Scribd
Upload
153 views2 pages

7 Steps for Effective Dialysis Discharge Teaching

The document outlines 7 steps for discharge teaching and progress evaluation for a dialysis patient. The steps are: M) instruct the patient on taking medications regularly as prescribed and using a pillbox; E) advise residing in a calm environment and doing exercises; T) encourage early sleep before dialysis and caring for the arm access; H) teach hand washing and infection monitoring; O) instruct on follow up appointments and tests; D) advise on diet monitoring intake of water, sodium, protein, phosphorus and potassium; S) encourage continuing spiritual practices. The document concludes by opening the floor for questions.

Uploaded by

dalaginding cloph
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
153 views2 pages

7 Steps for Effective Dialysis Discharge Teaching

The document outlines 7 steps for discharge teaching and progress evaluation for a dialysis patient. The steps are: M) instruct the patient on taking medications regularly as prescribed and using a pillbox; E) advise residing in a calm environment and doing exercises; T) encourage early sleep before dialysis and caring for the arm access; H) teach hand washing and infection monitoring; O) instruct on follow up appointments and tests; D) advise on diet monitoring intake of water, sodium, protein, phosphorus and potassium; S) encourage continuing spiritual practices. The document concludes by opening the floor for questions.

Uploaded by

dalaginding cloph
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

In summary of Discharge Teaching / Progress Evaluation for the patient, there are 7 steps

of guidelines, first is M for medications which is to instruct patient on the medication to be taken
at home medications regularly as prescribed. Instruct client to use pillbox to monitor medication
intake. Likewise, advise the client to use an alarm if it needs to be taken with meals. Second is E
for environment or exercises, ask for the client’s support system and advise the patient to reside
in a calm and peaceful environment to avoid stress and anxiety. Next is T for treatment which is
to encourage client to sleep early before dialysis sessions. Advise the client to take care of the
arm access for hemodialysis through avoiding putting too much pressure and instruct client to
avoid getting blood and blood pressure in arm access. While H for health teachings, infections
are common among people receiving dialysis, and can be very serious. To prevent infection on
the arm access for hemodialysis, advise the client to wash hands often or use hand sanitizer and
check the access daily and notify staff if they notice any of signs of infection such as redness,
unusual drainage or swelling. Fifth letter is O for observation or outpatient follow up which is to
instruct client on schedule of check-ups and laboratory tests to monitor renal function and
progress. Moreover, advise client to attend on the scheduled date of hemodialysis. On the other
hand, D is for diet, Advise client to watch out for their intake such as in water, sodium, protein,
phosphorus and potassium. Use phosphorus food pyramids to balance their intake every day.
Also, boil food to reduce phosphorus of the food such as meat, legumes, and vegetables. Lastly,
S for spiritual which is to encourage the client to continue with religious practices such as prayer
and meditation to strengthen connectedness and spiritual-virtue of the client.

And that concludes our case presentation for today so the floor is now open for questions,
comments, and suggestion. thank you.

FOR THE PPT

M - MEDICATION/S
 Instruct client to use pillbox to monitor medication intake.
 Instruct the client to use an alarm if it needs to be taken with meals.
 Take medications regularly as prescribed.

E - ENVIRONMENT

 Advise client to lodge in quiet and peaceful environments to avoid stress and
anxiety.

T - TREATMENT

 Encourage client to sleep early before dialysis sessions.


 Instruct the client to take care of the arm access for hemodialysis through
avoiding putting too much pressure.
 Instruct client to avoid getting blood and blood pressure in arm access. 

H-HEALTH TEACHING

 Advise the client to wash hands often or use hand sanitizer


 Check the access daily and notify staff if they notice any of signs of infection such as
redness, unusual drainage or swelling

O - OPD FOLLOW-UP

 Instruct client on schedule of check-ups and laboratory tests to monitor renal


function and progress.
 Advise client to attend on the scheduled date of hemodialysis.

D - DIET

 Advise client to watch out for their intake such as in water, sodium, protein,
phosphorus and potassium. Use phosphorus food pyramids to balance their
intake everyday. Also, boil food to reduce phosphorus of the food such as meat,
legumes, and vegetables.

S - SPIRITUAL TEACHINGS

Encourage the client to continue with religious practices such as prayer and meditation
to strengthen connectedness and spiritual-virtue of client

You might also like