DISCHARGE PLAN

Medication Instruct significant others to let the patient continue medication (Haloperidol 20mg 1/2 tab OD, biperiden 2mg 1 tab OD, chlorpromazine 10mg 1 tab H.S, lithium CO3 450mg 1 tab BID) and take it on the right time and with right dose as prescribe by the physician. Explain to significant others the importance of taking medication regularly and remind to let the patient avoid missing a single dose. Instruct significant others not to let patient drink alcohol while taking prescribed medication. Instruct the client and significant others about the side effects of the medication. Environment/exercise Encourage the client and significant others to maintain a good and safe environment. Encourage the significant others to let the client get enough sleep from 6 to 8 hours so that he would feel rested. Instruct the significant others to remove things like sharp objects that can change behavioral of the client and can harm to others.

Treatment Encourage client in verbalization of feelings, thoughts, and concerns. Instruct client and significant others to let client engage in recreational activities. Encourage client to provide self-periods of sleep and rest. Hygiene Educate the client and significant others the importance of good hygiene and proper grooming Prepare healthy meals and emphasize the importance of enough rest Prevention and comfort measures Observable signs and symptoms o Inform the clients significant others to report to the nearest health care facility of any of the following signs and symptoms (either 3 or 4) that is manifested by the client;

Evidence of three or more of the following: Delusions

Hallucinations Disorganized speech Grossly disorganized or catatonic behavior Negative symptoms

Above symptoms present for a major portion of the time during a 1-month period Significant impairment in work or interpersonal relations, or self-care below the level of previous function Demonstration of problems continuously for at least a 6-month interval

o Encourage family to actively participate in care through observation of the signs and symptoms. Diet Provide a well-balance diet according to clients preference. Encourage to eat fruits and vegetables to boost immune system. Advise client to drink 8 glasses of fluids every day. Spiritual/social Encourage client to pray often to God. Encourage client to interact with others because this can help the client to decrease the possibility of acting on delusions.