DISCHARGE PLANNING A case of JTR, 22 years old, female, single, Filipino, Roman

Catholic was admitted on October 1, 2010 for complaints of fever and vomiting with
the final diagnoses of Systemic Lupus Erythematosus and hypokalemia. She decided to
go home against medical advice as of October 4, 2010. Subjective “Muuli nalang mi
kay dili nami ka-afford sa gasto sa ospital.”, as verbalized by patient. Objective
- Seen packing things - Signed HAMA form - Received directions from physician
Analysis Noncompliance related to cost of hospital stay Planning After 15 – 30
minutes of health teaching, the patient will be able to enumerate activities that
will enhance her independence in the performance of her ADL’s with safety and
infection precautions. Interventions A = Instructed patient to minimize contact
with individuals with respiratory tract infections and other communicable diseases
M = Emphasized to patient the importance of adhering to the prescribed therapeutic
regimen = Enumerated accepted herbal medicine that could possibly serve as
alternatives to prescribed drugs E = Avised patient to gradually resume to usual
activities as tolerated = Advisedto schedule periods of uninterrupted rest T =
Taught methods to alleviate pain such as warm compresses and topical liniments. H =
Encouraged ptient and SO to maintain a clea and safe environment at all times. O =
Referred patient to social services and support groups that could assist them
financially and pyschologically D = Encouraged a high protein diet = Advised
patient not to sip meals = Identified foods rich in potassium and vitamins and
minerals for the patient. Evaluation Goal was met. “Muadto lang unya mi sa social
worker, basig makatabang pa na namo.”, patient verbalized.