D)
> Medication
* The patient has to continue the medication given.
Advised patient to have complete bed rest and learn energy-conserving techniques in ADL’s
until the patient regains strength.
Encouraged the patient to move around occasionally and bend extremities (ROM exercises)
to avoid getting blood clots when resting for a long period of time.
Encouraged patient to do deep breathing exercises to promote circulation of blood and
relaxation.
Advised patient and family to try to maintain a safe, clean, comfortable and calm
environment.
Therapy / Treatment
Encouraged use of soft bristled toothbrush, avoid straining during passing of stool and
forceful blowing of the nose to prevent bleeding.
Patients who are sent home should be monitored daily. Any abnormal changes in
temperature, volume of fluid intake and losses, urine output (volume, frequency and color),
warning signs, signs of plasma leakage and bleeding, and signs of anemia should be
reported.
Advised client and significant others to take in time prescribed medicines especially for high
blood pressure.
Health Teaching
Eat unprocessed foods to lower the sodium, such as:
Fresh turkey and chicken
Lean beef
Unsalted tuna
Fresh fish
Fresh vegetables and fruits
Teach the client to follow all the instructions including medications, diet
regimen and do’s and don'ts that was instructed to him by the physician.
Teach the patient to ensure rest for himself as much as possible.
Encouraged the patient to comply with the medication as ordered by his physician
Explained the importance of adhering to his treatment regimen.
Describe to the client the signs and symptoms to be reported immediately (blood in the
urine, foamy urine, swelling on the face, legs or abdomen).
Out-Patient
Advised the patients family to follow up check-up as physician’s order to prevent further
complications and to update the medical team concerning the progress of the patient’s
condition and to promote continuity of care.
Advised significant others to immediately consult physician if signs and symptoms of the
disease occurs or persists.
Diet
Advised family Members to eat nutritious foods such as fruits and vegetables.
Emphasized adequate fluid intake.
Instructed patient to have a diet low in sodium (salt), potassium, phosphorus and protein.
Limit processed foods such as:
Frozen dinners and packaged meals
Canned fish and meats
Pickled foods
Salted snacks
Lunch meats
Sauces
Most cheeses
Fast foods
Encouraged the patient to limit or, if possible, avoid alcoholic beverages.