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Discharge Instructions

This document provides discharge instructions for a 35-year-old female patient diagnosed with a multiple pregnancy. The patient expressed anxiety about caring for newborns. She was instructed on breastfeeding, normal postpartum bodily changes, pain relief, potential postpartum emotional changes, and a nutritious postpartum diet. She was advised to rest, stay hydrated, and create a safe environment for herself and newborns.

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Naneth Cadisal
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129 views2 pages

Discharge Instructions

This document provides discharge instructions for a 35-year-old female patient diagnosed with a multiple pregnancy. The patient expressed anxiety about caring for newborns. She was instructed on breastfeeding, normal postpartum bodily changes, pain relief, potential postpartum emotional changes, and a nutritious postpartum diet. She was advised to rest, stay hydrated, and create a safe environment for herself and newborns.

Uploaded by

Naneth Cadisal
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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Patient name: Mrs.

Tan Age: 35

Diagnosis: Multiple pregnancy

DISCHARGE INSTRUCTION PLAN

Subjective cues: “Balik napod ko ug uno ug alaga ug mga batang gamay, duha pa gajud” as verbalized
by the patient.
Objective cues: Anxious and Zealous
Medications: None
Environmental Modifications: Provide a safe environment for the newborns and for yourself to
perform maternal tasks.
Treatment: Rest and plenty of fluids
Health teachings:
Breastfeeding:
 Wash your breasts with water daily for cleanliness
 Air dry nipples after each feeding
 If nipples are sore, apply a few drops of breast milk after a feeding and let air dry
 If breasts are engorged, apply warm packs and express milk
Non-breastfeeding:
 Wear a well-fitting bra for support
 Use ice packs to relieve discomfort from engorgement
 Avoid handling your breasts and do not express milk
 Non-breastfeeding engorgement will subside in 24-36 hours
Uterine changes:
 After-pains, or cramping, are normal. This cramping means that the uterus is contracting to
return to its non-pregnant size. The uterus takes five to six weeks to return to its non-
pregnant size.
Vaginal discharge:
 Usually lasts about ten days to four weeks. The color will change from bright red to brownish
to tan and will become less in amount and finally disappear.
 Menstruation: your period will resume in approximately six to eight weeks, unless
breastfeeding.
Pain relief:
 Use a mild analgesic (Tylenol or Advil) for breast engorgement, uterine cramping, and
episiotomy discomfort.
Emotional Changes:
 You may get “baby blues” after delivery. You may feel let down, anxious and cry easily. This is
normal. These feelings can begin two to three days after delivery and usually disappear in
about a week or two. Prolonged sadness may indicate postpartum depression.
Observable signs/symptoms: None
Diet modifications: Good nutrition and adequate fluids are necessary for tissue repair, healing,
breastfeeding and general health. Refrain from any weight-reducing diets until after your postpartum
checkup. Most women lose eight to 10 pounds just from delivery. It takes almost a full year to return
to your pre-pregnancy weight. If you are breastfeeding, continue to take your prenatal vitamins. Eat a
well-balanced diet that is high in protein (meat, fish, legumes), fiber (fruits, vegetables, whole grains),
calcium (milk, yogurt, cheese, green leafy vegetables) and fluids. If you have a family history of food
allergies or are concerned about food allergies for your baby while breastfeeding, consult your
physician for guidance.

Reference for health teaching:

Kent Hospital. (2021). Retrieved from kentri.org: https://www.kentri.org

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