DISCHARGE PLANNING
METHODS Rationale/Nursing Considerations/special instructions
Medications:
· Metronidazole 500 mg tab q8 (7 days)
· Cefuroxime 500 mg tab q8 (7 days)
· Obimin plus 1 capsule OD 8am (2 months)
· Hemarate FA 1-tab OD 8am (2 months)
· Calcimate (Calcium bicarbonate) 1-tab BID (2 months)
· Celecoxib 4000 mg tab BID (5 days)
➢ Antibiotic that stop the growth of bacteria and protozoa
➢ Antibiotic for bacterial infections
➢ A postnatal supplement to help provide adequate supply
of vitamins, minerals and omega-3 fatty acids, DHA and
EPA, during pregnancy and lactation.
➢ supplement to fight the symptoms of iron deficiency
➢ a dietary supplement used when the amount
of calcium taken in the diet is not enough.
➢ anti-inflammatory; treat pain or inflammation
Exercise  This is to promote normal physiologic function and regain
Roll over - this exercise is getting in and out of bed. Getting into bed, muscle’s normal state as well as better sleep, relieves stress,
sit down, carefully lie on the side, and then slowly roll onto your help you lose the extra weight that you may have gained
back, keeping the head relaxed and down throughout the roll. In during pregnancy and also prevent postpartum depression.
getting out of bed, roll to your side, keeping the head relaxed and
down, then slowly lower the legs off the bed, and use upper body
strength to push up to a seated position. This avoids big crunching
and sit-up type movements that put a ton of pressure on the
abdominals and scar region.

Restorative breathing - practice core breathing from a supine

position in the early days and, when comfortable, in a seated
position.

Walking - In the first few days, stay off your feet as much as
possible. As you begin to heal, slowly increase the amount of
walking you do around the house. Start with short, leisurely outdoor
walks, and gradually increase their length. Use this as a time to
breathe, relax, and move.

Kegel’s Exercise  Kegel exercises can help make the muscles under the uterus,
  Make sure your bladder is empty, then sit or lie down. bladder, and bowel (large intestine) stronger. 
 Tighten your pelvic floor muscles. Hold tight and count 3 to 5
seconds.
 Relax the muscles and count 3 to 5 seconds.
 Repeat 10 times, 3 times a day (morning, afternoon, and
night).
Breathe deeply and relax your body when you are doing these
exercises. Make sure you are not tightening your stomach, thigh,
buttock, or chest muscles.
Treatment
➢ Adequate oral fluid intake correcting dehydration from
· Increase in oral fluid intake
reduced intake and reducing the viscosity of mucus.
· Incision Care
➢ Incision care prevents infection and other complications, and
also helps speed up the healing process with less scarring
· Personal hygiene
➢ Personal hygiene benefit in keeping your body clean helps
prevent illness and infection from bacteria or viruses.
Health Teaching

· Adequate rest and nutrition ➢ Adequate rest is part of the total process required to
build strength, endurance, and muscle.
➢ Proper nutrition can help reach
and maintain a healthy weight, reduce risk of chronic
diseases and promote overall health.

· Compliance of home medicines ➢ Drug maintenance help to make sure that

you have an effective amount of drug in your body at
all times

· Proper breastfeeding ➢ Breastfeeding supplies all the necessary nutrients in

the proper proportions.

Out Patient follow-up To provide proper postpartum and newborn care to both mother
Make a follow up appointment as directed by your physician. and infant. 
 Diet
Food high in:
· Protein ➢ Proteins such as chicken and eggs function as
building blocks for bones, muscles, cartilage, skin,
and blood.
· vitamin C ➢ Vitamin C such as fruits and vegetables act as an
antioxidant and help wounds heal.
· iron ➢ Iron rich foods like fish and eggs helps in carrying
oxygen throughout your body and making red blood
cells.
Spirituality
· Encourage to practice praying ➢ Praying may utilize their beliefs in coping with illness,
pain, and life stresses.
➢ Support system can reduce depression and anxiety.
· Establishing support system

ADDITIONAL SOURCE:
(2019). Retrieved from https://medlineplus.gov/ency/patientinstructions/000141.htm