DISCHARGE PLAN

DRUG/S INDICATION/S DOSAGE ROUTE FREQUENCY

Medication/s

● Rabeprazole prophylactic 40 mg tab oral once a day

medication for
increased stomach
acidity related to
losing appetite
because of the
disease process

mild to moderate
pain and fever
● Paracetamol 650 mg tab oral three times a day

treatment of
500mg tab
susceptible bacterial
infections
● Azithromycin oral once a day

cough, common cold

and flu-like
symptoms
2 tsps

● Grilinctus oral twice a day

Environment Avoid staying in places full of dust and pollen.

Do not stay in areas where people are smoking.

A humid environment may help loosen secretions and improve ventilation.

Inform patient that his work as a construction worker has exposed him to dust and pollen that may have
increased his risk for pneumonia. It is advisable that he avoids an environment being exposed to such
factors. But the final decision regarding his job still falls on the patient.

Avoid being exposed to second hand smoking or do not allow others to smoke around you

Therapy Chest physiotherapy (percussion and postural drainage) is important in loosening and mobilizing
secretions. The patient is placed in the proper position to drain the involved lung segments, then the chest is
percussed and vibrated either manually or with a mechanical percussor.

Encourage coughing and deep breathing exercises- to decrease risk for a lung infection. Take a deep breath
and hold it for as long as you can. Let the air out and then cough strongly. Deep breaths help open your
airway. You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece in
your mouth and take a slow, deep breath. Then let the air out and cough. Repeat these steps 10 times every
hour.

If pain is felt, use pressure to decrease pain. Hold a pillow against your chest when you cough or take a
deep breath.

Avoidance of strenuous activities such as lifting.High blood pressure increases your risk of pleural
effusion. Exercise can help lower blood pressure, decrease stress and anxiety and improve strength, mood
and bone health.

Encourage the patient to perform an effective, directed cough, which includes correct positioning, a deep
inspiratory maneuver, glottic closure, contraction of the expiratory muscles against the closed glottis,
sudden glottic opening, and an explosive expiration.

Inform patient that he should change positions frequently upon resting in bed to enhance secretion
clearance and pulmonary ventilation and perfusion.
Health Teachings Educate patient on deep breathing and coughing exercises.

Educate patient about the increased risk of pleural effusion with a high blood pressure. Encourage the
patient to not only exercise to lower blood pressure, but to also get adequate amount of sleep.

Inform the patient and his family about factors (both patient risk factors and external factors) that may have
contributed to the development of the disease and strategies to promote recovery and prevent recurrence.

OPD Visit Remind patient about his next scheduled visit as ordered by the physician. He may undergo follow-up
chest x-ray and physical examination.

Diet Eat a healthy, balanced diet with plenty of vegetables, fruit and lean protein. Limit sugar, fat and alcohol,
and maintain a healthy weight. Healthy eating is important during and after treatment. Small, frequent
meals may be advisable.

Avoid These Foods: Cold cuts. Most cured meats such as bacon, cold cuts, ham, and hotdogs contain
additives called nitrates. Excessive salt, Dairy products, cruciferous vegetables, fried foods, carbonated
beverages and acidic foods and drinks.

Encourage hydration (2 to 3 L/day), to thin and loosen pulmonary secretions.

Fluids with electrolytes may help provide fluid, calories, and electrolytes. Other nutritionally enriched
drinks such as oral nutritional supplements may be used to supplement calories.
Spiritual Encourage patient to practice any religious beliefs that he believes in to help him feel relieved and
comfortable. If praying helps him maintain a positive outlook on his condition, encourage him to do it.

Lifestyle Find healthy ways to manage stress, and aim for 7-8 hours of sleep a night.

Get in the habit of washing your hands frequently to avoid exposure to viruses or bacteria. If you feel like
you have a cold or virus, get plenty of rest, and seek medical attention if you experience chest pain,
difficulty breathing or fever or if your symptoms worsen.

Do not smoke , and do not allow others to smoke around you. If you smoke, it is never too late to quit.
Smoking increases your risk for lung infections such as pneumonia. Smoking also makes it harder for you
to get better after you have a lung problem.

Referral If the patient is willing, refer him to support groups focusing on smoking cessation near his area of
residency.