N684 Module 2 Discussion
Student’s Name
Institutional Affiliation
Date
The discharge will begin by teaching Perez on admission so that he gets enough time to internalize and ask questions. It will be done earlier on an encounter with him through interviewing with him by a health care provider who communicates in Spanish and carries out an assessment on whether he understands the whole thing. Perez will be likely to see the necessity of the medication if it is started in the hospital with the incorporation of multiple team members of the patient’s care.
Weight monitoring; Patients with heart failure need to be weighed every day to monitor how useful the diuretics are. He will be required to use the same scale each time he measures weight.
The discharge medication: As a case manager, I will need to relay any changes that may have occurred in the medication. It will ensure that the patient takes the correct prescription of the drugs at home (Rice et al., 2018). Mr. Perez’s electrolytes will also need to be monitored due to the diuretics. The patient needs to be taught on the dangers of increased or omitting dosage of the diuretics.
While still in the hospital, Mr. Perez will be able to consult with the physical therapist and start a cardiac rehabilitation program. It will facilitate a safe way to begin the journey of exercising.
Diet: The patient will require an education on the diet as prescribed by the healthcare specialist. Mr. Perez should be taught on the need to reduce fat intake while still in the hospital. The patient will be trained on reading labels to avoid taking more sodium than stated by the health care provider.
Actions to take if heart failure persists: The patient needs to be taught how to detect heart failure symptoms before they worsen and call for help. Mr. Perez will be trained on discovering shortness of breath and weight, and edema.
Follow-up: The patient will also be taught to continue with appointments for monitoring. He will be assisted in effecting the first post-hospitalization schedule that shows date, location, and time on a discharge form (Vedel & Khanassov, 2015). Home visits by home care nurses will also be scheduled frequently with additional telephone and video follow-ups.
References
Rice, H., Say, R., & Betihavas, V. (2018). The effect of nurse-led education on hospitalization, readmission, quality of life, and cost in adults with heart failure. A systematic review. Patient education and counseling, 101(3), 363-374.
Vedel, I., & Khanassov, V. (2015). Transitional care for patients with congestive heart failure: a systematic review and meta-analysis. The Annals of Family Medicine, 13(6), 562-571.