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    Discharge Plan

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    Maria Jubel Maceda Cabahug
    The discharge plan summarizes the patient's diagnosis of cerebrovascular disease and infarct of the left side. It outlines criteria for the patient and caregiver to follow upon discharge including assessing vital signs and symptoms, following a diet and exercise plan, continuing treatments, making lifestyle changes, and attending follow up appointments. Nursing will provide education and instructions on all criteria to facilitate the patient's recovery at home.

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    Attribution Non-Commercial (BY-NC)
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    Discharge Plan

    Uploaded by

    Maria Jubel Maceda Cabahug
    1K views3 pages
    The discharge plan summarizes the patient's diagnosis of cerebrovascular disease and infarct of the left side. It outlines criteria for the patient and caregiver to follow upon discharge including assessing vital signs and symptoms, following a diet and exercise plan, continuing treatments, making lifestyle changes, and attending follow up appointments. Nursing will provide education and instructions on all criteria to facilitate the patient's recovery at home.

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    The discharge plan summarizes the patient's diagnosis of cerebrovascular disease and infarct of the left side. It outlines criteria for the patient and caregiver to follow upon discharge including assessing vital signs and symptoms, following a diet and exercise plan, continuing treatments, making lifestyle changes, and attending follow up appointments. Nursing will provide education and instructions on all criteria to facilitate the patient's recovery at home.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    1K views3 pages

    Discharge Plan

    Uploaded by

    Maria Jubel Maceda Cabahug
    The discharge plan summarizes the patient's diagnosis of cerebrovascular disease and infarct of the left side. It outlines criteria for the patient and caregiver to follow upon discharge including assessing vital signs and symptoms, following a diet and exercise plan, continuing treatments, making lifestyle changes, and attending follow up appointments. Nursing will provide education and instructions on all criteria to facilitate the patient's recovery at home.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    The patient suffered a cerebrovascular disease or stroke and the discharge plan outlines criteria for the patient and their family to follow to aid recovery and prevent recurrence.

    Cerebrovascular Disease, Infarct, Left

    The patient and their family/caregivers must be able to assess vital signs and symptoms, plan follow up visits and activities, and provide proper skin care to prevent pressure ulcers.

    DISCHARGE PLAN

    Patient’s Name: N.C.B. Hospital Number: 10001010324


    Age: 55 years old Room Number: Female Medical Ward
    bed #2
    Impression/Diagnosis: Physician: Dr. Joseph Poblacion
    Cerebrovascular Disease,
    Infarct, Left

    Patient’s Outcome Criteria Nursing Order


    Upon discharge the patient and SO
    will be able to:

    A. Assessment
    1. Assess vital signs. −Demonstrate to patient and family
    how to take the patient’s vital
    signs properly and record

    2. Assess self for signs and −Teach and give a list of signs and
    symptoms of elevated blood symptoms for elevated blood
    pressure. pressure.

    3. Assess for signs of beginning −Discuss with patient and family the
    pressure ulcers. signs of beginning pressure ulcers

    −Reinforce teachings on the


    prevention of pressure ulcers by
    proper skin care and changing the
    patient’s position according to the
    schedule provided.

    B. Planning
    1. Plan ahead for scheduled OPD −Provide patient and family a copy of
    visits. the scheduled visits for OPD follow
    up.

    2. Plan activities to facilitate rest −Instruct patient and SO to create a


    periods schedule of activities providing
    enough time for accomplishing of
    ADLs, recreation, and ample rest.

    3. Plan a menu with food within the −Emphasize the importance of


    limits of prescribed diet. including patient’s preferred food
    into the menu with some
    modifications in preparation while
    following a low purine/fat, low salt
    diet.

    C. Implementation

    Medications
    Take prescribed medications as −Explain to patient and family the
    ordered. importance of adhering to
    medications as ordered.
    −Explain the indication of each
    medication.
    −Provide a list of all prescribed
    medications that also contains
    dosage and frequency.
    Environment/Exercise
    Establish an environment that −Explain particularly to SO the
    promotes recovery of the patient. importance of establishing a restful
    and supportive environment in the
    recovery of the patient.

    Comply with rehabilitative exercises −Provide the patient and SOs an


    with the help of SOs. instructional guide for the
    exercises the patient can do at
    home.

    −Demonstrate to SOs how the


    exercises on the guide are done for
    correct implementation

    −Instruct SOs to take patient’s vital


    signs before beginning with any
    exercise.
    Treatment
    Continue treatments that have been −Stress the importance of treatments
    started and ordered for continuation. ordered in the fast recovery of the
    patient.
    Health Teaching
    Integrate required changes in −Discuss with patient and family the
    lifestyle to prevent recurrence of presdipositions that are present in
    stroke. the patient’s and family’s life, and
    how these can be modified for a
    healthier way of life.
    −Provide patient and family with
    literature and referrals that can
    facilitate the needed change in
    lifestyle.
    Out-Patient Visits
    Comply with scheduled out-patient −Provide referral to a nearby hospital
    appointments as patient’s home is very far from
    current hospital.
    Diet
    Comply with prescribed diet −Stress the positive results if patient
    continues to stick to prescribed as
    she is recovering from stroke and
    even when she has already
    recovered.
    Spirituality
    Encourage patient to continue −Tell patient that resumption of some
    religious activities that are within her of her religious activities can give
    capability. her a sense of well-being despite
    present limitations.

    D. Evaluation
    Accept present state of health −Explain that her current state is not
    permanent and that acceptance of
    her present state of health will
    help her cope with the changes
    specially with concerns on mobility

    Act on the health teachings that have −Encourage patient to comply with
    been rendered throughout the this discharge plan.
    process.
    −Tell her that she will improve with
    time following the discharge plan.
    Stress that her recovery depends
    largely on her cooperation and
    compliance in the plan of care post
    diacharge.

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