Identify, prioritize, and describe at least four problems. Provide substantiating evidence (assessment data) for each problem identified.

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Several problems that needed immediate attention were discovered during Sallie Mae Fisher’s home visit. Her medication management, her diet, mobility, fall risk and social isolation are some of the issues that were identified.

The first problem is Sallie Mae’s medication management. Sallie Mae revealed that she often forgets to take her medications, and has difficulty remembering when they are due. According to the American Geriatrics Society medication non-adherence can be a common problem among older adults. It may lead to hospitalizations or increased healthcare costs. Sallie Mae’s medication non-adherence puts her at risk of exacerbating her chronic conditions, including hypertension and diabetes.

The second problem is Sallie Mae’s dietary habits. Sallie Mae stated that she has a low appetite and frequently skips meals. Her hypertension is also a result of her eating a lot processed food, high in sodium. The Academy of Nutrition and Dietetics states that poor nutrition can cause malnutrition and raise the likelihood of developing chronic conditions such as heart disease and osteoporosis.

The third problem is Sallie Mae’s mobility and fall risk. Sallie Mae, who was seated in a chair and using a wheelchair during the home visit to her mother, had trouble getting up. In addition, she mentioned having fallen previously. According to the Centers for Disease Control and Prevention (CDC), falls are one of the most common causes of injury for older adults. They can cause hospitalizations and functional declines that could lead to death.

The fourth problem is Sallie Mae’s social isolation. Sallie Mae stated that she is single and doesn’t have any visitors during the home visit. Negative health effects such as anxiety and depression can be caused by social isolation.

The substantiating evidence for Sallie Mae’s medication non-adherence includes her admission of forgetting to take her medication and skipping doses. Consistent medication management is also required for her diabetes and hypertension. Her poor diet is evidenced by her inability to eat well and a tendency towards processed food. She also has hypertension and needs to change her diet.

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