Discharge Planning
Discharge Planning
Discharge Planning
Discharge Planning
11.1 Medications
Discuss all the take home medications to the patient and relative and the side effects and
adverse effects.
Some drugs have undesirable effects and may cause GI irritation if taken with empty stomach.
Encourage to take the medications with food if not contraindicated.
Take the exact dose of the medication finish all the medicines given.
Immediate consultation is necessary when experiencing adverse reactions because it may life
threatening to the patients.
11.2 Exercise
Walk as often as you feel able. Walking prevents blood clots from forming and also helps speed
healing.
Not do sports or strenuous activity until your healthcare provider says it’s ok.
Not lift anything heavier than 10 pounds.
Ask others or relatives to help with chores and errands.
Ask your healthcare provider when you can return to work.
11.3 Treatment
Hysterectomy – Plan to rest at home for about 3 to 5 days after the surgery.
Take all the prescribed medicine exactly as directed.
If you have stitches inside your vagina, they will absorb over time and do not need to be taken
out.
Sanitary pads can absorb discharge or vaginal bleeding. At first is likely a light bleeding. And you
may have a brownish discharge up to 6 weeks.
Don’t use tampons they can cause infection.
NSD – You will have a vaginal discharge called lochia, after your delivery. The color is red or dark
brown with clots for about 1 to 3 days after birth. The color will turn to pale pink or brown and
the amount will decrease for 3 to 10 days. And on the 10 th to 14th day it will turn to yellow or
white color. Use a sanitary pad instead of tampon to avoid or prevent infection on vaginal.
Proper positioning in breastfeeding makes easier in both of the mother and the baby. It allows
the baby to easy remove the milk from the breasts and swallow easily. To avoid tenderness of
the nipples.
Sitz Bath sitting in a tub of 4 to 6 inches of warm water for 15-20minutes two to three times a
day will help to relieve the discomfort.
For breastfeeding wash your breasts with water daily for cleanliness.
Air dry nipples each feeding.
Keeping the area between the perineum and vagina clean and dry. This will help and prevent
infection.
Wash area gently with soap and water when taking a bath or shower.
Rinse your perineum with warm water after you urinate or have a bowel movement.
For hysterectomy, call the healthcare provider or physician right away if you have any of the
following after the surgery.
Fever at 30degrees Celsius or higher.
Vaginal bleeding that is bright red and soaks more than 1pad in an hour or 60 minutes.
Shortness of Breath or chest pain.
Trouble in urinating and burning in urinating.
11.5 OPD/Follow up
For hysterectomy you may need to return for other tests. Write down your questions for you to
remember to ask them during your visits.
Be sure to tell your healthcare provider or physician if you have hot flushes, mood swings or
irritability. Medicines may help them ease these symptoms.
You need to return 6weeks after the vaginal delivery. Ask how to care for any wounds or
stitches.
11.6 Diet
Continue taking prenatal iron and vitamin pills until your postpartum visit.
It is important to have a well-balanced diet and drink plenty of water or fluids. Drink at least 2
quarts or 8 glasses of water per day for breastfeeding.
To avoid constipation, Eat fruits, vegetables and whole-grain foods. If needed ask your
healthcare provider or physician whether you should use stool softener.
11.7 Spirituality/Sex/Socialization