DISCHARGE PLAN

METHODS INSTRUCTIONS
 Emphasized to the patient that she needs to finish the course of medication
MEDICATIONS treatment as prescribed by the HCP
 Provided the patient with information about medications used in their treatment.
 Reminded the patient to continue with the medication as prescribed even though
she is feeling better. Also, reminded the patient that she cannot take the medicine in
double doses.
 Educated patient on the common side effects of Prochlorperazine such as
headache, dizziness, and nausea.
 Advised to only take prescribed antivertigo as directed by the primary health-care
providers.
 Instructed patient to avoid activities that may require alertness as drug may cause
drowsiness or dizziness.
 Advised to promote adherence through positive reinforcement.
 Instructed patient and SO to take the Cetirizine hours before sleep as it may cause
drowsiness.
 Emphasized to patient the need to comply with the home medications that are
prescribed, to ensure optimum recovery or to alleviate symptoms.
 Instructed patient to avoid taking medication with alcohol because alcohol can affect
fluid balance in the ears.
 Explained to SO that besides iron supplement, patient may also need to take
vitamins and mineral supplements to increase her energy, improve health and
prevent chronic diseases.
 Emphasized to SO the need to comply with the home medications that are
prescribed, to ensure optimum recovery or to alleviate symptoms.
 Informed patient and SO about the environmental setting the drugs are to be placed
to maintain effectiveness.
 Instructed patient to take medicines exactly as directed based on its frequency,
timing, route, and amount as prescribed by the healthcare provider to avoid
overdose and adverse effects.
 Instructed SO that as much as possible, only one person would give the medication
to the patient to avoid double dosage. Also encourage them to keep a record of
drugs provided to her in a daily basis to avoid confusion.
 Advised SO not to give patient an OTC medicine unless advised by the HCP for
certain health problems.
 Instructed SO to maintain a quiet, clean, and calm environment for faster and better
ENVIRONMENT recovery of the patient.
 Emphasized to the SO the need to make sure that their house is safe for the patient.
Safety measures may include:
- getting rid of throw rugs and using non-skid mats.
- using grab bars near the bathtub and toilet.
- using night lights to avoid injuries.
- keeping floors dry to prevent slipping.
- storing items, you use often on low shelves, so you do not have to climb or reach
high. If you must climb, use a step stool with handrails.
- keeping driveways, sidewalks, and other walkways clear of things that might
cause you to trip.
 Instructed SO that they must accompany the patient whenever patient is on the
vertigo attack to make sure that they are aware of any health hazards and risks the
patient might be exposed to.
 Explained to the patient the importance of the following:
- avoiding driving or working at heights.
- wearing shoes with low heels and non-slip soles.
- keeping shoes tied.
- alerting family and friends regarding her health condition.
 - knowing whether medicines that they take can affect the sense of balance.
 Advised to keep environment ventilated and clean.
 Encouraged patient to actively adhere to activities as indicated and follow activity
restriction as recommended by the physician.
 Encouraged the patient to play and do active outdoor activities to promote good
blood circulation and sweating.
 Encouraged patient to keep a chart to track her progress. These can make her aware
of any improvement with her vertigo.
 Emphasized to patient and SO the importance of completing the remaining dose of
TREATMENT the patient’s therapy.
 Engaged SO in planning for the continuing of care for the patient.
 Explained and demonstrated to SO the prevention of injuries by following strict
environment safety precautions (e.g., well ventilated room, keeping flooring dry, and
getting rid of slippery rugs).
 Advised patient to avoid medications that are influenced by external individuals or
beliefs other than the professional advice.
 Instructed the patient and SO to seek immediate medical attention if symptoms
persist and if complication occurs.
 Advised SO that if patient experiences her vertigo symptoms, complete bed rest must
be observed to avoid any injuries or worsening of the condition.
 Reminded patient on the importance of following and continuing the therapeutic
management.
 Provided patient and SO with information regarding Meniere’s Disease, health
HEALTH practices that need to be addressed such as patient’s dietary habit, and medications
TEACHING to be utilized (e.g., antihistamines, tranquilizers, antiemetic agents, and diuretic
therapy).
