DISCHARGE PLAN

It is the process of identifying and preparing for a patient's anticipated health care

needs after they leave the hospital ensuring safe transitions from hospital to home

requires a systematic approach that includes the patient and family in the discharge

process.

Medication:

 Antibiotics aid in the treatment of bacterial infections. If you have recurring UTIs,
you may be prescribed antibiotics to take on a regular basis. Antibiotics will be
prescribed to you with instructions on when and how to use them. The goal is to
prevent UTIs while avoiding antibiotic resistance by not overusing antibiotics.
 Medicines may be prescribed to alleviate urination pain and burning. They'll also
help you feel less compelled to urinate frequently. Your urine will become orange
or crimson if you take these medications.
 Follow the doctor's instructions for taking your medication. If you think your
medicine isn't working or if you're experiencing adverse effects, talk to your
doctor. Tell him or her if you have any drug allergies. Make a note of all the
medications, vitamins, and herbal supplements you're taking. Include the quantity
you're taking, as well as when and why you're taking them. To follow-up
appointments, bring the list or the pill bottles. Keep a list of your medications on
you at all times in case of an emergency.

Exercise:

 One of the best natural strategies to control urine incontinence is to do Kegel

exercises. Regardless of your age or the cause of your problem, these simple

actions can help many women and men. They assist your bladder by
 strengthening the pelvic floor muscles. You're more likely to experience leaks if

these muscles are weak.

Treatment:

 Take your antibiotics exactly as prescribed. Even if you're feeling better will not

really mean you should stop taking them. You must complete the entire course of

antibiotics.

 For the next day or two, drink plenty of water and other fluids. This will dilute the

urine and aid in the removal of the bacteria that are causing the infection. If you

have kidney, heart, or liver illness and must limit your fluid intake, consult your

doctor before increasing your fluid intake.

 Avoid carbonated or caffeine-containing beverages in which they have the

potential to irritate the bladder. Urinate often and try to empty your bladder.

Health Teachings:

 Take a hot bath or place a heating pad on your lower belly or genital area to

relieve pain. Never sleep with a heating pad on your bed.

 Empty your bladder on a daily basis. As soon as you feel the urge, urinate and

empty your bladder. Do not keep your urine in your bladder for long periods of

time.

 After you've urinated or had a bowel movement, wipe from front to back. This will

help to keep germs out of your urinary tract by preventing them from entering

through your urethra.

 Drink the recommended amount of beverages. Inquire about the amount of fluids

you should drink each day and which liquids are ideal for you. To help flush out

the bacteria, you may need to drink more liquids than usual. Consume no

alcoholic beverages, caffeine, or citrus juices. These can irritate your bladder,

causing symptoms to worsen. Cranberry juice may be recommended by your

doctor to help avoid a UTI.

 After you've had intercourse, you should urinate. This can aid in the removal of

microorganisms transferred during intercourse.

 Do not use feminine deodorants or douche. These can cause your vaginal

chemical balance to shift.

 Replace sanitary pads or tampons on a regular basis. This will aid in the

prevention of germs entering your urinary tract.

 Discuss your birth control technique with your healthcare practitioner. If your

approach is raising your risk of UTIs, you may need to modify it.

It's likely that vaginal estrogen will be prescribed. This medication aids in the

prevention of urinary tract infections in women who have reached or are

approaching menopause.

 Do pelvic muscle exercises on a regular basis? Pelvic muscle exercises may aid

in the initiation and cessation of urination. Strong pelvic muscles may make it

easier to empty your bladder. Squeeze these muscles hard for 5 seconds, as

though you're attempting to keep pee from coming out. Then take a 5-second

break. Work your way up to 10 seconds of squeezing. Every day, do three sets of

15 repetitions, or as prescribed.
Out-Patient Follow up:

 A follow-up reevaluation in 2-7 days is necessary to ensure that the patient is

doing well. If the doctor believes the patient would benefit from outpatient

treatment, the first visit can be scheduled within 48 hours. The patient may not

react well to outpatient care but still qualify for a trial at home.

 If the patient believes he or she is not improving or is becoming worse, the

patient should be examined right once to see if hospitalization and intravenous

antibiotics are needed.

 You’ll take antibiotics for 2 to 7 days or as your doctor recommends. If your

infection makes you feel uncomfortable, your doctor will probably start your

treatment before you get your urine test results.

 Your symptoms should go away in 2 days. Take all of your medication on

schedule anyway. Don’t stop it early, even if your symptoms fade.

 Urine cultures are typically not recommended in healthy, non-pregnant women

who have had their symptoms addressed. Outpatient follow-up imaging of the

urinary tract should be considered for all patients with a severe UTI to identify

anomalies that contribute to future infections.

