DISCHARGE PLAN
Patient’s Name: Patient x
Age: 2 mos. old
Impression/ Diagnosis: Pneumonia(PCAP)
Nurses Signature: Awit, Rodrigo II C.
PATIENT’S OUTCOME CRITERIA
As soon as the patient is admitted and
will be discharged from the Hospital, she
and her family will be able to:
A. Assessment
1.) Monitor vital signs
B.Planning
1.) Plan action to prevent onset of
pneumonia
C. Implementation
1.)MEDICATIONS:
Salbutamol (Ventulin 25mg neb.)+ 2ml NSS
Cefuroxime Sodium (Zinacef 250mg vial)
Paracetamol (Tempra 100mg/ml drops)
Hospital No.: 100022572024
Room no.: A432
Physician: Dr. Gonzales
NURSING ORDER
1.)Teach the patients significant others on
how to get vital signs. Vital signs are
measures of various physiological statistics
in order to assess the most basic body
functions.
(Kozier,2001:429).
1.)Give a list of meds and how they would
be taken. (Klossner,2006:296).
1.)Stress the importance of strict
compliance of these medications. These
medications are similar in effects, wherein
the classification is analgesics, non-
steroidal anti inflammatory. This prevents
postpartum hemorrhage and some are
supplements.
(Carpenito,1990:336).
2.)EXERCISE
• Encourage patient to perform 2.) Teach client with those exercises and
play perform at patient’s level of activity.
(Doenges,2002:248).

3.)TREATMENT 3.)

• Instruct client to ask physician • To know what are the things to be

during return visit with avoided and things to be done for
appropriate time to resume faster healing and recovery.
work.
(Doenges,2002:184).

• Discuss the importance of following

• Comply with ways on how to nursing intervention and treatment.
perform the intervention.
(Doenges,2002:184).

4.)
4.)HEALTH TEACHING
• It is important to know the danger
• Instruct that she needs to signs that should be reported to
make her appointment with the primary care provider
her primary care provider for
6th week postpartum check up. (Carpenito,1990:336).

•
5.) OUT-PATIENT REFERRAL 5.)

• Visit the physician for proper • To provide proper ways on self-care

evaluation and follow up care after post partum normal
spontaneous vaginal delivery.
(Carpenito,1990:337).

6.) DIET
• Identify dietary guidelines to
enhance nutritional
requirements with special
considerations on financial
capacity.
• Comply with dietary
instructions.
7.)
7.) SPIRITUAL
• Together with the SO’s,
encourage patient to hear
mass to strengthen her
relationship with God , to ask
for enlightenment and Divine
intervention.
D. Evaluation
1.) Evaluate the patient and
significant others if they completely
understood the instructions given.
6.)
• Promotes optimal recovery and
maintenance of health.
(Carpenito,1990:338).
• Encourage diet to meet nutritional
needs for patient.
(Carpenito,1990:338).
• Provide or refer to a spiritual
adviser or priest as they uplift our
spirits especially for those patient
who need religious practice.
(Doenges,2006:263).
1.) Evaluate the family by asking
questions and letting them express and
explain their own words the things they
have understood.
(Kozier,1998:573).