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NURSING HEALTH HISTORY

A. BIOGRAPHICAL DATA
NAME: G.S.D.
ADDRESS: LIBAS, SOGOD
AGE: 40 YEARS OLD
BIRTHDATE: APRIL 30, 1981
BIRTHPLACE: LIBAS SOGOD
SEX: MALE
RELIGION: ROMAN CATHOLIC
CIVIL STATUS: MARRIED
OCCUPATION: BANK MANAGER
DIAGNOSIS: HEMORRHAGE r/t
MULTIPLE STAB WOUND
ATTENDING PHYSICIAN: DR. HABAHAB MACALIBOG
DATE OF ADMISSION: OCT. 19. 2021; 8:00PM
INFORMANT: WIFE

B. CHIEF COMPLAINTS
Excessive wound bleeding.
C. HISTORY OF PRESENT ILLNESS:
As per reported by the S.O. (wife), her husband is a bank
manager of BDO. Before the incident happen, her husband was having an
overtime work because of many unfinish transaction accounts. On his way
to the parking lot, he got robbed. Her husband got multiple stab on his
right stomach near the liver. Luckily, her husband was still conscious and
manage to dial emergency call.
D. PAST HEALTH HISTORY
Patient was admitted last May 2018 because of excessive
vomiting due to hyperacidity. He confined at the local hospital in sogod
and stayed for 3 days. Patient was also afflicted common illness like
cough and common colds, measles and chicken pox. His wife cannot
recall his vaccination record.

E. FAMILY HEALTH HISTORY


As per reported informant, the family’s disease that runs to her
husband’s family especially on the paternal side is diabetes mellitus. The
diagram below shows that the disease has been passed down by generation
to generation. Her husband’s grandmother has diabetes mellitus and died last
2 years ago. Her sister in law is having also a diabetes mellitus. Her
husband’s aunt is having also a diabetes mellitus.
GENOGRAM