 If a urine culture has been performed and is negative for infection, other causes

of pain, burning, and frequency should be considered. However, some urinary

tract infections (UTIs) are caused by small amounts of bacteria that may not be

detected on a typical urine culture. Therefore, in some cases your provider may

choose to continue you on antibiotics even if the culture comes back negative.
 DIET

Diet (Meal Plan)

SUNDAY

Breakfast 1 cup of cereals, 1 glass of Milk (no added sugar),

1 boiled egg
Snacks 1 glass of coconut juice and 1 serving of leche flan

Lunch 1 cup of rice and 1 serving of “sinigang na baka”

Snacks 1 glass of fresh mango shake

Dinner 1 cup of rice, 1 serving of tuna fish and 1 glass of water

 MONDAY

Breakfast 1 cup of oats (No added sugar) and 1 vegetable sandwich and 1 cup

of yogurt
Snacks 1 glass of buttermilk and 1 piece of chicken breast empanada

Lunch 1 cup rice, steamed broccoli, 1 fish soup and water

Snacks 1 glass of fresh banana shake

Dinner 1 cup rice and 1 serving chop soy and water

TUESDAY

Breakfast 2 egg sandwich, 1 cup of Milk (No added sugar) and with mayonnaise

and a piece of banana

Snacks 1 soda cracker and water

Lunch 1 cup rice, 1 ampalaya with egg, 2 twig of broccoli and 1 glass of water

Snacks 1 glass milkshake and 1 piece peach mango pie

Dinner 1 cup of rice and 1 bowl vegetable salad and water

WEDNESDAY
Breakfast 2 toasted bread, 2 boiled egg and 1 glass fresh carrot shake

Snacks 1 glass of mango juice and 4 pieces of puto

Lunch 1 cup of rice and 1 serving of sinabawang bangus

Snacks 2 piece loaf bread and 1 glass of fresh avocado shake

Dinner 1 cup of rice , 1 serving law uy and 1 piece banana and water

THURSDAY

Breakfast 1 glass of milk (no added sugar) and 2 pancakes with wild honey

Snacks 1 bowl of mashed sweet potato and 1 glass of guyabano juice

Lunch 1 cup of rice, 1 bowl vegetable salad and water
Snacks 1 glass of fresh watermelon shake and soda cracker
Dinner 1 cup of steamed cluster beans and 1 mashed potato an 1 glass of

water

FRIDAY

Breakfast 1 cup of cereals and 2 toasted bread and 1 glass of milk (no sugar)
Snacks 1 bowl fruit salad (Watermelon, cucumber, cranberry)
Lunch 1 cup of rice and vegetable lumpia and 1 glass fresh watermelon

shake
Snacks
Dinner 1 cup of rice and 1 serving of tinolang manok and water
 SATURDAY

Breakfast 1 cup of rice, 2 steamed hotdogs, 1 boiled egg and 1 avocado shake
Snacks 1 glass of coconut water and crackers
Lunch 1 cup plain rice, cucumber salad and water

Snacks 1 plain sandwich and 1 cup of yogurt

Dinner 1 cup of rice and 1 serving of chicken curry , and 1 glass of milk(no

sugar)

Not Good to Eat When You Have UTI

 Coffee: Caffeine is known to irritate the bladder and exacerbate the symptoms of

a bladder infection.

 Alcohol: You may be aware that alcohol can irritate your stomach if you have

reflux or an ulcer, and it can also irritate your bladder, particularly if you have a

bladder infection.

 Acidic Fruits: Fruit is an important component of a healthy diet, but fruits with a

lot of acid might irritate the bladder, making your UTI symptoms worse. Lemons,

oranges, grapefruits, and tomatoes should all be avoided.

 Spicy Foods: Spicy foods are known to irritate the bladder and aggravate UTI

symptoms, therefore to cure a urinary tract infection, calm down your meals and

choose for blander options.

Reference for Diet Meal Plan:

Foxman B, Frerichs RR. Epidemiology of urinary tract infection: II. Diet, clothing, and

urination habits. American journal of public health. 1985 Nov;75(11):1314-7.

https://ajph.aphapublications.org/doi/abs/10.2105/AJPH.75.11.1314

Kontiokari T, Laitinen J, Järvi L, Pokka T, Sundqvist K, Uhari M. Dietary factors

protecting women from urinary tract infection. The American journal of clinical nutrition.

2003 Mar 1;77(3):600-4. https://academic.oup.com/ajcn/article/77/3/600/4689699

Kontiokari T, Nuutinen M, Uhari M. Dietary factors affecting susceptibility to urinary tract

infection. Pediatric Nephrology. 2004 Apr 1;19(4):378-83.

https://link.springer.com/article/10.1007/s00467-003-1410-z