Discharge Plan (M.E.T.H.O.D.

S)

Medicine/s
Essentiale 1 cap TID PO
Multivitamins 1 tab OD PO
Ranitidine 150mg TIV OD
Hydrooxyzine (Iterax) 10 mg 1 tab TID PO
Paracetamol 500mg tab PO for temp 38.5

Environment/ Exercise:
- Encouraged client to do light to moderate exercise, such as walking for 30
minutes a day as tolerated but refrain from vigorous exercises and heavy lifting.
- Encouraged client to do deep breathing exercise.
Treatment:
- Instructed to take medicine as directed.
- Avoidance of unnecessary medication.
- Acetaminophen/paracetamol shall be in controlled use.

Health Teaching:
- Mass Media approach.
- Flyers/ pamplet on how to Prevent the spread of Hep A.
- Inform client that Patient with Hep A are most contagious in the 2 weeks before
and the first week after they become jaundiced. Friends, sex partners, and family
members may need to get the hepatitis A vaccine.
- If client already have hepatitis A, it is too late to get the vaccine.
- Breaking channel of transmission by constructing sanitation barrier.
- Protection of susceptible by Immunization.
- Food Hygiene

Observation/Out- Patient
Return to the emergency department if:

 You have severe abdominal pain.

 You are too dizzy to stand up.
 You vomit blood or material that looks like coffee grounds.
 Your bowel movements are red or black, and sticky.
 You feel confused, unusually sleepy, irritable, or jittery.

Call your doctor if:

 You cannot drink liquids or keep food down.

 You are bruising easily.
 You have questions or concerns about your condition or care.
Diet

 Advised the patient to eat a variety of healthy foods. Healthy foods include

fruits, vegetables, whole-grain breads, low-fat dairy products, and lean meats
and fish.
 Recommended that patient shall limit protein foods such as milk, fish, meat, and
fatty foods. Protein and fat makes the liver work harder. As the client feels
better, he can add other kinds of foods.
 Instructed the patient not drink alcohol. Alcohol can increase liver damage.
 Instructed the patient to drink more liquids. Liquids help liver function properly.

Recommendation:

- Recommended to practice daily proper hand washing

- Advised client to cleaning of foods by washing them properly before eating or
cooking
- Advised client to drink Purified water
- Recommended to complete vaccines to help immune system
- Advised patient to Avoid eating food from street vendors or local cafeteria due
to unknown sanitation practice.