LEGEND:
PHYSICAL EXAMINATION
A. VITAL SIGNS
Temperature: 35.6°C
Pulse rate: 90 bpm
Respiratory rate: 30 cpm
Blood pressure: 90/60 mmHg
SpO2: 93%
B. GENERAL APPERANCE
Received patient via stretcher, with facial grimace and pale
appearance, with ongoing IVF #1 PNSS 1L @ 800 cc, regulated @ 40
gtts/min infusing well at the left arm. Patient was on oxygen therapy @400 psi
@4L/min via face mask. Patient’s clothes are soaked with blood. Patient is
having sever bleeding with a knife stabbed on his right side near the liver.
C. HAIR, HEAD, FACE
Hair is covered with sweat, blood noted on the scalp. Hair color is
black, and thick in coarse. Head is normocephalic and symmetrical. Facial
beard noted but in neat cut. Facial movement is symmetrical. No tenderness
or swelling noted. No involuntary facial muscle movement noted.
D. SKIN
Patient’s skin is fair brown in complexion, hydrated enough and has
good skin turgor. Bruises are noted on the left and right arm. Some of the part
of the skin was covered with blood. Cold clammy skin noted.
E. EYES
Eyes are symmetrical in size, with clear and moist sclera. Pupils are
equally round and reactive to light and accommodation. Pale pinkish noted on
both palpebral and bulbar conjunctiva. Inner and outer canthus of the eyes
are free from discharges, redness and swelling. No potrusion of eyeball noted
nor shrinkage. Color vision is intact, eyelashes were evenly distributed on the
upper eyelid. No secretions or discharges noted. With vision acuity of 20/20
on both eyes but uses corrective lenses.
F. EARS
Ears were symmetrically equal. No lesions, redness and tenderness
noted, had minimal visible earwax. The pinnae were elastic and recoil when
folded. Patient can heard slow or even whispered voice in both ears. Ears
were exactly aligned with the outer canthus of the eyes.
G. NOSE
Nose is position aligned at the midline of the face. No abrasions or an
bruises noted. No deformity noted. No septal deviation noted. Able to
distinguish different kind of aromas. Nasal flaring observed upon respiration.
H. MOUTH AND THROAT
Patient’s lips are pale, no cracked/dryness noted. Buccal mucous
membrane I and tongue are pinkish pale in color. Uvula is free from swelling
and it is positioned at the midline. Tonsils are not inflamed and regular size.
Patient has 4 missing teeth, 2 on the left upper molar and 2 on the right lower
molar. Gag reflex is intact.
I. NECK
Neck was aligned with the body trunk. Bruises, abrasion are noted on
the upper part of the neck. Can performed ROM completely. No palpable
masses and lymph nodes were swollen during palpation. With reports of pain
upon swallowing. Trachea was aligned midline
J. CHEST AND LUNGS
No deformity noted on the chest. No bulging or retractions noted in
costal spaces. No reports of pain during palpation. No scars or skin
abnormalities noted. Patient has respiratory rate of 30 cpm. Respiration
rythym is rapid and shallow.
K. AXILLAE
No abnormal masses detected during palpation. No tenderness,
discoloration or abrasion noted on the axillae. Lymph nodes on axillae were
not swollen. Minimal grayish hair noted.
L. HEART
Pulse rate was 110 bpm, rapid. With blood pressure of 90/60 mmHg.
Pulses and heart rhythm are regular upon auscultation. Carotid pulses are
strong and irregular.
M. ABDOMEN
The anterior wall is round and soft. The liver edge is palpable and
tender. The spleen is not palpable.Umbilicus is aligned medially on the body.
Audible bowel sounds heard @ 30 clicks per minute in all quadrant. No
enlargement of liver and spleen noted upon palpation. No enlargement of liver
and spleen noted upon palpation. Stabbed wound noted on the right side near
lower of the liver.
A. UPPER AND LOWER EXTREMITIES; BACK
Nailbeds are pale pinkish in color. Capillary refill test of greater than 3
seconds. Diminished peripheral pulses noted. No back deformities noted.
Blood noted on the left and right upper extremities.
B. GENITO-URINARY
Patients has decrease urine output of 50 ml. Patient experiences
oliguria. Urine color is dark yellow. No claim for urinary incontinence or
retention. No bladder distention noted.
GORDON’S FUNCTIONAL HEALTH PATTERN
I. Health Perception - Health Management Pattern
Before Hospitalization
As per reported by the informant, her husband is a health
conscious person. He really value health as wealth. He loves vegetables
especially those vegetables rich in fiber because he’s just stucked in his office
chair. He has no vices like smoking and he only drinks alcohol during events
or occasion. She admitted that sometime her husband meal pattern was not
good at all. He always eat his lunch past lunchbreak because of the nature of
his work that he is always busy. He also self- medicating especially when
having low grade fever, he buys OTC drugs.
During Hospitalization
Patient was admitted to hospital due to severe bleeding because
of multiple stab wound (approximately 5 4cm stab wounds). Patient is anxious
and restless, appears in pain as evident of facial gramacing. During
physician’s round, his wife asked the doctor if possible he could order anti
anxiety drug for her husband.
II. Nutritional - Metabolic Pattern
Before Hospitalization
As per stated by the informant, her husband is a health
conscious person and by that, he is tracking his weight and trying to maintain
it. Diabetes mellitues runs in her husband’s family, even though he doesn’t
have it but still he choose to prevent it as much as he can by disciplining his
diet. She added that her husband believed that life begins at 40, since her
husband is 40 years old he tries to avoid and prevent everything that might
happen to him. Patient normally eat breakfast around 6:00 because he is a
office person and for him breakfast is the important meal. She added that her
husband never forget his organic coffee to complete his day. He usually
drinks 1-3 L of water a day.
During Hospitalization
According to the informant, her husband eats small amount of
food only. She always caught her husband displaying blank stare expression.
She also noticed unusual behavior restless/tense and body trembling.
Sometime patient complained feeling of dizziness. His was served a diet high
in protein to promote faster wound healing.
III. Elimination Pattern
Before Hospitalization
Patient defecates once in a day with characteristic of brownish
to yellow stool. No pain claimed during urination. Patient urinates 3x a day
with an average of 250ml per urination as estimated. No pain claimed during
bowel elimination. No bladder distention noted.
During Hospitalization
According to his wife, patient doesn’t want to leave bed or being
left alone when she needs to use the toilet. The Doctor placed him in bedrest
and urinary catheter was used to drain his urine. Patient’s bowel elimination
has still no output because he just eat small amount of food. Patient has
decrease urine output of 50 ml as estimated.
IV. ACTIVITY AND EXERCISE
Before Hospitalization
Patient is a bank manager of Banco de Oro (BDO). The nature of his
work is just sitting on his office work. As per state by the informant, her
husband usually exercise twice a week during weekends because her
husband know that in his office he is physically less active. He maintain his
weight at 70kg. Patient has no vices and only drinks alcohol during events.
When he get home early he cooks food for his family but when he get home
late night he tries to wash the dishes as his wife cooks the dinner.
During Hospitalization
According to his wife, she mostly seen his husband lying on bed
and displaying blank stare expressions. He has lack of interest on everything
surrounds him like the TV he doesn’t like watch tv or listening to music.
Sometimes his husband gets easily panic when she accidentally raise her
voice.
V. Sleep - Rest Pattern
Before Hospitalization
According to the informant, her husband is a bank manager, late
night sleep is not new to him especially when he has overtime work. In that
case he usually gets home 10pm, depend when it is traffic. When he has no
overtime he will be home at 7pm and sleeps at 9:30 pm. He usually wakes up
5:00 in the morning so that he can leave early from his house to avoid traffic.
He does not take naps during daytime in weekdays because he has work,
only on weekends.
During Hospitalization
According to the informant, her husband is restless due to lack
of sleep. She noticed that her husband gets easily awake for no reason. She
noticed that her husband mumbles in his sleeping, that he is having a
nightmare.
VI. COGNITIVE - PERCEPTUAL PATTERN
Before Hospitalization
Patient is a high rank private employee, he is a bank manager of
one of the trusted bank in the Philippines. Accoring to the informant, her
husband is a competent employee that is how he got his position. She added
that her husband is ambitious and not to stay for being a bank manager. He is
currently on promotion Regional manager. He was very hardworking and
competent so he earned his high rank position. At the age of 40 years old, he
still clearly remember or recall random things.
During Hospitalization
According to the informant, she cannot talk to her husband
properly which she understand because of his traumatic experience. She
stated that her husband still confuse whenever she ask question he cannot
answer directly. He is mostly seen in his bed staring to ceiling or by the
window.
VII. Self Perception- Self Concept Pattern
Before Hospitalization
According to the informant, her husband is a friendly with his
workmates. He usually invites them whenever he has an occasion to his
house. She also claimed that her husband is a helpful person, especially
when he saw a beggar on the street. He is a straight forward forward person,
his pet peeves is being boastful especially in duties. Her wife admits that her
husband is a workaholic person.