 Educated patient and SO about interventions that needed to be performed to help
reduce the risk for injuries if episodes of vertigo may occur, such as:
o sitting or lying down when feeling dizzy.
o rest during and after attacks.
o always be aware that patient may lose balance if an attack may occur;
ensuring a safe environment is a must in order to avoid serious injuries from
happening.
 Emphasized to patient the importance of well-balanced, nutritious intake in relation
to the patient’s condition. Provided information regarding individual nutritional needs
and ways to meet these needs within financial capabilities.
 Educated patient to limit salt intake preferably 1000-1500 mg/day or less.
Consuming foods and beverages high in salt can increase fluid retention.
 Instructed patient to limit caffeine, alcohol, and tobacco because these substances
can affect the fluid balance in the ears.
 Emphasized to the patient that Meniere’s Disease can affect social life, productivity,
and overall quality of life. Talking to people who share the condition, possibly in a
support group. Group members can provide information, resources, support, and
coping strategies.
 Encouraged patient to exercise regularly because it is helpful in increasing blood
flow in the body.
 Informed patient that there is no cure in Meniere’s Disease, but treatments can help
reduce symptoms and decrease the number of episodes of the attack. This may be
achieved with lifestyle and dietary changes, adhering to medications, and religiously
visiting the HCP for follow-up check-ups.
 Reinforced techniques taught during health teaching that will help reduce series of
OUTPATIENT vertigo.
 Encouraged patient to have a regular follow-up with their HCP or to regularly visit
their barangay health center as directed. Advised them to write down questions they
might have in mind so they will remember to ask them during their checkups.
 Encouraged patient or SO to seek help from a health care provider if:
o patient’s condition gets worse or if there is no improvement at all.
 o patient experiences severe vertigo, severe tinnitus, and fluctuating or
sensorineural hearing loss, or new or worse symptoms.
 Urged to only seek advice from trusted healthcare professionals if they have any
questions to prevent misinformation about their child’s disease and treatment.
 Educated on limiting foods high in salt and sugar. Be aware of foods with hidden salts
DIET and sugars.
 Taught to eat meals and snacks at regular intervals to stay hydrated. Missing meals
or snacks may alter the fluid level in the inner ear.
 Instructed to eat fresh fruits, vegetables, and whole grains. Limited the amount of
canned, frozen, or processed foods with high sodium content.
 Reminded patient on drinking plenty of fluid daily. Water, milk, and low-sugar fruit
juices are recommended. Limited the intake of coffee, tea, and soft drinks. Instructed
to avoid caffeine because of its diuretic effect.
 Stressed the importance of limiting alcohol intake. Alcohol may change the volume
and concentration of the inner ear fluid and may worsen symptoms.
 Educated on avoiding monosodium glutamate (MSG), which may increase symptoms
because it is a form of sodium that is a common migraine trigger.
 Reminded to pay attention to the intake of foods containing potassium (e.g.,
bananas, tomatoes, oranges) if taking a diuretic that causes potassium loss.
 Instructed to avoid aspirin and aspirin-containing medications. Aspirin may increase
tinnitus and dizziness.
 Reminded patient to be open with her husband about how she is feeling, especially if
SEXUALITY / she suspects that vertigo or severe symptoms may occur. When these symptoms
SPIRITUAL exist prior to their intercourse, they should consider delaying sex and getting intimate
in a different way.
 Advised patient to stop having sex if her Meniere’s Disease symptoms flare up as
continued exertion may cause injuries and worsen the condition.
 Advised patient that when feeling stressed or depressed about her condition, a talk
with a counselor, HCP or even just a trusted friend will help ease the situation.
 Encouraged SO to increase their understanding of the patient’s condition and to
always be present beside the patient for family support.
 Encouraged SO and other loved ones to show love and compassion to the patient,
especially in this trying times.
 Encouraged SO to engage self in various religious or community organizations for
better emotional and social support.
 Advised SO to allow time to adjust to the major life changes produced by the client’s
illness.
 Assured SO and client that the health care team will not abandon her.
 Referred the family for a pastoral service to enhance spiritual wellbeing.
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Hepburn, S. (2017, December 6). What to Say (and Not Say) to Parents of a Terminally Ill Child. HuffPost
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Janice L. Hinkle, Kerry H. Cheever. (2018). Brunner & Suddarth Textbook of Medical Surgical Nursing 14th
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