University of Cebu- Banilad
College of Nursing
Cebu City
Discharge Plan
Patient’s Name: Pahanunot, K.E.
Age: 25
Impression/Diagnosis: Low Segment Tranverse Cesarian Section
PATIENT’S OUTCOME CRITERIA
Expected behavior of the patient when discharged.
ASSESSING
● Before discharge, the patient is medically
stable and has adequate social support
● The patient will verbalize confidence in the
breastfeeding of the baby
● The patient and family members will exhibit
understanding and learning about patient’s
condition and treatment plan, including details
of any medications, ways to deal with
symptoms and distress, dates of follow-up
appointments.
PLANNING
● The patient will continually clean and change
the OS of the suture site
● The patient will continue to adhere to
anti-inflammatory medication
● The patient will attend a checkup if there is
ever bleeding in the suture site
IMPLEMENTING
M- The patient will have 500mg of mefenamic acid to
be taken once a day or as needed for pain as per the
doctor's order
E- Patient and family will be able to identify and
avoid environmental stressors that can affect the
patient’s full recovery
Hospital No:
Room No: 236A
Physician: Dr. Miel
NURSING ORDER
Nurses’ actions to help patients do expected
behavior when discharged.
● Assess patient’s vital signs and determine the
client’s response to the condition (Doenges
et.al.,2019)
● Asses client knowledge perceptions about
breastfeeding and the extent of instruction
that has been given. (Doenges et.al., 2019)
● Evaluate their understanding by encouraging
them to verbalize what they have learned
(Doenges et.al.,2019)
● Change surgical or other wound dressings,
as indicated, using the proper techniques for
changing/disposing of contaminated
materials. (Doenges et.al., 2019)
● Emphasize the need for continued monitoring
of the medication regimen by the healthcare
provider (Doenges et.al., 2019)
● Instruct the patient to come back for follow-up
care (Doenges et.al., 2019)
● Instruct the patient that this drug may cause
dizziness, headaches, or rashes. Avoid
alcoholic beverages. (MIMS,2022)
● Manage patient’s personal environment,
including stress reduction, rest and sleep,
social events, travel, and recreation issues.
Advocate avoiding any known irritants,
allergens, and sick persons. (Doenges et.al.,
2019)
● Verify environmental well-being and safety of
client/family. (Doenges et.al., 2019)
T- The patient will comply with the given medication
H- Patient will be able to demonstrate proper wound
suture cleaning, and be able to confidently and
correctly do breastfeeding
O- The patient will be knowledgeable about her
wound/suture and the factors that will aggravate her
wound/suture
D- The patient will follow a diet regimen as
prescribed by their respective dietician
EVALUATING
The patient and SO’s will verbalize understanding of
the condition and treatment
● Review medication regimen and possible
interactions, with other prescription drugs/
vitamins. Discuss any drug substitution or
changes in dosage to minimize side effects.
(Doenges et.al., 2019)
● Protect primarily closed incisions with a
sterile dressing for 24 to 48 hr (or per
surgeon instruction). Use a sterile technique
for a wound dressing change. (Doenges
et.al., 2019)
● Explain anticipated changes in feeding needs
and frequency. Growth spurts require
increased intake or more feedings by infants.
(Doenges et.al., 2019)
● Educate the patient of the possibility
evidenced by risk factors of the presence of
infection, broken skin, traumatized tissues,
chronic disease (e.g., diabetes, anemia),
stasis of body fluids, invasive procedures,
and altered immune response. ( Doenges
et.al.,2019)
● Although there was no specific order for the
patient’s diet. They are advised to intake food
containing protein ( body recovery), iron (
production of new blood cells), and calcium.
(WebMD, 2021)
● Evaluate the patient’s attainment and
progress toward desired outcomes. Modify
the plan of care if necessary (Doenges et.al,
2019)