During Hospitalization
As stated by the informant, her husband is a good person and
ready to lend a hand for those who are in need. Now that he is being
hospitalized, she felt pain in her heart whenever she saw her husband
suffering emotionally stress and physically in pain.
VIII. Role - Relationship Pattern
Before Hospitalization
According to the informant, her husband has established a good
relationship to his subordinates no matter what their position. Even though he
is a manager, a high rank to the branch, he still respects his subordinates and
be fair to them. To their neighborhood, he just have a few friends because he
live in a subdivision he only saw limited person.
During Hospitalization
According to the informant, her husband has a lot of friends but
this time they don’t want to accept any visitors because her husband is not
stable enough to entertain visitors. Only family members can visit but limited
person only. Her husband needs peace of mind.
IX. Sexuality - Reproduction Pattern
Before Hospitalization
Patient is a married man who have 2 children. He claimed that
he still clingy to his wife, he still manage to make his wife feel butterflies on
stomach. Sometimes, he is guilty because whenever they have occasion
(anniversary) to celebrate with he unintentionally forget because he is always
busy. He consider that he is a lucky man to have his wife in his life because
his wife is a very understanding considerable person.
During Hospitalization
According to the informant, no matter what happen she will
never leave her husband especially the situation that they are in right now.
She tries to talk her husband is a simple way so that It will never get him
confuse at all. She tries her best to comfort him.
X. Coping - Stress Pattern
Before Hospitalization
According to the informant, whenever her husband have
problems he usually tell her first. For him problem cannot be solve over
alcohol. She added that even in the workplace, when one person stresses him
out he usually open to that person of what he really feel towards that person
just to avoid conflict and to make stress out. He stated also that when he is
feeling exhausted from work, whenever he see his family waiting for him it
makes him happy.
During Hospitalization
According to the informant, her husband is still anxious of what he
been through. She tries to comfort him by giving him care so that he could feel
that he is not in this battle. She understands her husband’s behavior when
sometimes he is irritable.
XI. Values and Belief Pattern
Before Hospitalization
The patient is a christian, he usually goes to church together
with his family. His wife stated that her husband is a God fearing person.
Whenever how busy he is, her husband try to manage to go to church.
During Hospitalization
According to the informant, the challenges the they encounter in
their life will never be a hindrance to their faith to God. What they been
through right now is just a test of how strong their faith to God. She still
thankful to God that her husband is still alive. She prays for her husband fast
recovery.
INITIALS: GSD AGE: 40 CIVIL STATUS: M
EDUCATIONAL ATTAINMENT: COLLEGE GRAD
DIAGNOSIS: Hemorrhage shock secondary to multiple wound stabbed.

