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When the cardiac output decreases, the heart is not able to circulate the blood from the lungs and other body parts leading to an inadequate supply of oxygen and nutrients (Grand Canyon University, 2014).
Hypertension is a chronic medical condition that occurs in instances when the force of the blood against the artery wall is high causing various health complications such as heart disease and coronary artery disease. Atrial fibrillation is a sporadic and rapid heart rate that usually causes poor blood flow to the body. The atria and the ventricle chambers beat out of coordination in an irregular pattern causing the poor flow of blood.
Dyspnea refers to the sensation of labored or difficult breathing that heralds serious complications in the lungs or the heart. An increase in accumulated fat may result in obesity and it is usually signified by an increase in weight. Cheat pain may herald the occurrence of heart problems though may occur because of chest infections.
Question 2
According to the simulated “Home Visit with Sallie Mae Fisher” video, the following evidence reveal the four major complications affecting the patient. Sallie Mae Fisher has a history of chronic congestive heart failure whereby in the past six months she has been hospitalized four times in order to receive medication for her deteriorating heart failure. Her problem with hypertension is evident from her history because her blood pressure is 90/56 (Grand Canyon University, 2014). Her history with atrial fibrillation indicates that Sallie Mae Fisher has the ailment.
Sallie Mae Fisher’s dyspnea condition is evidenced by the fact that the previous Saturday she was discharged from the hospital after a three-day stay to treat the condition. Her complication with obesity is indicated by the 8- pound increase in her weight. The continuous exacerbation of Sallie Mae Fisher’s CFH is evidence of the chest pain she is undergoing.
Question 3
In order to manage her ill condition, Sallie Mae Fisher is required to observe various intervention approaches that involve lifestyle modification such as engaging in regular exercises, reducing the quantity of salt she takes, adhering to means that reduce her weight, and following the medical instructions of the nurses. At home, the patient has been prescribed to take 20 mg of Prilosec, 50 mg of Zocar, 40 mg of Furosemide, 1 mg of Minipres, 37.5 mg of Effexor, 0.125 mg of Lanoxin, Multivitamin, 40 mEq of Potassium, which all should be taken once a day. In addition, the patient should take 100mg q of Darvocent and 400 mg q of Ibuprofen in instances of pain. Moreover, Sallie should apply 1 inch of Nitroglycerin ointment once a day. The patient should engage in simple exercises that enable her blood to flow efficiently. Reducing the dietary sodium will help curb her illnesses.
Question 4
Delving the medical records and discharge orders of the patient, it is evident from the recent history that Sallie Mae Fisher is sick. At home, the patient receives limited attention since her only daughter is busy with her own issues and job. The limited social support depresses the patient, which poses a major threat to her heart condition. The combination of poor social support and preexisting medical conditions has influenced the health of Sallie Mae Fisher. Medical practitioners ought to augment their relationship with the patient. A cordial relationship with the patient will enable the patient to adhere to her medical prescription. Medical practitioners should focus on factors such as the psychosocial, educational, age, and physiological perspective of the patient in order to provide an effective intervention approach.
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