DISCHARGE PLAN MEDICATION: Instruct the patient and family to follow at home medication as prescribed by the physician such

h as GENTAMYCIN : (80 mg thrice a day) 6am, 2pm, 10pm advice patient to take with meal PARACETAMOL: (300mg every 4hours) 8am, 12pm, 4pm, 8pm instruct patient to take it with meal. EXERCISE: Encourage early ambulation to increase peristalsis movement Promote exercise to the client especially ROM specifically both upper and lower extremities. Simple Exercise like walking outdoors to provide the body with fresh air and eliminate bacteria Deep Breathing Exercise to increase lung expansion and to relieve pain.

TREATMENT: All medications are to be taken for prescribed period Advise patient to follow or comply medications ordered by the physician

Avoid strenous work because the patient becomes easily fatigue o Advice patient to avoid lift heavy object. o Avoid straining during defecation.

Nutritional plan to promote good nutrition & prepare low salt low fat diet.

Promoting airway clearance.

HEALTH TEACHING: Encourage client to have proper hygiene like taking a bath, meticulous hand washing, and brushing her teeth every after meal to prevent further infection or cross contamination to the patient. Advice patient and family to continue monitoring of bleeding Provide a calm and accepting environment to have an adequate rest. Encourage patient to have adequate rest and sleep at least 8hours a day. OUT PATIENT: Inform patient that follow up check up after a week or a month is important to have a continuous monitoring of care even after attainment of the course of medical therapy. Advice client and family to carry out follow up diagnostic examination.

Instruct the family to report any unusual sign and symptoms experienced by the patient like heavy bleeding, difficulty of breathing, and severe pain most especially of the lower portion of abdomen.

DIET: Encourage client to have a variety of nutritious food like fruits that rich in vitamin C (orange, guava, kiwi) and green leafy vegetables for vitamin K once instructed by the physician. Encourage patient to increase fluid intake at least 2-3 liters a day to prevent dehydration of the patient. Instruct client to have a low salt low fat diet to lessen the further complication of the underlying disease. Advice client not to skip meal and have a regular eating pattern or schedule to maintain the nutritional status of the patient. SPIRITUAL: Supporting religious practice. Assisting client with prayers. Refer client for spiritual counselling.