DRUG NAME MODE OF INDICATIONS CONTRAINDICATION SIDE


ACTION S
GENERIC NAME: Depress CNS Adjunct in the Hypersensitivity, cross CNS:
Diazepam probably by management of: sensitivity with other drowsi
BRAND NAME: potentiating anxiety disorder, benzodiazepines may letharg
Valium GABA, an anxiety relief, occur hangov
THERAPEUTIC inhibitory preoperative ataxia,
CLASS: neurotransmitt sedation, speech
Anti anxiety agent ers. Produces conscious headac
PHARMACOLOGICAL skeletal muscle sedation CV: hy
CLASS: relaxation. GI:con
benzodiazepines nausea
ACTUAL DOSE: 2-10 vomitin
mg, diarrhe
TIMING AND ROUTE: gain
may repeat in 3-4 hours Respi:
as needed, IV Resp
depre
Misc:
depend
psycho
depend
toleran
DRUG NAME MODE OF INDICATIONS CONTRAINDICATION SIDE
ACTION S
GENERIC NAME: Binds to mu- Moderate to Hypersensitivity, cross CNS:
Tramadol opiod severe pain. sensitivity with opioids dizzine
BRAND NAME: receptors, may occur. headac
Ralivia inhibits somne
THERAPEUTIC reuptake of anxiety
CLASS: serotonin and stimula
analgesics norepinephrine confus
PHARMACOLOGICAL in the CNS. coordin
CLASS: Therapeutic CV: va
-- effect: GI:con
ACTUAL DOSE: 50-100 decreased pain nausea
mg abdom
TIMING AND ROUTE: anorex
4-6 hrs; PO mouth,
flatulen
GU:
retentio
cy
Derm:
swea
Misc:
psycho
depend
toleran

DRUG NAME MODE OF INDICATIONS CONTRAINDICATION SIDE


ACTION S
GENERIC NAME: Bind to Treatment of the Hypersensitivity to CNS: s
Cefuroxime bacterial cell following cephalosporins, GI:diar
BRAND NAME: wall infections cause serious sensitivity to nausea
Zinacef membrane, cell by susceptible penicillins. abdom
THERAPEUTIC death. organisms. Hema:
CLASS: Therapeutic Respiratory agran
Anti infective effects: infections, skin to ,
PHARMACOLOGICAL bactericidal skin structure bleed
CLASS: action against infections, bone urtica
Second generation susceptible and joint rashe
cephalosphorin bacteria. infections. Misc:
ACTUAL DOSE:250- reactio
500 mg includi
TIMING AND ROUTE: anaphy
12 hrs; PO serum
superin
Initials: GSD Age: 40 Civil Status: Married
Educational Attainment: College Graduate
Diagnosis: Hemorrhagic shock secondary to multiple stab wound
Priority Problems: Decrease cardiac output

