DISCHARGE PLAN FOR DIABETES MELLITUS TYPE 2

MEDICATIONS  Continue home medications such as hypoglycemic medicines.

 Educate the patient with the purpose of each drug prescribed by the doctor and its side effects.
 Instruct patient to take medicine at the exact time and at the prescribed dosage.
 Take medications as prescribed by the doctor and do not self-medicate.
EXERCISE  Patient should be aware of any restrictions on exercise or activity that he needs to follow.
 Encourage patient to have regular exercise even though both legs are amputated to ensure wellness. (Patient
could do stretching on the upper part of the body.)
 Explain the importance and the benefits of having a regular exercise.
TREATMENT  Comply with treatment regimen.
 Emphasize rehabilitation through proper diet.
 Apply betadine at the wound as indicated by the doctor.
 Avoid overexposing the wound site as much as possible.
 Monitor blood glucose level.
HYGIENE  Encourage to take a bath daily.
 Instruct on how to clean and to change dressing on a regular basis.
 Use only clean cloth, cotton and gauze bandages.
HEALTH TEACHING  Ensure that patient can identify the physician who will provide outpatient diabetes care
 Check the patient’s level of understanding related to the diabetes diagnosis, self-monitoring of glucose levels,
and blood glucose goals.
 Reinforce information on nutritional habits, insulin administration, and other important topics.
OPD FOLLOW-UP  Instruct to see doctor for continuing care, treatments, home services, and ask for more information.
 Encouraged the help of a physician once the wound displays signs or progressive infection such as increased
bleeding, increased pus formation, unusual pain sensation, increased swelling at the wound site and if fever
develops.
DIET  Encourage to eat foods rich in fiber to avoid constipation.
 Encourage to eat foods rich in protein such as meat.
 Encourage to eat foods rich in iron such as green leafy vegetables.
 Never skip a meal to control your blood sugar level.
 Instructed to increase oral fluid intake.
 Diabetic Diet (means eating the healthiest foods in moderate amounts and sticking to regular mealtimes as
well as a healthy-eating plan that's naturally rich in nutrients and low in fat and calories.)

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  Avoid eating too much sweet foods.
 Eat foods rich in fiber such as banana.

REFERENCES:

Kodner, C. (2017, November 15). Glucose Management in Hospitalized Patients. AAFP. Retrieved October 20, 2022,
from https://www.aafp.org/pubs/afp/issues/2017/1115/p648.html?fbclid=IwAR3oIBeoKRBOqd_p5PtvNmbghMkaaSKTpdImyCmXwITts1q0v1kiddL49ow

Alvarez, C. (n.d.). Discharge Plan. Scribd. Retrieved October 20, 2022, from https://www.scribd.com/document/101933054/Discharge-Plan?
fbclid=IwAR25bN20Gn6srkL3dVzWH_C6xkaK0SJcONJ3DiCWZKA-G3uT_ElFr9ystl0

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