Discharge Plan DISCHARGE PLAN MEDICATION  Instructed patient to adhere to home medications religiously.

 Teach the patient each of the medications basic drug action, side effect and adverse effect.  Reinforced instruction given regarding the proper timing, route, dosage of his medications as by the Doctor. Home medications: a.) Neurobion 1 tab TID for 2 weeks. b.) Fixcom 3 3 tabs once a day for 1 month. c.) Vastarel 35mg 1 tab BID (8am-6pm) d.) Misoprolol 2.5mg 1tab once daily (8am) e.) Rosuvastatin 40mg ½ tab once daily (8am) f.) Clopidogrel 75mg 1tab once daily (6pm) EXERCISE  Encouraged to continue performing active range of motion exercise every morning such as Flexion, extension hyperextension of neck, both arms and legs as tolerated.  Instructed patient to perform deep-breathing and coughing exercises regularly.  To promote selfinvolvement and interest towards promotion of wellness.  To aid in loosening secretions for easier expectoration.  Adjusting activities as  During the home visit, patient had performed active ROM and had showed gradual increase of activities (brisk walking and performing ADLs independently), as tolerated by his condition. 117 RATIONALE  To promote maximum wellness and recovery.  To help client understand own situation and enhance interest/ involvement in own health needs.  Medications should be taken according to the prescribed timing, route and dosage to achieve the desired goal of recovery from the said health condition. EVALUATION  Home visit was done last September 3, 2011, during this time; patient's adherence to medication regimen was noted as evidenced by patient taking his medications in accordance to the right route, timing and dosage prescribed by the Doctor.

patient had performed the following instructions given to him : a) Increased fluid intake not less than 1500 ml.  Instruct patient to elevate his lower extremities when resting. d) Established resting periods between activities.  Encourage patient to gradually increase activities as tolerated such as brisk walking and establish rest periods between activities.  Provide rest periods between activities  Instructed SO to do back tapping and assist patient to do postural drainage. HEALTH TEACHINGS Discussed and Explained :  Importance of infection control such as :  To prevent from spread  Upon home 118  During home visit. c) Avoided strenuous activities.  To liquefy secretions and promote hydration. .  Aid in mobilizing and loosening up secretions thus facilitating easier expectoration. TREATMENT  Encouraged to increase fluid intake up to 1500 mL unless contraindicated.  To facilitate venous return.  Encouraged patient to avoid strenuous activities. b) Elevated his lower legs while resting.  Strenuous activities will likely increase heart workload to compensate to the body's demand for oxygen  To prevent fatigue and conserve energy.  SO also performed backtapping and assisted patient on performing postural drainage.Discharge Plan tolerated by the patient will help preventing occurrence of overexertion thus establishing rest periods between activities will help to conserved energy.

self-talk. ug humba ” MEDICATION COMPLIANCE: “ginatumar nako ang mga 119  Importance of medication compliance especially anti-Tb drugs  Avoidance of performing strenuous activities  Activity increases the workload of the heart to compensate to the body's  Importance of smoking cessation. (angina pectoris). sa mga pamaagi na ginagmay sama sa paglabay sakong plema sa saktong kabutngan .Discharge Plan a) Proper disposal of secretions (phlegm.  Importance of adequate nutritional intake of microorganisms  To prevent transmission of the pathogens which is Mycobacterium tuberculosis. guided imagery and positive thinking. visit patient had able to compre hend what have been taught to him as he verbaliz ed the followin g: INFECTION CONTROL: “ karon namatudan jud nako na importante na protektahan nako ako pamilya sako sakit. meditation.  To boost immune system and maximized body's response to the drug given.” NUTRITIONAL INTAKE: “ di pareha sauna. ug labaw sa tanan kanang pagtabon sa baba kung muubo ko. .  To lessen anxiety and divert oneself from pain. saliva) b) Using of mask and/or covering of mouth when sneezing and coughing.  To aid for faster recovery.  Nicotine from the cigarette causes vasoconstriction thereby decreases blood flow into the heart leading to decreased myocardial perfusion which  Teach relaxation techniques such as then leads to anaerobic deep breathing. increase demand for oxygen. karon mas gakaon kog utan ga-iwas nako sa mga pagkaon na parat ug daghan tambok sama sa bulad. soft and calm metabolism that causes pain music to soothe the mind.

120 .  Having regular BP reading will help identify unusualities in patient's condition thereby preventing complication. 2011.Discharge Plan tambal na gireseta ni doktor sa kay kini makatabang sa akoa” ACTIVITY: “ ga-iwas naku sa mga trabahoi SMOKING CESSATION: “ gahina-hinay nakog undang ug pagpanigarilyo tungod sako kondisyon” PAIN CONTROL: “ karon daghan nako nabaw-an na mga pamaagi sa pagcontrol kung magsakit ako dughan OUT-PATIENT/ FOLLOW-UP  Instruct patient to return to the hospital for check-up on July 27.  To render immediate action to the problem before the complication will occur.2011 at Out-patient department of Maria Reyna Hospital  Encourage to return to the hospital immediately if any abnormalities noted such as: chest pain or any hypotension manifestations. patient verbalized that he had already visited his doctor at the scheduled time given to him for his check-up.  Encouraged to visit health center regularly to have hid BP checked  It is important to have the doctor monitor the progress of the patient’s condition.  During home visit last September 3.

Thus avoiding valsalva manuever. ug humba ”  To facilitate tissue repair.) Low fat foods: Omega 3 fatty acid such as tuna. karon mas gakaon kog utan ga-iwas nako sa mga pagkaon na parat ug daghan tambok sama sa bulad. reflect. and peas. beans.) Protein rich foods: meat. avocado. “For I will restore health to you and heal you on your  Patient verbalized concern regarding his spiritual life : “ Sa kapila nako pagka-admit kablo ku na ang Ginoo dili ku pasagdan. d.  High fiber foods serve as a laxative thus facilitating easier defecation. pray. corn. high fiber. a. and okra. busa ako gasalig saiya na tabangan ku ani akong sakit busa ga. b.  Patient had verbalized the following about his diet during our home visit last September 3. peanuts.) High fiber foods: bananas.Discharge Plan DIET  Encourage to take adequate nutritional intake such as low fat. squash.  To boost immune system.) Vitamin and mineral rich foods: oranges. tomatoes.  To ask for guidance and pray for the healing and restoration of health. c.ampo jud ku kaniya dili lang para sako pati napud para sako pamilya” 121 . high protein. SPIRITUALITY  Encouraged the family to go to Church together every Sunday  Provide quite time and place for patient to mediate.  Decreases/ preventing deposition of fatty substances leading to plaque formation in the artery. worship and have a peace of mind.  To promote spiritual growth not just to the patient but also to the family. fish.  Encouraged patient to make time for family  Asked the patient to reflect on the Bible Scripture. 2011: “ di pareha sauna.  As this strengthens relationships that can be powerful force in one's spiritual health. and lettuce. cucumber. grapes. and carrots. carbohydrates and vitamins and minerals.

” says the Lord.Discharge Plan wounds. (Jeremiah 30:17). 122 .