Tina_Jones_Hospital Discharge Plan_2022 | NURS 261 Discharge Results_Shadow_Health

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Discharge Results | Turned In Health Assessment Simulations - Spring 2020 Return to Assignment (/assignments/318206/) Please be advised that Shadow Health, including the Technical Support team will... be closed on Memorial Day Monday, 5/25/2020. We will resume normal business on Tuesday, 5/ 9 AM EDT. Your success is extremely important to us, so be assured that we will respond to your calls and/or emails ASAP on Tuesday. Hospital Discharge Plan Title Student's Note Write what you would say to instruct Tina about managing her diabetes. Ms Jones, before we can discharge you, I would like to provide some important information regarding managing diabetes with you. It is important that you regular monitor your blood glucose at home and keep up with your medication schedule. Always feel free to reach out to our doctor's office if you have any concerns regarding your medications. Monitor your blood sugar at home at specific times, d a test before each meal and 1 or 2 hours after a meal. Before, during and after physical activity. Detecting signs and symptoms of hypo- and hyperglycemia are crucial as well. These symptoms can occur rapidly, thus detecting them early is favorable. Hypoglycemia is characterized by hunger, trembling, nausea, sweating and a fast heartbeat. When you notice these signs of low blood sugar, drinking fru juice or anything with a good amount of carbohydrates is recommended. Signs an symptoms of hyperglycemia include fatigue, increased thirst and urination. By managing your diabetes with the prescribed medications, we can prevent commo complications of diabetes. Diabetes could affect your vision; high blood sugar cou lead to blurry vision, cataracts and glaucomas. With these vision problems, an increase of headaches are inevitable. Diabetes could also affect your other organ high glucose over time can affect kidney filtration tissues and your arteries to stiffe which makes the chances of developing heart disease and kindey failure more lik Other complications include nerve damage, which are characterized by pain, numbness and tingling sensations in the hands or feet. When caring for your feet make sure to check for lesions and be careful with clipping your toenails, preferab get them done by a podiatrist to prevent any bleeding complications. Besides medication, I would like to stress the importance of regular exercise and diet. Lim foods that are high in sugar, salt and fat, make sure to track the amount of carbohydrates as well. Try smaller portions of food spread throughout the day. Create a meal plan with a variety of healthy foods, containing vegetables, fruits, grains, protein and non- or low fat dairy products. If you need any assistance with creating a diet plan, we are able to help. Educate Tina about avoiding situations that could cause an asthma exacerbation. Explain to Tina that she should manage her asthma with her primary care provider. Ms. Jones, it is necessary to carry your inhaler with you at all times if you haven't been doing so. Environmental factors such as dust, dustmites, mold, pollen, (secondhand) smoke could contribute to an asthma exacerbation. When exercisin it is crucial to keep an inhaler close by and notify anyone appropriate of its locatio The inhaler will decrease bronchospasms and remain your airways open. A follow up appointment concerning long term management of your asthma should be discussed with your primary care provider. Any modifications to your inhaler dose can be made if necessary. Explain to Tina why it is important to stay hydrated. Ms. Jones, as a diabetic patient it is vital to stay hydrated. Drink 8 cups of water p day and take your medications with a full glass of water. Keeping hydrated mainta regulation of blood pressure, sugar levels, proper kidney function and moisturized body skin. Your Results Reopen (/assignment_attempts/6913876/reopen Lab Pass (/assignment_attempts/6913876/lab_pass.p Overview Hospital Discharge Plan This study source was downloaded by 100000831988016 from CourseHero.com on 04-09-2022 23:53:29 GMT -05:00 https://www.coursehero.com/file/62480306/Discharge-Tina-Jones-Shadow-Healthpdf/ Title Student's Note Educate Tina on her condition, management, and potential environmental and lifestyle changes. Explain to Tina that she should take all antibiotics as directed and until gone. Ms. Jones, although the pain on your foot wound has decreased since hospitalization, it is important to follow the discharge instructions to keep the wou clean by changing the dressing as instructed. Maintaining your diabetes is a vital factor in promoting healing of your foot wound. If it is not done properly, the foot wound may worsen and an infection could reoccur. Make sure to keep to the medication schedule and monitor your blood glucose regularly. You may notice temporary environmental and lifestyle changes. With your injured foot, it may be difficult to walk independently for now. Perhaps ask your sister or mother at home assistance when moving around. In order to treat the infection on your foot wound is necessary to take the antibiotics as directed to ensure effectiveness. The antibiotics should be taken until finished, even if the infection appears to be heale before then. If the prescription is not taken as directed and finished, the infection could reoccur. Educate Tina on the proper technique and procedure to be used to clean and maintain her wound. Ms. Jones, let's talk about wound care. You will need to clean and change dressin on your foot wound twice a day, once in the morning and once before bedtime. To ensure healing, the wound dressing change should be done in a clean environme Make sure to gather all the supplies and wash your hands thoroughly with antibacterial soap for 1-2 minutes. When you remove the dressing, examine the wound and take note of any changes, color, smell, consistency of