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Discharge Planning:

Medications: Cefaclor 500mg BID Lagaflex TID Vit. C BID Tramadol 50mg BID

Environment: The patient is recommended in an environment free from stressors, an atmosphere suitable for healing and relaxation, and surrounded by people who can encourage her to take her medications on time and divert her attention from eating foods high in sodium but rather those nutrient-dense foods. Treatment: The patient is subject for Urinalysis.

Health Teaching: Teach the patient and family about the disease process, prognosis, and treatment plan for Obstructive Uropathy. Have the patient or family demonstrate the testing techniques before discharge to demonstrate their ability to perform these monitoring tasks. Instruct the patient and family to avoid exposure to communicable diseases and to engage in scrupulous infection control measures (e.g. frequent hand washing). Teach the patient an understanding of the proposed therapy, including the medication name, dosage, route, and side effects, Emphasize the importance of completing the prescribed course of therapy or, with long-term prophylaxis, of strictly adhering to the ordered dosage. Explain that an uncontaminated midstream urine specimen is essential for accurate diagnosis. Teach the female patient to clean the perineum properly and to keep the labia separated during urination. Teach a female patient to carefully wipe the perineum from front to back and to thoroughly clean it with soap and water after bowel movements.

Teach to the patients never to postpone urination and to empty her bladder completely.

REFERENCE: Outpatient Care: Follow up check-up on Sept. 14, 2011