*NURSING > CASE SOLUTIONS > Case Study, Heart Failure, Home Health Reasoning 1 of 2, FIRST Home Health Nurse Visit, Frank Smith, (All)

Case Study, Heart Failure, Home Health Reasoning 1 of 2, FIRST Home Health Nurse Visit, Frank Smith, 75 years old. Latest Grade A Correct Study Guide, Complete Solutions

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Frank Smith is a 75-year-old male who is 5 feet 10 inches tall (178 cm). His baseline weight is 255 lbs. (115.9 kg- 36.6 BMI). He has a history of type II diabetes, myocardial infarction, hypertensi... on and chronic systolic heart failure (ejection fraction 40%) secondary to coronary artery disease. Summary of Inpatient Admission: Frank presented to the emergency department complaining of weakness, fatigue, decreased tolerance to activity, shortness of breath with exertion, weight gain of three pounds in 24 hours, and productive cough with blood- tinged sputum. Furosemide IV was administered to address fluid volume excess and 4500 mL fluid was removed. Before discharge, he is at his baseline weight. Review of medication and nutrition therapy was provided before discharge and he had no questions. Re-Hospitalization Risk Assessment: This is Frank’s second inpatient admission in the last 30 days due to acute decompensated heart failure. He is discharged with a diagnosis of pulmonary edema and exacerbation of chronic systolic heart failure. A referral was ordered for home health care follow-up, and a registered nurse is scheduled to visit his home within 24 hours after discharge to assess patient, determine medication adherence, and his understanding of management of heart failure. [Show More]

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