar with. A reading examples of a task that I have performed recently was reading a letter that I received in the mail. The letter was from Sallie Mae. As soon as I read the first sentence I was able to know what was the letter about without reading the entire letter. Just like it stated in the book‚ "This perspective is called a "constructive view" because readers actively construct cohesive
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Task P5 ‘Explain how and why groups of customers are targeted for selected products’ Customers are people who buy products and services from other people (usually companies of one sort or another). What customers think and feel about a company and/or its products is a key aspect of business success. Attitudes are shaped by experience of the product‚ the opinions of friends‚ direct dealings with the company‚ and the advertising and other representations of the company. Irrespective of whether a
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Identify and describe three strategies you can use to manage your time. Create a Prioritised to do list. To do this‚ first you must identify the goals or current tasks and list them. Then you must prioritise them on a scale of 1 to …. (1 as the most important)‚ considering urgency and difficulty. Create a work Schedule. This is a list of tasks that have all been allocated a timeframe in which to be completed or contributed to. These schedules can be reviewed and also set out on a daily‚ weekly or
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This care study aims to outline the care provided to a patient during one 12hour shift. It will present the patients cause and course of ICU admission‚ identify problems both potential and actual‚ focussing particularly and two main problems. The nursing interventions preformed will be critically analysed and supported with research. Finally the care will be critically evaluated areas of possible improvement will be outlined. Patient chosen is a 36yr old male pseudonym ‘Frank’ chosen for the purpose
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Minnie Fisher Cunningham was born on March 18‚1882 to Horatio and Sallie Fisher in New Waverly‚TX. To be an educated‚politically minded young women she received her state teaching certificate when she was 16‚but instead of pursuing her teaching career she followed the path of medicine and studied at the University of Texas Medical Branch in Galveston.After she graduated‚ her pharmacy career started‚but during her work period she realized that her pay was less than half of what her male coworkers
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Running head: NURSING ASSESSMENT AND INTERVENTIONS 1 Nursing Assessment and Interventions to Older Adults With Dementia Karen Montanez Trinitas School of Nursing Abstract This paper explores three published articles that report the different nursing assessments‚ strategies and interventions for patients with dementia. The paper explains the meaning of dementia‚ how to communicate properly with patients who suffer from the disease and techniques
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plan of care I developed for Mr X while he was under my care in a post anaesthetic unit. It will discuss my nursing assessments‚ and what diagnoses I developed from this. It will then discuss the rationale behind my nursing interventions using relevant literature. My plan of care will be analysed throughout while identifying how my nursing care meets best practice guidelines. A nursing care plan is begun at a patients admission. In this case Mr X was booked in for an elective surgery‚ which meant
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