Discharge Planning

DISCHARGED PLANNING HOME MEDICATIONS 1.Advice the continue the medication as ordered by the physician. 2.Inform the patient’s guardian on the right dose and the right time in taking the medications. 3.Explain in Layman’s term the action of the drugs the patient is taking. MEDICINES: • • •

Fe Fumarate 1capsule TID Mefenamic Acid 500mg 1 tablet OD Tanexamic Acid 500mg 1 tablet q 8 hr.

EXERCISE 1. Instruct the patient to do deep breathing exercise regularly for lung expansion 2. 30 minutes of moderate exercise daily is recommended for those who are disabled. For patient with disabilities, a tailored exercise. Program to their capabilities should be arranged. TREATMENT.

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Women typically undergo an ultrasound at their gynecologist’s office as part of the evaluation process to determine the presence of uterine fibroids. It is a rudimentary imaging tool for fibroids that often does not show other underlying diseases or all the existing fibroids. For this reason, MRI is the standard imaging tool used by interventiona radiologists.

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Magnetic resonance imaging (MRI) improves the patient selection for who should receive nonsurgical uterine fibroid embolization (UFE) to kill their tumors. Interventional radiologists can use MRIs to determine if a tumor can be embolized, detect alternate causes for the symptoms, identify pathology that could prevent a women from having UFE and avoid ineffective treatments. Using an MRI rather than ultrasound is like listening to a digital CD rather than a record – the quality is better in every way. By working with a patient’s gynecologist, interventional radiologists can use MRIs to enhance the level of patient care through better diagnosis, better education, better treatment options and better outcomes.

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In contemporary Chinese medicine, there is the assumption that uterine myomas or "fibroids" are always equated with the traditional concept of concretions, conglomerations, accumulations, and gatherings and, therefore, always primarily involve blood stasis. Further, since there is the presence of physical masses (at least based on

bimanual palpation and ultrasound),. Blood stasis is a Chinese medical pattern, and such patterns are only identified by evidence gathered by the four examinations. Since the four examinations do not include bimanual palpation or ultrasonography, the assumption that all uterine myomas equal concretions and conglomerations and, thus, blood stasis is a highly questionable one. In point of fact, many women with uterine myoma display no signs or symptoms of blood stasis (other than the chronic, enduring nature of their condition) and do display mainly signs and symptoms of vacuity patterns, such as spleenkidney yang vacuity.

HEALTH TEACHINGS The ff. Health Teachings are directed towards the patient for the betterment of her condition and also serves as chain of continuing health promoted by Health Care Providers even after discharge. •

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Contact Medical Professional provider if gradual changes in your menstrual pattern o occur.Including a ncluding a heavier flow,increased cramping or bleeding cramping or bleeding bet. periods or if fullness or heaviness Periods or if fullness or heaviness in in your lower abyour lower abdomen. Rest in bed when symptoms are worst. Eat food high in iron and take iron pills if you bleed heavily during your periods. Put a heating pad at low setting on your abdomen to help relieve cramp or pain.

OUT-PATIENT DEPARTMENT FOLLOW UP/CHECK-UP Remind the patient with an immediate family member or her son for a follow-up appointment in the hospital 1-2 weeks after discharge or when complications of the disease appear. DIET Nutritional Management It includes maintenance of DBW. By the age of 60, the average adult has accumulated about 7 extra kilograms. To prevent overweight and obesity (which increases chances of developing chronic disorders associated with aging like high blood pressure, increases levels of blood cholesterol and triglycerides, hyperuricemia and diabetes), it is recommended that the daily caloric allowances be reduced with increasing age. A decrease of 3% is suggested by FAO for each decade of 30 to 39 years and 40 to 49 years because the resting metabolic rate declines brought about by loss of lean body mass.

Physical activity may also be curtailed. Men in occupation requiring light activity are found to have fairly constant activity patterns between ages 20 and 45. Studies of energy expenditure and food intake of healthy adult males with an average weight of 56 kg show that 2580 kcal/day (44 kcal/kg) adequately cover their average energy expenditure. The characteristics of a reference woman are the same as those of the reference man except that she weighs 48 kg and needs 1920 kcal or 40 kcal/ kg to maintain her body weight. Between the 56 kg reference men and 48 kg reference woman, the energy, protein, thiamine, riboflavin and ascorbic acid and iron allowances differ. About 12% of the energy intake must be in the form of protein, 1.2 gm/kg body weight for adults. Since Vitamin C enhances the absorption of iron, its adequate intake (70 mg for woman and 75 mg for men) helps alleviate the 27% prevalence of anemia among adult non-pregnant, non lactating woman in contrast with only 15% prevalence among men. Nutrition experts recommend adequate Vitamin D from the diet and exposure of the skin to sunlight, 1200 to 1500 mg calcium, and exercise. Muscle pull influences the calcium, content of the bone.

Feeding the Adult To stay healthy, the following must be observed and followed: 1. Eat variety of foods. 2. Maintain ideal weight. 3. Avoid too much fat, saturated fat and cholesterol. 4. Eat foods with adequate starch and fiber. 5. Avoid too much sugar. 6. Avoid too much sodium. 7. If you drink alcohol, do so in moderation.