DICHARGE PLAN
Patient’s name: Mr.R.A.J
Age: 56 y.o
Impression/ Diagnosis: CVD
Nurse’s Signature:
Patient’s Outcome Criteria
As soon as the patient’s will be able to
discharge in VCMC. H e will be able to:
ASSESSMENT
 Patient’s is ready for nutritional
enhancement for home direction.
 Patient’s vital sign are at normal level.
 Patient’s condition already reaches its
optimal body function and gains
enough energy.
 Patient’s is ready to go home
PLANNING
 Plan for frequent visits to his physician
for further assessment and observation.
 Plan for lifestyle modification like
practice early mobilization, have proper
exercise and good intake of foods high
in fiber.
 Plan for scheduled regimen intakes.
IMPLEMENTATION
 Comply with prescribed medication at
the right time.
Hospital No.: 410226
Room No.: 227A
Physician: Dr. Germa Mayo Jr.
Nursing Orders
 Obtain patient’s cooperation with his
prescribed diet.
 Obtain concise vital sign for proper
basis. Teach patient and family way of
taking vital signs.( Doenges,et al.2002;
p.376 ).
 Obtain physical examination that focus
on physiologic and behavioural
response of the body. Body
management shows ( Kozier,2002;page
982 ).
 Assess patient for readiness to go
home.
 Encourage patient to have visits to his
physician. To evaluate his condition
( Doenges et al.2002, p.317 ).
 Emphasize to patient the importance of
this life modification which aids in
early healing.
 Instruct patient to comply with proper
medication prescribe.
 Instruct importance of drug
compliance. Taking drug according to
it’s dosage and frequency.
(LIppincot,Williams and Wilkins, 2006.
Pp.46-47)
  Provide patient with clean, safe and
hazard. Free environment with proper
ventilation.
 Encourage patient to have lifestyle
modification like having proper
exercise, eat proper food and protect
himself from area prone for dust
accumulation.
 Encourage patient early ambulation in a
minimal frequency, monitor vital signs
assess and observe the operation site of
the patient with signs of infection. And
note for good bowel movement.
 Instruct patient and S.O. to visit
physician and have a diagnostic test
such as ultrasound or CT scan.
 Emphasized a proper and appropriate
diet. Diet to the patient. Instruct the
patient and S.O about his diet which is
“Full diabetic Diet”
 Encourage patient to hear mass every
Sunday with the family. Always pray
and attend in spiritual seminar for life
strengthening and offer everything to
the lord. Enlighten that God has his
purpose of every trial.
EVALUATION
 Patient is more comfortable in doing
his ADL’S
 Patient has respond to proper
intervention given and has signs of
recovery with a healed bypass wound.
 Patient gain his optimal energy.
 Teach them the advantage of having the
appropriate environment for the patient.
(Lippincott and Wilkins, 2006. P.48)
 Instruct them proper administration of
drug and appropriate fluid intake.
Continue with the proper lifestyle
modification for patients health
maintenance (Lippincott, Williams and
Wilkins, 2006. Pp.46-47)
 Emphasize the importance of having
proper. Ambulation and getting normal
vital signs. Be alert with signs of
infection. Monitor good bowel
movement. (Kozier et al. 2003,p.665)
 Encourage patient to do frequent visit
to doctor’ clinic (Doenges et al. 2002,
p.1312)
 Plan proper diet to patient such as
increase fiber and iron intake. (Kozier
et al. 2003, p 679)
 Encourage to continue medication.
(Kozier et al. 2003, p.454)
 Encourage to note for ADL’S
(activities of daily living) and note
improvement for response. (Doenges et
al. 2002, p.378)
 Encourage patient to continue with his
life style modification (Lippincott,
William and Wilkins, 2006. P.48)
 Instruct patient to have rest intervals
between activities and exercise
(Doenges et al. 2002. P.340)