Cebu Institute of Technology

University
N. Bacalso Ave., Cebu City Philippines

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

INDIVIDUAL REQUIREMENTS
DISCHARGE PLAN
PSH- WARD 4 (ONCO WARD)

IN PARTIAL FULFILLMENT OF THE COURSE RLE 402

SUBMITTED BY:
ENCARGUEZ, DARA SOPHIA
BSN 4-N1

SUBMITTED TO:
AUDA F. RUSSEL, RN, MN, DSN
FACULTY

MAY 18, 2022

DISCHARGE PLAN: METHODS
METHODS INSTRUCTIONS
 Educated patient/SO regarding the medication’s mechanism of action,
side and adverse effects, responsibilities, and the need to inform the
physician regarding any allergies.
 Instructed patient/SO to take the prescribed medicines as directed.
Informed patient to call her healthcare provider if she thinks her
medicines are not helping or if she is experiencing any side effects.
 Advised patient/SO to inform her healthcare provider if she is allergic to
MEDICATIONS any medicine.
 Encouraged patient/SO to keep a list of the medicines, vitamins, and
herbs taken on a regular basis. The amounts should be included, and
when and why they were taken. The patient must bring the list or the pill
bottles to follow-up visits and always carry this list with her in case of an
emergency.
 Advised patient/SO to comply with the home medications prescribed to
ensure optimum recovery and/or to alleviate symptoms.
 Informed patient/SO that she may have to limit certain activities for a
while. She may need extra rest throughout the day. But still, she needs to
try to get up and move around often.
 Encouraged patient/SO to ask family members or friends to help with
shopping, meals, housework, and other tasks.
EXERCISE  Instructed patient/SO to do the coughing and deep breathing exercises
she learned in the hospital.
 Encouraged patient/SO to increase her activity slowly. Start with short
walks on a level surface.
 Emphasized to patient/SO the importance of following and continuing
therapeutic regimen.
 Patient should take acetaminophen for pain. She should ask her
health care provider about stronger pain medicines.
 Patient should take any medicines she has been given to fight
infection the way she was told to.
 Advised patient/SO to discuss her treatment choices with her healthcare
provider, including:
 Surgery to remove the gallbladder and gallstones
 Medicine to dissolve the stones. This is mainly for people who
TREATMENT cannot have surgery. They have to take medicines exactly as
directed. Don't skip doses. Remember, it takes time for the
medicine to take effect. Unfortunately, once the medicine is
stopped, the gallstones usually come back. 
 ERCP (endoscopic retrograde cholangiopancreatography). A
healthcare provider uses a thin tube with video and X-rays to
locate stones and remove them from the common bile duct.
 Informed patient/SO that she may continue to have pain and other
symptoms if her gallstones return or were not removed.
  Educated patient/SO regarding the causes of her disease, complications
if left untreated, and medical and surgical options.
 Encouraged patient to ambulate and increase activity as tolerated.
 Informed patient/SO that being overweight or drinking too much alcohol
increases her risk of developing gallstones. Prolonged fasting and rapid
HEALTH TEACHING weight loss, such as from crash diets, also can lead to gallstones.
 Educated patient/SO that in order to reduce someone’s risk of developing
gallstones, he/she should maintain a normal body weight, exercise
regularly, and eat three well-balanced meals every day.

 Encouraged patient/SO to seek care immediately if she has any of the

following symptoms:
 Severe pain in the upper belly, shoulder, or back
 Fever of 100.4°F (38°C) or higher, or as directed by your
healthcare provider
 Nausea or vomiting
OUT-PATIENT  Yellowing of your skin or eyes (jaundice)
 Encouraged patient/SO to make follow-up appointments as directed and
to raise any questions or concerns about her condition to her attending
physician during the said event.
 Instructed patient/SO when to call her healthcare provider and also gave
them possible contacts to reach out in case of emergency or when they
want to set an appointment.
 Encouraged patient to eat a low-fat diet and to do the following:
 Read food labels to be sure the foods you are choosing are low
in fat.
 Limit the use of high-fat meats, dairy products, animal fats, and
vegetable oils.
 Informed patient to avoid or limit these high fat foods in her diet:
DIET  Fried foods
 Highly processed foods (doughnuts, pie, cookies)
 Whole-milk dairy products (cheese, ice cream, butter)
 Fatty red meat
 Advised patient to eat a diet high in fiber (found in vegetables, fruits, and
whole grains).

 Recommend patient/SO to eliminate or distant things that may stress

SEXUALITY / SPIRITUAL
client.
 Advised patient/SO that when feeling stressed or depressed about
client’s health condition, a talk with a counsellor or health care
professional will help ease the situation.
 Encouraged patient/SO to increase their understanding and to always be
present beside client for family support.
 Encouraged patient/SO to engage self in various religious and community
organizations, but those with less physical activities.
 Assured patient/SO that health care providers will not abandon the
patient.
 Referred the family for a pastoral service to enhance spiritual wellbeing.

REFERENCES:

1. Discharge Instructions for Gallstones. (n.d.). Saint Luke’s Health System.

https://www.saintlukeskc.org/health-library/discharge-instructions-gallstones
2. MedicineNet. (2019, July 9). MedicineNet; MedicineNet.
https://www.medicinenet.com/what_foods_should_i_avoid_with_cholecystitis/article.htmhttps://
www.medicinenet.com/what_foods_should_i_avoid_with_cholecystitis/article.htm