NURSING MANAGEMENT

A. Discharge Plan

Medication
 Instruct the client to continue take the prescribed medication.
 Explain to the client about the name of drugs, the frequency, the route of administration and
their actions.
 Orient the client the side effects and adverse effects of the drugs she takes by prescribing its
manifestations.
 Instruct the client to follow her prescribed medication and advice client not to stop her
medication, unless approved by physician.
 Advice the significant others to support the client throughout her medication.

Activity/Exercise
 Instruct the patient do not lift anything heavier than 5 pounds until the healthcare provide says
it is OK.
 Instruct the patient do not drive until her healthcare provider's appointment following surgery.
 Educate the client that if she ride in a car for more than short trips, she should stop often to
stretch her legs.
 Instruct the patient to ask the healthcare provider about when she can expect to return to work.
 Encourage the patient to increase your activity gradually. Take a short walks on a level
surface.
 Educate the patient do not overexert herself to the point of fatigue.

Treatment
 Educate client the importance of drug compliance.
 Instruct client to eat bland and low-fiber foods.
 Promote balanced diet and exercise that been prescribed for the physician for her faster
recovery.
 Discuss to client the complication of the condition in order to gain knowledge to decrease her
anxiety.

Hygiene
 Instruct the patient to shower or bath as instructed by the physician
 Wash the incision site with soap, water and pat dry.
 Instruct the patient to check her incision every day for redness, drainage, swelling, or
separation of the skin.

Outpatient orders
Call the doctor for any of the following occurs:
 Excessive bleeding from stoma A change in stoma's color or a stoma that looks like it's getting
longer
 Bulging skin around the stoma
 Blood in stool
  Fever above 100.4°F (38.0°C) or higher, or as directed by your healthcare provider
 Redness, swelling, bleeding, or drainage from your incision
 Constipation or diarrhea
 Nausea or vomiting
 Increased pain in the belly or around the stoma

Diet
 Eat small, frequent meals. Try to have 6 small meals throughout the day instead of 3 large
ones. It’s especially important to avoid eating too much in the evening. This will help limit the
bowel movements (poop) from the ileostomy during the night.
 Eat slowly and chew your food well.
 8 to 10 (8-ounce) glasses of liquids every day. This will help to replace the water lost through
your ileostomy and keep from becoming dehydrated.
 Eat mostly bland, low-fiber foods.
 When you add foods back to your diet, introduce them one at a time.