DISCHARGE PLAN A case of JS, 34 years old, married, Filipino, Roman Catholic, resident of Burgos Pulangbato Cebu City,

admitted at Vicente Sotto Memorial Medical CenterOrthopedic Ward last January 9, 2013 under Dr.Machacon, with chief complaints of purulent discharges of surgical site with pain and numbness, with final diagnosis of Fracture Closed Distal 3rdHumerus Right S/P Plating, Full Thickness Debridement Right Arm. After medical interventions, has doctors order of may go home. Seen patient went home last January 30, 2013. MEDICATION: Advise patient to continue medications as prescribed by the Physician: Clindamycin 300mg 1cap PO TID for 7days Multivitamins + Iron 600 mg PO OD

ENVIRONMENT: Advise to clean living area as much as possible to prevent further infection and prevent further complications Encourage to promote well ventilated and quiet room Instruct to avoid crowded and untidy environment contained with sewage water TREATMENT: Adequate Intake of Fluid, as tolerated Avoid food and beverages containing spice, alcohol, and high fat, high salt foods Instruct to perform pain management by positioning and relaxation techniques Advise to conduct diversional activities Advise to comply drug regimen religiously prescribed by their physician Follow up check up as scheduled

HYGIENE: Instruct to keep self clean and free from infections Encourage to perform hygiene measures daily to maintain comfort levels Advise to keep clothing light and clean

 Aseptic technique always: Hand washing OBSERVABLE SIGNS AND SYMPTOMS: Report any unusualities like severe bleeding, pain, numbness, purulent discharges Report any intolerable pain unrelieved by any interventions See physician if condition worsen DIET: Advise to increase oral fluid intake as tolerated Encourage to eat healthy and nutritious foods rich in nutrients and vitamins especially iron, like green leafy vegetables and acid-free fruits Instructed diet on hypoallergenic diet Advise to avoid drinking excessive alcoholic beverages and citrus fruit juices Instruct to eat with adequate amount of food and proper timing SPIRITUAL: Encourage to put God first in everything, Prayer is powerful and so does God. Encourage to join community activities and services to make self active and enhance social relationships.