Ncp 1: Decrease cardiac output related to fluid volume loss


CUES/DATA NURSING PLANNING INTERVENTION(S) RAT
DIAGNOSIS
S: “tabanga ko Decrease cardiac The patient will be  Introduce -To
nurse kay grabe output related to provided with self, greet ver
akong dugo fluid volume loss nursing patient and fee
kakuyapon nko” as interventions S.O. then con
verbalized. Scientific Basis: appropriate to his establish
Excessive bleeding condition, and after rapport.
O: can decreased the shift, patient will
-cold clammy skin blood volume be able to:  Assess -These
-excessive caused by blood  -Client will respiratory signs
Sweating loss which leads to maintain rate, use of respira
-capillary refill reduced cardiac adequate accessory that
greater than 3 output and cardiac muscles, immed
seconds inaddequate tissue output, as signs of air attentio
-decreased urinary perfusion. Common evidenced by hunger, lung
output strong excursion,
causes include
-decreased peripheral cyanosis,
internal or
peripheral pulses pulses, and
external bleeding, systolic BP significant
-bleeding/ body extensive burns, vo within 20 mm changes in
covered with blood miting, profuse Hg of vital signs.
-pallor baseline, HR
sweating,
-laboured breathing 60 to 100  Monitor -Ch
and diarrhea. 
-wound on the right beats per patient’s beh
Source:
near the liver about minute with behavior and me
www.nurselabs.co
5 evident wounds regular mental can
m
(3cm). rhythm, status for sig
-with blood urinary output onset of imp
pressure of 90/60 30 ml/hr or restlessness, exc
mmhg greater, warm agitation, Co
-respiratory rate of and dry skin, confusion, cha
30cpm. and normal and (in the occ
-with SPO2 of 89% level of late stages) chr
consciousnes extreme
s. lethargy.

 Assess the
--
central and
we
peripheral
red
pulses. vol
car

 Position the
patient in a - t
High com
Fowler’s can
position with eas
head of the
bed elevated
up to 90°.

 Administer fluid
and blood -Maint
replacement adequ
therapy as circula
prescribed. volume
 Provided wound
stitching and -to pre
dressing. and ot
 Provided compli

electrolyte
-Electr
replacement as
imbala
prescribed. cause 
 Provide or othe
foods that patholo
are high in
protein.
 Administer
humidified
oxygen - to pro
through healing
appropriate recove
device (e.g.,
nasal -These
cannula or promo
face mask inspira
per increas
physician’s oxygen
order); preven
therapy. atelect

 Assist and
encourage
slow deep
breathing
using an
incentive
spirometer
as indicated.

 Administer
cardiac
medications
and diuretics -To h
as anxiety
prescribed. exacer
dyspne
 Have an the cl
airway into
emergency panic s
equipment
such as an
intubation -There
set available likeliho
at arrest
the bedside. with
decom
heart f
F D A R

INITIALS: GSD. AGE : 40y.o. EDUC. ATTAINMENT : College Graduate


DIAGNOSIS: Hemorrhagic shock secondary to multiple stab wound
FDAR (1):
F- Decrease cardiac output relate to fluid volume loss
D- Received lying on stretcher, restless and anxious; with ongoing IVF #1
PNSS 1L @800cc level regulated at 40gtts/min, infusing well at the left arm.
- with 1bag PRBC, infusing at the right arm.
- oxygen therapy @400 psi, regulated @4L/min via face mask.
-pallor noted
-cold clammy skin
-laboured breathing
-excessive sweating
-with CRT greater than 3 seconds
-nail bed pallor noted
-diminished peripheral pulse
-facial grimace noted
-with BP of 90/60 mmHg
-with SPO2 of 89%
-with Vital Signs of:
BP: 90/60mmHg HR: 90bpm/min
RR: 30cpm T- 35.6 c
A- Greeted patient and introduced self
B- -Monitored vital signs and charted accordingly.
-Monitored IVF for patency and regulated at prescribed rate.
-Provided with oxygen therapy and regulated at prescribed rate.
-Bedside care done; tolerated well. .
-Assessed respiratory rate, use of accessory muscles, signs of air hunger,
lung excursion, cyanosis, and significant changes in vital signs.
-Monitored patient’s behavior and mental status for onset of restlessness,
agitation, confusion, and (in the late stages) extreme lethargy.
-Positioned the patient in a High Fowler’s position with head of the bed
elevated up to 90°.
-monitor the patency of the blood transfusion.
-obtain blood for CBC.
-provided dressing of wounds.
-provided stitches to the wounds.
-change soaked clothes to clean comfortable clothes.
-encouraged bedrest.
-Prepared an airway emergency equipment such as an intubation set
available at the bedside.
-Provided with diet high in protein such as fish and vegetable for fast wound
healing.
-Due PO medications given. Monitored for any adverse effects.
-Ensured comfort and bed rest.
-Arranged care to promote uninterrupted periods of rest.
-Kept watched and monitored for further unusualities.
R- Seen patient lying on bed. BT done with evident of increase blood pressure
of 110/70 mmHg.
CLINICAL PATHWAY

