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Final Discharge Plan

The discharge plan instructs the patient and family on medication administration, maintaining a clean environment, reporting any adverse reactions or symptoms to the doctor, increasing fluid intake, and getting bed rest. It also provides health teachings on eliminating mosquito breeding areas and using repellent outdoors. Signs and symptoms of dengue fever are outlined in four grades based on severity. The plan encourages a nutritious diet and maintaining spiritual practices.

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Danielle Valerie
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104 views

Final Discharge Plan

The discharge plan instructs the patient and family on medication administration, maintaining a clean environment, reporting any adverse reactions or symptoms to the doctor, increasing fluid intake, and getting bed rest. It also provides health teachings on eliminating mosquito breeding areas and using repellent outdoors. Signs and symptoms of dengue fever are outlined in four grades based on severity. The plan encourages a nutritious diet and maintaining spiritual practices.

Uploaded by

Danielle Valerie
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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DISCHARGE PLAN

MEDICATION
- Instructed S.O. to let the patient take prescribed take home medications at the right time, right dosage, right route and right
frequency :
Famotidine 10mg IVTT every 12 hours
Mupirocin 22g TID
Cefuroxime 1 tab 500 mg
- Instructed S.O. and Patient to read labels before taking the meds.
- Instructed the patient to take the medications, as prescribed by the physician.
- Instructed not to excess prescribed dose
ENVIRONMENT
- Instructed the S.O. to always clean the surroundings and cover containers containing stagnant water that the patient is in and may be
in.
- Informed the patients family the need and importance of having a safe and quiet environment for the patient
TREATMENT
- Instructed the Patient and S.O. to report/visit the doctor when unusualities or adverse reactions are noted. For example; severe
headache, nausea and vomiting, epistaxis
- Instructed Patient to increase oral fluid intake
-Instructed Patient and S.O the importance of bed rest
HEALTH TEACHINGS
- D- discuss the possible source of infection of the disease.
- E- educate the family/patient on how to eliminate those vectors.
- N- Never stocked water in a container without cover.
- G- Gallon, container and tires must have proper way of disposal.
- U- Use insecticides at home to kill or reduce mosquitoes
- E- Encourage the family of the patient to clean the surroundings to destroy the breeding places of mosquito.

- When outdoors in an area where dengue fever has been found

Use a mosquito repellant containing DEET, picaridin, or oil of lemon eucalyptus

Dress in protective clothing-long-sleeved shirts, long pants, socks, and shoes

Keeping unscreened windows and doors closed

Getting rid of areas where mosquitoes breed, such as standing water in flower pots, containers, birdbaths, discarded tires, etc.

OBSERVABLE signs and symptoms


- Grade I (+) fever lasting 3 5 days

Abdominal pain

Anorexia, nausea and vomiting

Pain behind the eyes

Joint pains

(+) Evidence of vascular changes

Petechiae

Hermans sign general flushing of the skin


Grade II signs and symptoms of Grade I + Bleeding

Gum bleeding, Epistaxis, Hematemesis, Melena, Hematochezia


Grade III signs and symptoms of Grade II + Circulatory failure

Hypotension, rapid but weak pulse


Grade IV signs and symptoms of Grade III + Shock
DIET
Encourage nutritious foods like vegetables, meat and fruits.
Instruct the family members to give the client protein rich foods such as meat, fish, eggs and nuts, vitamin K rich foods such
as green leafy vegetables, vitamin C rich foods (guava and tomatoes and other citrus fruits), carbohydrates rich food (breads

and rice)
SPIRITUALITY
Encouraged patient to attend church activities or masses, and pray for the safety and well-being of self and family.
Encouraged patient to never lose hope in life and to always have faith in God.
Encouraged patients family to continue praying and asking guidance from God in order for the patient to inculcate on his mind
that its important

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