DISCHARGE PLAN MEDICATIONS: • Advised to give the following medications at the right time, right dose, right frequency and right route. 1. Salbutamol with Combivent neb every 8hours ENVIRONMENT: • Encouraged to maintain a safe home free from any healthy hazards such as sharp objects, chemicals and matches • Encouraged to provide adequate lighting on stairs and bathrooms to avoid injury • Encouraged to maintain cleanliness of the house and surroundings • Encouraged to provide a well ventilated area • Encouraged to listen to soft music for relaxation TEACHINGS: • Encourage to have a good sleeping time and adequate nutrition • Reminded to always assess patient needs • Reminded to have a follow up check-up at attending physician’s clinic one week after discharge HEALTH TEACHINGS: • Instructed to observe proper hygiene such as bathing the daily to keep from infection • Instructed to keep the patient always clean and dry • Instructed to do hand washing before and after contact with patient • Instructed not to take the patient to crowded places to prevent risk of having infection • Instructed to give medications at the right route, dose and time OBSERVABLE SIGNS AND SYMPTOMS: Advised to go to the physician if the following signs and symptoms of pneumonia are observed. • • • • • • • • • • • •
fever chills cough unusually rapid breathing breathing with grunting or wheezing sounds labored breathing that makes a child’s rib muscles retract (when muscles under the rib cage or between ribs draw inward with each breath) vomiting chest pain abdominal pain decreased activity loss of appetite (in older children) or poor feeding (in infants) in extreme cases, bluish or gray color of the lips and fingernails
DIETS: Reminded to serve the food mentioned to the patient. • Advised to follow the right vitamin C and multivitamin supplements to be taken • Encouraged oral fluids at least 8 glasses per day • Encouraged to eat green leafy vegetables such as “malunggay”, “kangkong”, and “petchay” • Encouraged to eat high calorie or carbohydrates foods such as rice, bread, and root crops to provide adequate energy and to improve nutrition SAFETY, SECURITY AND SPIRITUALITY • Encouraged to continue praying to God and to attend mass every Sundays and other days • Encouraged to put pillows bedside the patient on the bed to avoid injury or falls • Advised not to leave patient alone and to keep watch at all times • Instructed to keep sharp objects away from the patient
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