Medical & Health // COLLABORATIVE LEARNING COMMUNITY
COLLABORATIVE LEARNING COMMUNITY
(Home Video with Sallie Mae Fisher)
Four Problems
1. chronic congestive heart failure, atrial fibrillation and hypotension
2. refusal to follow doctor’s instruction regarding oxygen
3. unstable weight
4. loneliness and lack of support system
Evidence for Each Problem
1. chronic congestive heart failure, atrial fibrillation and hypotension, later exacerbated by her chronic congestive heart failure are recorded in Sallie Mae Fisher’s Health History and Discharge Order (GCU, 2013:1). She was also hospitalized for three days for dyspnea, an eight-pound weight increase and chest pain.
2. refusal to follow instructions on the use of oxygen – Sallie Mae refused to have the oxygen delivered into her home because she said she did not need it. She also said that oxygen would only add to her already large expenses for pills. Mounting expenses, she said, would soon send her to a poor house (GCU, 2016:1).
3. unstable weight – According to her Health History and Discharge Order, Sallie Mae weighed 136 pounds upon hospital admission (GCU, 2016: 1). When released, she weighed 128 pounds, which went down to 122 during the first home visit (GCU, 2016:1).
4. loneliness and a lack of support system – Sallie Mae expressed and showed a lack of enthusiasm, skepticism, loneliness, repulsion and a general mental instability during the home visit (GCU, 2016:1).
Four Medical or Nursing Interventions
1. A health professional should encourage and motivate Sallie Mae to regularly take all her prescribed medicines for these conditions, attend check-ups or consult when she feels something troubling her, and avoid all activities and intakes that can exacerbate these conditions, dyspnea, weight loss or gain, and all physical and emotional stressors.
2. the doctor or nurse should explain to Sallie Mae the need to follow instructions for the improvement of her conditions. These instructions should be explained to her thoroughly and she should be encouraged to ask questions about anything unclear or unknown to her.
3. Unstable weight – Sallie Mae should maintain the standard weight fixed by her doctor or nurse for her age and condition. She should refrain from food and drinks that could increase her weight. She should engage in useful activity, like walking, aerobics and jogging, on a regular basis along with neighbors who enjoy the same activities. She should also monitor her weight by using a weight scale equipment to check it on a daily basis.
4. loneliness and lack of support system – Sallie Mae should be motivated by nurses or counselors to develop a positive mindset about her situation: the loss of her husband, her daughter’s inability to provide her the kinds of support she needs, the good that she will gain from following all of her doctor’s orders, and realize that her loneliness, stresses and emotion-based illnesses are within her power to control and reverse.
Rationale for the Interventions
1. regular taking of medications for chronic congestive heart failure, atrial fibrillation and hypotension – medical conditions like these are best managed by medical professionals.
2. trust in following instructions. Sallie Mae should trust that health professionals want her to get well. She should be made to see that certain medications are really free-of-charge. If some costs may be incurred, These extra costs may be reduced or adjusted. In general, costs for health are always worth it.
3. Maintenance of Ideal or Standard Weight – this contributes to the improvement of her health conditions and helps prevent their getting worse or developing complications.
4. development of a positive attitude and mindset – many or most of diseases are created by or made worse by a detrimental outlook about one’s health, life and self-image. The saying that a healthy mind affects or promotes a healthy body has been proved many times in virtually all cases.
WORKS CITED
GCU (2013). Sallie Mae Fisher’s health history and discharge orders. Grand Canyon University
—— (2016). Sallie Mae Visit 1. Grand Canyon University
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