Patient’s Name: Patient N.C.
B Chief Complaints: Pain on right foot DX: Diabetes mellitus
Age: 62 y.o.
Room / Bed Number: General medical ward
PLAN OF CARE
Dietary Recommendations:
Restrict or avoid the following:
- Carbonated and alcoholic beverages
- Processed foods like fries, pizza, fried chicken, and chips
- Peanuts, cashews, green gram, peas, lean meat, poultry,
fish, eggs, millet, nuts and seeds, lentils, beans, and
fermented soy.
- Vegetables like potatoes and tomatoes, as they can
exacerbate VATA (Wind), causing pain and discomfort.
- Dairy products such as butter, cheese, and ghee, known
to worsen symptoms.
- Artificial sweeteners, oily and fried foods, and caffeinated
products, as they may worsen the condition.
- Sweets and sugary foods that impede the natural wound
healing process.
Promote the following:
- Increase fluid intake with fresh fruit juices (without artificial
sugar) to aid in toxin removal.
- Incorporate good proteins from sources like soya and
sprouts.
type 2, cellulitis right foor
Patient’s Sex: Female
Attending Physician: Dr. G. A.
DISCHARGE PLAN
PROBLEM PLAN OF ACTION
1. Impaired skin Promotive - Promote ensuring adequate calorie intake with a
integrity (Wound) balanced proportion of protein and carbohydrates to
support overall health and recovery.
- Encourage incorporating vitamin C-rich foods into
the diet, such as oranges, guavas, lemons, beans,
and cabbages, along with flavonoid-rich options like
onions, apples, tomatoes, and citrus fruits, to bolster
the immune system and aid in healing.
- Advocate for wearing loose clothing to enhance
comfort and prevent irritation or constriction of the
affected areas.
Preventive - Advise the patient to refrain from rubbing or
scratching the wound.
- Guide both the patient and their caregivers to keep
an eye on the affected skin area for any changes like
color, redness, swelling, warmth, pain, or signs of
infection.
- Stress the importance of not massaging the area
around the impaired skin.
- Recommend against placing pressure on the
- Boost immunity by consuming more yellow, orange, and
green vegetables.
- Consider an all-fruit diet for three days.
- Include essential fatty acids from seeds and nuts,
including almonds, walnuts, and flaxseeds.
- Consume ample green leafy vegetables and fresh fruits
from organic sources, such as beans, carrots, broccoli,
cabbage, and cucumber.
- Stay adequately hydrated throughout the day.
- Include foods rich in flavonoids, like onion, garlic, ginger,
and grape seeds, for added benefits.
Hygiene Guidelines:
- Educate individuals on proper oral hygiene practices.
- Instruct on the appropriate disposal of body secretions.
- Emphasize the importance of thorough handwashing.
- Advise clients to take a daily bath.
- Recommend wearing clean clothes to maintain
cleanliness.
- Encourage exposing linens to sunlight for added
freshness.
- Promote the regular changing of beddings every week.
- Suggest washing towels after every three uses.
- Advocate for the trimming of fingernails and proper foot
care.
- Provide advice on using lotion or moisturizer to keep the
skin hydrated and prevent cracking.
- Encourage maintaining cleanliness in the surrounding
environment.
- Regularly check and change wound sites and dressing as
needed.
affected site.
- Encourage the patient to use items like pressure-
reducing devices, pillows, or foam wedges for added
comfort and to alleviate pressure on the wound.
- Teach the client and their caregivers the correct
Curative procedure for wound care, emphasizing aspects
such as hand washing, wound dressing, and wound
management.
- Advise the client to persist in applying the
prescribed Bactifree cream to the impaired area as
directed.
- Ensure the client understands the importance of
continuing the prescribed course of antibiotics for
effective treatment.
-Advise Client and significant others to consult her
Rehabilitativ physician for follow -up check up.
e
- Motivate the patient to engage in gentle exercises
2. altered physical that involve moving their arms and legs, either with
mobility Promotive assistance or independently.
- Guide the patient to start walking as soon as
possible after treatment, with assistance from
caregivers for initial activities like sitting up, standing,
and walking.
- Encourage the patient to perform simple tasks at
their own pace, such as grooming, changing clothes,
and eating, to promote independence.
- Recommend that caregivers ensure the patient
takes breaks between activities to prevent
overexertion and promote rest.
- Discourage the use of irritating soaps for better skin care.
Activity Recommendations:
- Encourage individuals not to overexert themselves and to
incorporate frequent rest periods, including afternoon naps.
- Instruct to avoid engaging in strenuous activities such as
heavy laundering and lifting of heavy objects.
- Advocate for maintaining adequate sleep at night, aiming
for a duration of 6 to 8 hours.
- Encourage the regular practice of active or passive range
of motion exercises to enhance flexibility.
- Promote engagement in activities of daily living within the
limits of tolerance, with assistance provided by others when
necessary.
- Advise against activities that require heavy lifting or
exertion, such as laundry or moving furniture, to
avoid strain.
- Remind caregivers to keep essential items within
Preventive the patient's reach and to raise side rails for safety.
- Advise the patient to schedule follow-up
appointments with their physician for ongoing
management and monitoring of their condition.
Rehabilitativ
e

Medication Instructions:

Clindamycin 300mg, 1 capsule three times a day (TID)

Humulin 70/30 insulin, 32 units before breakfast and 20
units before dinner
Atorvastatin 40mg, 1 tablet once daily (OD)
Cilostazol 50mg, 1 tablet once daily (OD)

Community Support:

- Encourage visiting the barangay health center for

additional healthcare services and support.
- Advise keeping a record of important contact numbers
including those of doctors, family members, neighbors, and
health agencies in case of emergencies.
- Utilize the health services provided by the nearest health
center for regular check-ups and consultations.
Spiritual Support:

- Encourage maintaining faith and trust in God during

challenging times.
- Recommend continued participation in religious activities
and seeking guidance from spiritual advisers.
- Provide support that aligns with the client's religious
beliefs, ensuring comfort and solace.
- Encourage family members to join the client during prayer
time, fostering a sense of unity and support.
- Encourage open communication about feelings related to
the current condition.
- Suggest seeking spiritual counseling if needed for
additional support and guidance.

Financial Guidance:

- Instruct the client and their family to utilize available health

insurance resources.
- Encourage enrollment and utilization of PhilHealth
benefits to offset healthcare costs and expenses.