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    Discharge Plan

    Uploaded by

    ryan
    This document contains the nursing care plan for a 2-year old patient named L.M.S.C who is diagnosed with severe pneumonia. The plan involves assessing the patient for signs of infection, monitoring their diet and nutrition, and planning recreational activities. Nursing orders include instructing on proper hygiene, a healthy diet, medication adherence, and ensuring a comfortable recovery environment. The implementation involves treatments like immunizations and dental checks, and health teachings on handwashing, bathing, and nail care. The evaluation confirms the patient and family understand the discharge instructions and health teachings provided.

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    © All Rights Reserved
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    Discharge Plan

    Uploaded by

    ryan
    2K views3 pages
    This document contains the nursing care plan for a 2-year old patient named L.M.S.C who is diagnosed with severe pneumonia. The plan involves assessing the patient for signs of infection, monitoring their diet and nutrition, and planning recreational activities. Nursing orders include instructing on proper hygiene, a healthy diet, medication adherence, and ensuring a comfortable recovery environment. The implementation involves treatments like immunizations and dental checks, and health teachings on handwashing, bathing, and nail care. The evaluation confirms the patient and family understand the discharge instructions and health teachings provided.

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    discharge plan

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    This document contains the nursing care plan for a 2-year old patient named L.M.S.C who is diagnosed with severe pneumonia. The plan involves assessing the patient for signs of infection, monitoring their diet and nutrition, and planning recreational activities. Nursing orders include instructing on proper hygiene, a healthy diet, medication adherence, and ensuring a comfortable recovery environment. The implementation involves treatments like immunizations and dental checks, and health teachings on handwashing, bathing, and nail care. The evaluation confirms the patient and family understand the discharge instructions and health teachings provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views3 pages

    Discharge Plan

    Uploaded by

    ryan
    This document contains the nursing care plan for a 2-year old patient named L.M.S.C who is diagnosed with severe pneumonia. The plan involves assessing the patient for signs of infection, monitoring their diet and nutrition, and planning recreational activities. Nursing orders include instructing on proper hygiene, a healthy diet, medication adherence, and ensuring a comfortable recovery environment. The implementation involves treatments like immunizations and dental checks, and health teachings on handwashing, bathing, and nail care. The evaluation confirms the patient and family understand the discharge instructions and health teachings provided.

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    © All Rights Reserved
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    You are on page 1of 3

    39

    Patients name: L.M.S.C

    Hospital No: 2015818230

    Age: 2 years old

    Room No. Bed no1

    Diagnosis: Pneumonia Severe

    Physician: Dr. Abao, Mary Jane

    Nurses Name and Signature: Angeles, Kristine Mae


    PATIENTS OUTCOME CRITERIA
    As soon as the patient will be discharged from
    the hospital, the patient and significant others
    will be able to:

    NURSING ORDERS

    ASSESSMENT
    1. Assess any signs and symptoms of
    infection.
    2. Assess clients and significant others
    perception on importance of proper
    hygiene.

    3. Assess proper proper diet and nutrition.

    PLANNING
    1. Plan for any recreational activities for
    the patient.

    Instruct patient to go to the nearest


    hospitals if signs and symptoms of
    infections occur such as: redness,
    tenderness in the breast and purulent
    discharges.
    Encourage client to do proper hygiene
    to
    prevent
    contamination
    of
    microorganisms that will cause
    infection.
    Encourage patient to eat variety of
    healthy foods to combat diseases.

    Diversion of activity or attention of


    pediatric patient should be practice of
    his family to promote cooperation in
    the course of therapy.

    2. Plan of retime visit.

    Encourage patient to have a return


    visit for monitoring its health and any
    unpleasant circumstances.

    3. Encourage enough nap.

    Instruct to have at least 8 hours of


    sleep to promote immune system and
    for relaxation of body.

    40

    4. Plan in place to meet the needs after


    discharge.

    A plan to promote life and health


    should be told by the significant
    others.

    IMPLEMENTATION
    M- The patient will take the prescribe
    medications regularly.

    Instruct the patient to take medication


    as prescribed and do not stop even if
    feel better.

    E- Provide comfortable environment.

    Instruct the patient and significant


    others to maintain cleanliness of her
    environment to promote fast recovery.
    Encourage patient and significant
    others that immunization, deworming
    and having dental check-up are one of
    the tool to combat and avoid worsen
    diseases.

    T- Treatment:
    Immunization
    Deworming
    Dental check-up
    H Health Teaching:
    Hand washing
    Bathing
    Nail cutting

    Teach client effective hand washing


    and bathing that promotes a healthy
    life and gives relaxation also nail
    cutting
    avoid
    transmission
    of
    microorganisms.

    O- seek out patient referral or access to Brgy.


    Health centers

    Advice patient and significant others


    to have a follow up check up for his
    additional assistance.

    D-have a balanced and regular diet

    S- maintain spirituality

    Instruct patient to eat healthy foods


    such fresh fruits, vegetables and foods
    that lots of vitamins and necessary
    nutrients.

    EVALUATION

    Advice patient to continue his spiritual


    activities to promote spiritual wellbeing.

    Evaluate the patient and significant others


    in understanding to health teaching and
    discharge instruction given.

    Encourages patient to verbalize


    understanding or the things taught to
    him for this will help in her recovery.

    41

    Ask the significant others to test if


    they listens and gain knowledge.

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