University of San Carlos College of Nursing DISCHARGE PLAN

Nm:_ ae Rl io : e n ig ______ _____ R mnCt oic o a ah l Ae e d r g/Gn e: F ml e a e D g ois ian s : Cr n h p r e s ns p r p s d r ela pia ho ic y et nio u eimoe pe c ms S r ey n eg n : ug r U d r o e Nn oe Hs it l: op a VM C SM

A.) B .) C .) D .)

OBJECTIVE(Smart/ KSAV): The patient will be ableto identify ways to m anage hypertension The patient will v erbaliz importance of the m e edications giv en. The patient will showinterest to the teachings taught. The patient will share feedback and concerns duringthe discussions.

1. MEDICATIONS: Name of drug

Dosage & frequency

Route P.O.

Curative effects Prevention and treatment of iron deficiency anemias. Dietary supplement for iron.

Side effects Dizziness Nausea & Vomiting Nasal Congestion Dyspnea Hypotension CHF MI Muscle cramps Flushing GI:Nausea,vomiting,heartburn,diarrhea,or abdominal cramps (high doses). Hematologic:Acute hemolytic anemia (patients with deficiency of G6PD); sickle cell crisis. CNS:Headache or insomnia (high doses). Urogenital:Urethritis, dysuria, crystalluria, hyperoxaluria, or hyperuricemia (high doses). other:Mild soreness at injection site; dizziness and temporary faintness with rapid IV administration.

Ferrous Sulfate (Feosol, Fer-Iron)

Ascorbic Acid (Vitamin C) P.O Dietary supplement. Increases protection mechanism of the immune system

2. EXERCISE / ACTIVITY Type of Activity allowed: R elaxation Techniques and R egular exercise Procedure or Steps: Exercise for 30 minutes on most days of the week Use of Equipm (if any): None ent Restrictions: Strenuous activities should be avoided.
3. TREATMENT (Prescribed treatment to be continued at home or to a referred health institution). Proper diet and exercise. Follow-up prescribed medications. 4. HEAL TEACHING TH (*) clinic appointments schedule ( ) use of alternative m edicines ( ) follow-up laboratory examination ( ) relapse prev ention m easures (*) understandingand knowingwhat to do with side effects of m edication (*) Others: Proper diet, rela xation techniques, regular exercises and emphasize the importance of breast feeding
5. a.) Observ signs and symptoms that need reporting: Blurringof v ed ision, dizziness, m to sev ild ere headache b.) Interventions / Home rem edies that may be done imm ediately prior to seeking consultation: Provide rest and inta of m ke edications. c. Diet (Prescribed by the doctor) a.)Prescribed Diet: DASH Diet (Dietary Approaches to Stop Hypertension) b.) R estrictions: Lowfat and low salt diet

6. SPIRITUAL AND PSYCHOLOGICAL NEEDS ( ) spiritual counseling ( ) confession ( ) supportive counseling (*) anger managem ent ( ) grief work (*) family therapy ( ) join organizations/ ( ) reconciliation of conflicted relationships Church activities _______________________________________________________________________________________ ______________________________________.

C. DISCHARGE DET AILS a.)Date and tim of discharge: _________ e b.) Accompanied by: Husband and Mother c.) Mode of transportation: T axi d. General condition upon discharge: Patient was conscious, well groomed, and decreased edema in different areas of the body

THESEDISCHARGEINSTRUCTIONS WERE EXPLAINEDTO THE P ATIENT AND/ OR RELATIVE. R and Understood: ead

________________________________________ P ATIENT / RELATIVE (S ignature over printed name)

_____

Laisa Marie P Bulfa____________ . Student Nurse: (S ignature over printed name)

________Mrs. Mary Emily Desquitado____ Clinical Instructor (S ignature over printed name)