Abstract
In house visits are typically conducted for patients whom may be unable to safely transport themselves to an appropriate healthcare facility. An in-house visit conducted within the residence of Sallie Mae, has identified several risk factors which indicate that the patient should be place in a palliative care/hospice based setting.
Introduction
Upon completion of an in-house visit to the residence of Sallie Mae, observation of evidence indicates the patient currently faces serious health related risks. These risks may yield negative health related issues. Sallie’s history of congestive heart failure (CHF) and, atrial fibrillation, indicates a need for her to be under constant medical and behavioral supervision. Sallie lacks the on-demand access to palliative care, in a hospice based setting typically enjoyed by an individual of her age 82 (Herr et.al, 2011). Additional observations related to: (1) Use of Medical Devices, (2) Prescription Medication Dispensing, (3) Ability to follow written orders, are therefore compounded with her need for, (4) Palliative Supervision.
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"In-House Visit: Sallie Mae – Patient".
Assessment of Patient: Sallie Mae
Evidence based research indicates potentially significant benefits for elderly patients whom are placed into hospice and/or palliative care environments. This perhaps is the most beneficial option for Sallie. During the home visit, observations indicate that the patient has been skipping doses for some current medications and taking repetitive doses of others. It does not appear that the patient is able to appropriately track the medication for which she should take.
This is understandable, as the intervals are un-realistic, when considering that there is no supervision. The patient also appears to take no initiative for controlling her excessive behavioral activities. This includes but is not limited to managing an appropriate diet. Her diet should take into consideration complications related to her: CHF, atrial fibrillation, and hypertension. It is also unrealistic for the patient to adequately manage and maintain her medical devices such as the 2 Liter oxygen concentrator. It is likely that the patient will not have the ability to appropriately operate the device.
Conclusion – Intervention
In conclusion, the patient must be placed into an appropriately qualified hospice to ensure adequate delivery of healthcare.
