Discharge Plan

Name: Pedro Bitangkol Religion: Roman Catholic Diagnosis: Pneumonia Surgery Undergone, if any: none Oliveros Hospital: Perpetual Soccour Hospital

Age: 68 years old Sex: Male Physician: Dr.

A. Objectives The time that client will be discharged he with the help of his family will be able to: 1. needs. 2. 3. 4. I. Provide ventilation and oxygenation adequate for individual Prevent or minimize complications. Understand disease process/prognosis and therapeutic regimen. Plan in place to meet needs after discharge. Medication Route and Frequency PO, 1 or 2 tablets every 4 hours or 3 tablets every 6 hours, not to exceed 12 tablets in 24 hours. For adults and children 12 years of age and older, the recommended dose of acetaminophen is 650 to 1000 mg every 4 to 6 hours as needed, not to exceed 4000 mg in 24 hours. Curative Effects Pain reliever/fever reducer. Side Effects Nausea, vomiting, stomach pain, heartburn

Name of Drug Aspirin

Tylenol (acetaminoph en)

Relieves pain, reducing fever, and relieving the symptoms of allergies, cold, cough, and the flu.

an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); liver damage, blood problems (easy or unusual bleeding or bruising).

II.

Exercise/ Activity

Type of Activity allowed/ to be continued: Complete Bed Rest Deep Breathing Exercise Procedure or Steps: 1. Sit up straight. Exhale. 2. Inhale and, at the same time, relax the belly muscles. Feel as though the belly is filling with air. 3. After filling the belly, keep inhaling. Fill up the middle of your chest. Feel your chest and rib cage expand. 4. Hold the breath in for a moment, then begin to exhale as slowly as possible. 5. As the air is slowly let out, relax your chest and rib cage. Begin to pull your belly in to force out the remaining breath. 6. Close your eyes, and concentrate on your breathing. 7. Relax your face and mind. 8. Let everything go. 9. Practice about 5 minutes. Chest Percussion Procedure or Steps: 1. Turn the patient on side. 2. Move fingers together and positioned like a cup. 3. Use both hands rhythmically and position upward so secretions may be expelled. Every area should have 3-5 minutes of percussion. 4. Avoid percussion on sternum , spinal cord , abdomen , female breast areas, and other important organ areas such as stomach ,liver and kidney. And stop percussion if the ff symptoms appear -Cyanosis (blue color of skin) -Shortness of breath -Rapid, significant change in vital signs -Blood-tinged sputum when coughing Postural Drainage Procedure or Steps: 1. Position the client in a trendelenburg position. 2. Use pillows or large towels to maintain a comfortable position for the patient. Encourage deep breathing and coughing to expel secretions.

3. Repeat 3-4 times every day depending on the patients condition Use of Equipment (if any): NA Restriction: lifting heavy weights and running more than 1 km. III. Treatment (Prescribed treatment to be continued at home or to a referred health institution) cough suppressants- Vicks Formula 44 pain relievers and fever reducers, acetaminophen. HEALTH TEACHINGS Prevention, Pneumonia Self Care and Home Treatment for

such

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aspirin

or

Prevention and Self-care If you have pneumonia, the following measures can help you recover more quickly and decrease your risk of complications: Practice good hygiene. Get an influenza shot (pneumonococcal vaccine) Practice good preventive measures by eating a proper diet, getting regular exercise and plenty of sleep. Quit smoking. Drink lots of fluids, especially water- Liquids keep you from becoming dehydrated and help loosen mucus in your lungs. Take the entire course of any prescribed medicationsStopping medication too soon can cause your pneumonia to come back and contributes to the development of antibioticresistant bacteria. Keep all of your follow-up appointments- Even though you feel better, your lungs may still be infected. It's important to have your doctor monitor your progress. Home Treatment Home treatment is important for recovery from pneumonia. The following measures can help you recover and avoid complications, such as further infection or a buildup of fluid in the space between the lung and chest wall (pleural effusion). While you are at home: Get plenty of rest and prevent dehydration by drinking plenty of fluids.

 Take care of your cough if it is making it difficult for you to rest- A cough is one way your body gets rid of the infection, and you should not try to eliminate coughing unless it is severe enough to make breathing difficult, cause vomiting, or prevent rest. Consider taking acetaminophen (such as Tylenol) or aspirin to help reduce fever and make you feel more comfortable. Always check whether any over-the-counter cough or cold medicines you are taking contain acetaminophen. If they do, make sure the acetaminophen you are taking in your cold medicine, plus any other acetaminophen you may be taking, is not higher than the daily recommended dose. Ask your doctor or pharmacist how much you can take every day. V. a) Observed signs and symptoms that need reporting: If you do not feel better, your cough gets worse, you have shortness of breath or a fever, you feel weak, or you feel faint when you stand up. b) Interventions/Home remedies immediately prior to seeking consultation: oxygen administration temperature taking TSB Chest tapping BP taking that may be done

VI. DIET a) Prescribed Diet: increase fluid intake, proper intake of nutritious food. b) Restrictions: avoid cold foods or drinks. VII. Spiritual and Psychological Needs [] Spiritual Counseling [] Confession [] Supportive Counseling [ ] Grief Work [ ] Family Therapy [ ] join organizations/church activities [ ] Anger Management [ ] Reconciliation of conflicted relationships B. Discharge Details a) Date of Discharge: January 1, 2008 b) Time of Discharge: 4:00 pm c) Accompanied by: His wife d) Mode of transportation: none

e) e) General Condition upon discharge: patient was conscious, walks briskly and is capable of responding normally.

THESE DISCHARGE INSTRUCTIONS WERE EXPLAINED TO THE PATIENT AND/OR RELATIVE READ and UNDERSTOOD: (translated according to patients convenience) : If all measures fail, an interpreter is asked.

_______________________________________ PATIENT / RELATIVE (Signature over printed name) Validated:

_______________________________________ STUDENT NURSE

_______________________________________ CLINICAL INSTRUCTOR