RATIONALE:
The world-wide impact of traumatic injury and associated hemorrhage
on human health and well-being cannot be overstated. Twelve percent of the
global disease burden is the result of violence or accidental injury.
Hemorrhage is responsible for 30 to 40% of trauma mortality, and of these
deaths, 33 to 56% occur during the prehospital period. Among those who
reach care, early mortality is caused by continued hemorrhage, coagulopathy,
and incomplete resuscitation. The techniques of early care, including blood
transfusion, may underlie late mortality and long-term morbidity. While the
volume of blood lost cannot be measured, physiologic and chemical
measures and the number of units of blood given are readily recorded and
analyzed. Improvements in early hemorrhage control and resuscitation and
the prevention and aggressive treatment of coagulopathy appear to have the
greatest potential to improve outcomes in severely injured trauma patie
nts.
FOCUS DAY 1 DAY 2& 3
Client Outcomes 1. Establishing a specific 1. Continue monitoring of 1.Ve
differential diagnosis based on blood pressure to ensure impo
the clinical manifestations and maintain cardiac otuput. thera
subjective reports of the 2. Showing increased focus 2. Co
patient. and participation on treatment treat
2. Restore blood loss, regimen. 3. Ve
maintaining cardiac functions 3. Continuing of intervention the p
and obtaining a normal to reduce anxiety. by th
cardiac output. 3. Gradual increase of 4. ve
3. Reduced anxiety as mobility/ambulation and redu
evidenced by relaxed mood of activity within limits of
the patient. patient’s condition
4. Demonstrating absence of
behavioral/mental changes
indicative of complications.
5. Establishing a normal
breathing pattern/gas
exchange as evidenced by
absence of dyspnea, cyanosis
and other signs and
symptoms of hypoxia.
6. Reporting reduced feelings
of anxiety.
Assessment and 1. Medical History:. 1. Physical Exam: 1.Me
Diagnostics a) Determine presence of A. Vital signs taking Ackn
risk factors that lead to B. Inspection of stab wounds. como
present condition. 2. Ph
b) Determine precipitating A. Vi
factor that may contribute to B. In
preent condition.
c) Recognize previous
clinical records of admission
for known allergies.
2. Physical Examination:
d) Vital signs taking
e) Inspection of the stab
wounds.
f)
3. Laboratory & Imaging
studies:
* Complete blood count
*abdominal UTZ

TREATMENTS 1. Intravenous therapy of 1) Intravenous therapy of 1. C


PNSS solution 800 ml PNSS solution 1000mL t
@40gtts/min. @15gtts/min. 2. C
2. Administer 1 bag PRBC 2) Continuous monitoring 3. O
for replacement of fluid of VS especially BP 4. R
loss. and HR. m
3. Continuous monitoring 3) Oxygen therapy:
of VS at q15 to q hourly -(Day 2) oxygen therapy
until stable. via face mask @3L/min;
4. Oxygen therapy via 400 psi.
face mask @4L/min; -(Day 3) O2 @bedside
400 psi. PRN
5. Continuation of drugs 4) Continuation of drugs
6. Dietary Management 5) Dietary management
Medications 1. Tramadol 50-100 mg, 4- 1. Continuation of drugs and 1
6 hrs supplement.
2. Cefuroxime 250-500 mg,
q 12 hrs 2
3. Diazepam 2-10 mg, 4-6
hours, IV

Knowledge Deficits 1. Orientation to facility set-up 1. Importance of religious 1. Re


and its rules and regulations. adherence to medication teach
2. Importance of religious regimen.
adherence to medication 2. Importance of cleaning the
regimen wounds to prevent infection.
3. Importance of adequate 3. Importance of a well
rest with elevation of HOB balance diet especially diet
4. Side effects & adverse high in protein.
reactions of medications
Nutrition Diet mostly with fresh fruits Diet good for wound healing: Cont
and vegetables, fresh meats, High in protein
high in protein, and other Such as:
vitamins essential to wound -lean meat
healing. -poultry
-fish and other sea foods
-dairy product
Nursing Care Refer to NCP. Refer to ncp. Refe

Discharge Plan Identification of home Identification of community Maki


resources: health resources: 1. Co
1. Significant others and 1. Presence of community anot
primary caregivers health workers like community 2. Ph
2. Financial resources health doctors, nurses, or exer
3. Ownership of dressing kit. barangay health workers. endu
4. Resource materials like 2. Community 3. So
books, leaflets, or digital herbal/medicinal plants.
resources for further 3. Community vegetable
understanding of heart garden.
condition.

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