drainage if applicable. Dispose of the old dressing. Wash your hands again and put on a pair sterile gloves. Dip a few 4 by 4 gauze pads in the betadine-water solution and use these to wipe the wound clean. Dispose of them with each wipe, do not go back a forth (wiping). Pat the wound dry with a dry piece of gauze. Place a clean and dry by 4 gauze and wrap the bandage dressing around the ankle. Educate Tina about her medications including the purpose and the side effects of each. All written instructions and prescriptions should be in layman’s terms. Ms. Jones, we will now discuss the prescribed medications that you will take hom For your asthma, an Albuterol inhaler is prescribed, which you have to take 2 puff every four hours and as needed when you experience any coughing, wheezing a shortness of breath. The albuterol will help open your lungs to maintain a clear airway, making breathing easier. Usage of the inhaler will improve your symptoms especially when you're around known triggers, such as cats, as you mentioned before. You may notice side effects such as increased blood pressure an heart ra when using this medication. For your diabetes management, Insulin glargine and Metformin are prescribed. Insulin glargine is a long-acting insulin which will work thoughout the day. It is important to check your blood sugar before administering any insulin. If your blood sugar is lower than 100mg/dL, you may want to withhold the insulin for a few hours to prevent hypoglycemia and reassess your blood suga The insulin glargine is 10 units taken at bedtime. Similarly for metformin, you hav check your blood sugar prior to taking it. The prescribed dose for your metformin 850mg by mouth twice a day. You may notice gassiness and loose stools when y start taking it, but it should improve over time. For treating your infection, Linezoli 600 mg by mouth every 12 hours for 10 days is prescribed. This is an antibiotic which you should finish taking, even if you believe the infection is cleared, to prev any reoccurence. You may experience an increase in heart rate, hypersensitivity, headaches, dizziness or confusion when taking this. For pain management, ibuprofen 800mg tablet by mouth three times a day as needed is prescribed. Ofte with pain medication, you may experience constipation. Make sure to drink adequ amounts of water to counteract the possible constipation. If the pain is not manag with the prescribed dosage, please contact the primary care provider. Tell Tina about the kinds of accommodations she will need to make to her routine and to her environment. Remind Tina of her risk of falling due to medications and impaired mobility. Discuss moving items that would put Tina at increased risk of falls such as area rugs and clutter. Ms. Jones, the doctor has given the order to let you resume your normal activities tolerated. You may also bathe. Please ask for assistance if needed. With the injur on your foot, it may be difficult to move around, move any potential obstacles in th house that could be a hazard. Any rugs or clutter are advised to be moved away temporarily. If you have nightlights at home, it may be a good idea to put them to use, especially near the hallway towards the bathroom. Keep in mind that side effects of the prescribed medication can cause drowsiness or confusion which lea to an increased risk for falls. Make sure to regularly elevate your foot to prevent swelling, a pillow underneath your foot can be sufficient. Educate Tina about proper nutrition practices for health promotion and diabetes management. Ms. Jones, a healthy diet plan is important to promote healing your foot injury and manage your diabetes. The diet that has been ordered for you is called the ADA 1800 calorie diet. ADA stands for American Diabetes Association. This diet is specifically created for diabetics in mind. You are advised to stay within 1800 calories a day, limiting saturated and trans fats, sugars and salt intake. Reading f labels for carbohydrate count and keeping track of the caloric count can be a help technique to implement. Home health will follow up with a diabetes educator who can assist you with any questions or difficulties you run into. As we have discusse before, diabetics are more likely to developing heart, kidney or vascular disease. These changes may be a lot to intake right now, but it will significantly improve blo glucose control and promote a healthier lifestyle. This study source was downloaded by 100000831988016 from CourseHero.com on 04-09-2022 23:53:29 GMT -05:00 https://www.coursehero.com/file/62480306/Discharge-Tina-Jones-Shadow-Healthpdf/ Title Student's Note Tell Tina when her follow-up appointment is and whom it is with. Communicate primary care physician followup appointment information. Ms. Jones, your next follow-up appointment is with you Primary Care Physician D Cade at Shadow Health Clinic this Friday at 10:30 a.m. You can contact Shadow Health Clinic at the phone number (555) 555-5555. Call this number if you have a questions, trouble locating the clinic or may want to change appointment date and time if needed. Home health will address you a diabetic educator soon. Home he agency is Shadow Nursing, and you can contact them at (555) 555-1212. Provide Tina with information to identify occasions when she should call the ER or her primary care doctor. Ms. Jones, if you notice signs and symptoms of hypoglycemia, which could includ shakiness, confusion, sweating, anxiety, hunger, blurred vision, seizures and loss consciousness, try take a glucose tablet, drink juice or eat candy. If symptoms remain unresolved, contact the primary care physician immediately. If you develo fever of greater than 100.4 F, chills, worsening pain or new redness or swelling around the wound occurs, contact the primary care physician as well or return to ER. I encourage you to contact the primary care physician if you have further concerns or questions. [Show More]

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