Medication: Discharge Planning

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Discharge Planning

1. Instruct the patient and the family to comply with


the prescribed medication
Medication
2. Instruct patient’s family to place medicines in
places out of reach of children

3. Instruct patient and family to complete the whole


duration of the drugs given

4. Teach the patient and the family regarding the


name of drugs, right dosage and proper manner of taking as
well as possible side effects.

Pain medicine: This medicine is given to take away


or decrease pain. Do not wait until the pain is severe before you
take your medicine.

Antibiotics: This medicine is given to fight or prevent


an infection caused by bacteria. Always take your antibiotics
exactly as ordered by your healthcare provider. Do not stop
taking your medicine unless directed by your healthcare
provider. Never save antibiotics or take leftover antibiotics that
were given to you for another illness.

Take your medicine as directed. Call your healthcare


provider if you think your medicine is not helping or if you
have side effects. Tell him if you are allergic to any medicine.
Keep a list of the medicines, vitamins, and herbs you take.
Include the amounts, and when and why you take them. Bring
the list or the pill bottles to follow-up visits. Carry your
medicine list with you in case of an emergency.

Advise patient to take regular breaks from any activity that


demands to give stress pressure on back
Encourage patient to involve in exercise to enhance circulation
Environment/Exercise Encourage the patient to have adequate rest and sleep

Orient the patient’s family about the patient’s condition and


necessary information /treatment and recovery process
Teach patient and the family about the importance of conducive
Treatment environment for better recovery
Encourage to comply with treatment regimen
Advise to take medications on time and with the right dose
Instruct the patient to eat nutritious food such as vegetables and
fruits
Advise the patient to limit consumption of fatty foods
Health Teachings Encourage client to choose food/ have family bring food that
seem appealing to stimulate appetite
Instruct client to provide oral care before and after meals and at
bedtime

The client can eat normal diet. If the client’s stomach is upset,
try bland, low-fat foods like plain rice, broiled chicken, toast,
and yogurt.
Drink plenty of fluids (unless your doctor tells you not to).
Diet You may notice that your bowel movements are not regular
right after your surgery. This is common. Try to avoid
constipation and straining with bowel movements. You may
want to take a fibre supplement every day. If you have not had
a bowel movement after a couple of days, ask your doctor
about taking a mild laxative.

Encourage patient to eat nutritious and well balance meal


Diet as tolerated is advised by attending physician to sustain
his/her nutritional needs
Incision Care If you had an open surgery, you may have staples in your
incision. The doctor will take these out in 7 to 10 days.
If you have strips of tape on the incision, leave the tape on for a
week or until it falls off.
You may wash the area with warm, soapy water 24 to 48 hours
after your surgery, unless your doctor tells you not to. Pat the
area dry.
Keep the area clean and dry. You may cover it with a gauze
bandage if it weeps or rubs against clothing. Change the
bandage every day.
If your appendix ruptured, you may have an incision with
packing in it. Change the packing as often as your doctor tells
you to.
Packing changes may hurt at first. Taking pain medicine about
half an hour before you change the dressing can help.
If your dressing sticks to your wound, try soaking it with warm
water for about 10 minutes before you remove it. You can do
this in the shower or by placing a wet face cloth over the
dressing.
Remove the old packing and flush the incision with water.
Gently pat the top area dry.
The size of the incision determines how much gauze you need
to put inside. Fold the gauze over once, but do not wad it up so
that it hurts. Put it in the wound carefully. You want to keep the
sides of the wound from touching. A cotton swab may help you
push the gauze in as needed.
Put a gauze pad over the wound, and tape it down.
You may notice greenish grey fluid seeping from your wound
as you start to heal. This is normal. It is a sign that your wound
is healing.

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