Bernales, Jan Lianne E.

NCM 118a Medical-Surgical Nursing RLE

BSN IV-B2 Module #2

TASK 2
1. Enumerate 5 appropriate discharge plan and health teaching for your patient. Provide
the rationale.
DISCHARGE PLAN RATIONALE
Medical Care Þ This includes prescription
Þ Take your medicine exactly as medicines, over-the-counter
directed. medicines, or vitamins or
Þ Don’t take any other medicine supplements. Medicine
unless your healthcare provider interactions can change how
says it’s OK. medicines work. They can cause
Þ Tell your provider about any side serious side effects.
effects. See your healthcare Þ Your provider will need to follow
provider regularly. you closely for the rest of your
Þ Tell all your providers that you are life.
HIV-positive. This includes
dentists and dental hygienists.
Prevention Þ If you are on HIV medicine and
Þ Never share needles or other the amount of virus in your body
equipment for drug use. (the viral load) is undetectable,
Þ If you get tattoos or have any parts your risk for spreading HIV to
of your body pierced, be sure that someone is very low. Getting and
the needles are destroyed keeping an undetectable viral load
afterward. is the best thing you can do to stay
Þ Don't donate blood, plasma, healthy and to prevent spreading
semen, or organs. HIV.
Þ If you are trying to have a baby,
make sure you are taking your
antiretroviral medicine each day
and your viral load is undetectable.
This is important both before
conceiving and during the
pregnancy.
Þ If your viral load is not
undetectable, you can protect your
sex partner by:
Þ Using condoms every time you
have anal or vaginal sex.
Þ Choosing lower risk sexual
activities, such as oral sex.
Þ Talking with your partner about
pre-exposure prophylaxis (PrEP).
Lifestyle Þ New behavioral patterns can
Þ Follow a good diet and stay at a change a patient's brain chemistry,
healthy weight. This will help making the recovery process
protect your immune system. Talk easier. Healthy behavior changes
 with your healthcare provider can target a person's physical,
about seeing a dietitian to help emotional, or social health.
review your nutritional needs. Þ Adopting new, healthier habits
Þ Exercise for endurance and to may protect a person from serious
boost your immune system and health problems like obesity and
your mental health. diabetes. New habits, like healthy
Þ Wash your hands often with clean, eating and regular physical
warm or cold water. If soap and activity, may also help manage the
water is not available, use alcohol- weight and have more energy.
based hand cleaner. Wash your After a while, if a person stick
hands before and after taking care with these changes, they can
of any cuts, scrapes, or wounds. become part of a person’s daily
Þ Know what germs you are exposed routine.
to. Some germs are more common
in certain areas or from animals.
Limit your exposure to farm, stray,
or unknown animals.
Þ If you do have contact with an
animal, wash your hands
afterward.
Þ Don't have contact with pet urine
or stool. Wear gloves if you might
come in contact with pet urine or
stool.
Þ Don't eat undercooked,
unpasteurized, or unwashed foods.
This includes undercooked eggs,
raw milk and cheeses,
unpasteurized fruit juices, and raw
seed sprouts.
Þ Don’t smoke or use tobacco
products. If you do, try to quit.
Þ Don't drink untreated water, such
as from a creek or river. If you
travel to foreign countries, drink
bottled water or use water filters.
Follow-Up Þ First, follow-up care generally
Þ Follow up with your healthcare keeps patients healthier and drives
provider, or as advised. positive care outcomes. Second,
early follow-up care can help
reduce hospital readmissions.
Regular post-discharge check-ins
help catch complications early and
mitigate growing issues, thus
keeping patients out of the
hospital.
Call your healthcare provider right away if Þ All of these symptoms can indicate
you have any of the following: that a person might be acquiring
 Þ Blurred vision or other eye new opportunistic infections that
problems can be fatal.
Þ Trouble focusing
Þ Tiredness that gets worse
Þ Wheezing, trouble breathing, or
shortness of breath
Þ Fast, irregular heartbeat
Þ Feeling dizzy or lightheaded
Þ Rash or hives
Þ Cut or rash that swells, turns red,
feels hot or painful, or begins to
ooze
Þ Fever of 100.4°F (38°C) or higher,
or as directed by your provider
Þ Diarrhea that does not go away
after 2 loose stools
Þ Pain or cramping in your belly
(abdomen)

2. Provide 4 categories of Complementary and Alternative Modalities. Explain each one.

Complementary and Alternative
Modalities
Naturopathy Þ Naturopathic medicine is a system
that uses natural remedies to help the
body heal itself. It embraces many
therapies, including herbs, massage,
acupuncture, exercise, and
nutritional counseling.
Þ The goal of naturopathic medicine is
to treat the whole person that means
mind, body, and spirit. It also aims to
heal the root causes of an illness and
not just stop the symptoms.
Meditation Þ Meditation is the act of remaining in
a silent and calm state for a period of
time, as part of a religious training,
or so that you are more able to deal
with the problems of everyday life.
Þ Meditation can be defined as a set of
techniques that are intended to
encourage a heightened state of
awareness and focused attention.
Meditation is also a consciousness-
changing technique that has been
shown to have a wide number of
benefits on psychological well-
being.
 Botanical medicine Þ Botanical medicine, also known as
herbal medicine, is the science and
practice of using medicinal plants
and extracts to improve overall
health, support wellness, and treat
acute and chronic disease. Many
conventional pharmaceutical drugs
are derived from plants.
Þ Botanical medicine expands
treatment options for patients. Alone
or in combination with other
naturopathic treatments, botanical
medicine can be a safe, appropriate,
and effective choice for addressing
numerous health concerns ranging
from frequent illness to
gastrointestinal discomfort to
depression, and more. During
medical school, NDs complete an
average of 130 classroom hours of
botanical medicine education.
Biofeedbacking Þ Biofeedback is an alternative
medicine approach that teaches
people to change the way their
body’s function. It is a mind-body
therapy that may improve your
physical and mental health.
Þ During a biofeedback session, a
practitioner uses monitoring
equipment and instruments to
measure your body’s functions.
Based on feedback from the
instruments, the practitioner suggests
how you can create physiologic
changes. With education and
practice, you can learn to make those
bodily changes without equipment.

#3 in another file J

Reference:
HIV Infection and AIDS, Discharge Instructions for. (n.d.). Mount Nittay Healthy. Retrieved

September 9, 2021, from https://www.mountnittany.org/wellness-article/hiv-

infection-and-aids-discharge-instructions-for
Naturopathic Medicine: What You Need to Know. (2016, December 12). WebMD.

https://www.webmd.com/balance/guide/what-is-naturopathic-medicine

How Meditation Impacts Your Mind and Body. (n.d.). Verywell Mind. Retrieved September

9, 2021, from https://www.verywellmind.com/what-is-meditation-2795927

Institute for Natural Medicine. (2021, January 14). How and Why do Naturopathic Doctors

Use Botanical Medicine? https://naturemed.org/faq/faq-how-and-why-do-

naturopathic-doctors-use-botanical-medicine/

Biofeedback: What Is It & Procedure Details. (n.d.). Cleveland Clinic. Retrieved September

9, 2021, from https://my.clevelandclinic.org/health/treatments/13354-biofeedback