Home Visit to a Patient - Essay Example

Sallie’s medications are scattered all over the table. She needs to be educated on how to use the medication without any form of confusion. Moreover, she has no one around to ensure the medications are well managed and that she takes them with utmost faith. When the doctor asked Sallie about the oxygen concentrator that was to be installed in her house, she answered that she does not need the oxygen concentrator. This is another health problem. Sallie is sick, she has no power to make decisions that will affect her health. Sallie has a cardio-pulmonary problem which is why the doctor asked why the oxygen concentrator was missing, hence the people who were responsible for ensuring the oxygen concentrator was in place were wrong when they listened to Sallie when she told them she did not need it. The fourth healthcare problem is the safety of the house. Since Sallie lives, alone we cannot be sure of how safe she is because when the doctor knocks she just responded the door was open without asking who was knocking.

The following interventions can be made by a medical nurse to ensure the healthcare of Sallie is well-taken care of. The nurse can assess the extent of awareness of the family that is the daughter of Sallie about the health problem of Sallie (Carrillo, 2007). The nurse can educate Sallie on how to preserve and handle medications with care. The nurse can also discuss in detail the problems that could arise as a result of poor management of medication.  Additionally, the nurse can give suggestions on how to solve the healthcare problems Sallie is facing such as Sallie is required to have a person to take care of her. Moreover, she also needs a person who is going to ensure she takes all her meals and that her house is tidily maintained (Carrillo, 2007).

The following are the rationales that can be undertaken for the problems identified. With regard to the extent of awareness of the health problems of Sallie, the nurse can try to find out Thelma’s level of understanding about the health condition of Sallie who is her mother (Monks, 2010). Secondly, the nurse can educate Sallie on how to handle her medications so that they cannot be scattered on the table and that she needs to refill them once the medication ends. Additionally, Sallie needs to be convinced to be serious about her health because she seems to be fed up with her sickness and taking care of herself. She also needs to be told that proper healthcare will assist her to get better and her health will be restored if she follows instructions. Thelma also needs to be informed on how to establish family ability and commitment to providing proper nursing care to her mother. In addition, she should also take action on how she is going to ensure someone always takes care of her mother when she is not around (Monks, 2010). Moreover, Thelma as the only family member around needs to decide or choose an appropriate action about the problems of health her mother is facing. Sallie’s medication is too complex because she has so much that she needs to take and her daughter as the only family member needs to be aware of what her mother is going through, and the actions she is required to take to ensure Sallie’s health is restored.

Nurse: “good morning, Sallie Mae, my name is Christiania and I will be your nurse today. I understand you are experiencing problems with chronic congestive heart failure, atrial fibrillation, and hypertension”.

Sallie: “good morning to you, please to meet you and welcome. Yes, I am suffering from the health problems you mentioned.

Nurse: “ So how have you been Sallie, from the day of your discharge”.

Sallie: “I have not been feeling well, I have been sick to the stomach, and since my husband died I don’t care”.

Nurse: “so let us look at your medical history so that I can figure out why you are not feeling well. Your medical discharge order recommends on you have an oxygen concentrator, I am wondering why it is not around”.

Sallies: “ooh, about the oxygen I told the doctor not to put it, I don’t need an oxygen concentrator. I have been taking this medication and I just feel worse”.

Nurse: “let me assess your medical history and I will be back with the medical results of why you feeling bad”.