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Discharge Planning

Discharge Planning

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Published by: fjhjhkyu on Sep 09, 2009
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11/26/2012

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DISCHARGED PLANNING
HOME MEDICATIONS1.Advice the continue the medication as ordered by the physician.2.Inform the patient’s guardian on the right dose and the right time in taking themedications.3.Explain in Layman’s term the action of the drugs the patient is taking.MEDICINES:
Fe Fumarate1capsule TID
Mefenamic Acid500mg 1 tablet OD
Tanexamic Acid500mg 1 tablet q 8 hr.
EXERCISE
1. Instruct the patient to do deep breathing exercise regularly for lung expansion
 
2. 30 minutes of moderate exercise daily is recommended for those who are disabled. For  patient with disabilities, a tailored exercise. Program to their capabilities should be arranged.
TREATMENT.
Women typically undergo an ultrasound at their gynecologist’s office as part of theevaluation process to determine the presence of uterine fibroids. It is a rudimentaryimaging tool for fibroids that often does not show other underlying diseases or all theexisting fibroids. For this reason, MRI is the standard imaging tool used by interventionaradiologists.
Magnetic resonance imaging (MRI) improves the patient selection for who shouldreceive nonsurgical uterine fibroid embolization (UFE) to kill their tumors. Interventionalradiologists can use MRIs to determine if a tumor can be embolized, detect alternatecauses for the symptoms, identify pathology that could prevent a women from havingUFE and avoid ineffective treatments. Using an MRI rather than ultrasound is likelistening to a digital CD rather than a record – the quality is better in every way. Byworking with a patient’s gynecologist, interventional radiologists can use MRIs toenhance the level of patient care through better diagnosis, better education, better treatment options and better outcomes.
In contemporary Chinese medicine, there is the assumption that uterine myomas or "fibroids" are always equated with the traditional concept of concretions,conglomerations, accumulations, and gatherings and, therefore, always primarily involve blood stasis. Further, since there is the presence of physical masses (at least based on
 
 bimanual palpation and ultrasound),. Blood stasis is a Chinese medical pattern, and such patterns are only identified by evidence gathered by the four examinations. Since the four examinations do not include bimanual palpation or ultrasonography, the assumption thatall uterine myomas equal concretions and conglomerations and, thus, blood stasis is ahighly questionable one. In point of fact, many women with uterine myoma display nosigns
 
or symptoms of blood stasis (other than the chronic, enduring nature of their condition) and do display mainly signs and symptoms of vacuity patterns, such as spleen-kidney yang vacuity.
HEALTH TEACHINGS
 The ff. Health Teachings are directed towards the patient for the betterment of her condition and also serves as chain of cont-inuing health promoted by Health Care Providers even after dis-charge.
Contact Medical Professional provider if gradual changes in your menstrual pattern ooccur.Including a ncluding a heavier flow,increased cramping or bleeding cramping or  bleeding bet. periods or if fullness or heaviness Periods or if fullness or heaviness in inyour lower abyour lower abdomen.
Rest in bed when symptoms are worst.
Eat food high in iron and take iron pills if you bleed heavily during your periods.
Put a heating pad at low setting on your abdomen to help relieve cramp or pain.
OUT-PATIENT DEPARTMENT FOLLOW UP/CHECK-UP
Remind the patient with an immediate family member or her son for a follow-upappointment in the hospital 1-2 weeks after discharge or when complications of the diseaseappear.
DIETNutritional Management
It includes maintenance of DBW. By the age of 60, the average adult hasaccumulated about 7 extra kilograms. To prevent overweight and obesity (which increaseschances of developing chronic disorders associated with aging like high blood pressure,increases levels of blood cholesterol and triglycerides, hyperuricemia and diabetes), it isrecommended that the daily caloric allowances be reduced with increasing age. A decrease of 3%is suggested by FAO for each decade of 30 to 39 years and 40 to 49 years because the restingmetabolic rate declines brought about by loss of lean body mass.

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