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Discharge Plan CAP CHF

Mrs. M.S., an 88-year-old patient diagnosed with Community-Acquired Pneumonia and Congestive Heart Failure, has a discharge plan that includes medication management, activity recommendations, dietary guidelines, and home monitoring instructions. Follow-up appointments and referrals to specialists are advised to ensure comprehensive care. Family involvement is emphasized for medication adherence and support.

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30 views2 pages

Discharge Plan CAP CHF

Mrs. M.S., an 88-year-old patient diagnosed with Community-Acquired Pneumonia and Congestive Heart Failure, has a discharge plan that includes medication management, activity recommendations, dietary guidelines, and home monitoring instructions. Follow-up appointments and referrals to specialists are advised to ensure comprehensive care. Family involvement is emphasized for medication adherence and support.

Uploaded by

cherishcorpuz159
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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DISCHARGE PLAN

Patient: Mrs. M.S.


Age: 88 years old
Diagnosis: Community-Acquired Pneumonia (CAP), Congestive Heart Failure (CHF)
Date of Discharge: ___________
Prepared by: ___________

Category Instructions / Plan Rationale


Medications - Continue prescribed To completely treat
antibiotics as ordered (e.g., pneumonia and prevent
Cefuroxime 500 mg every relapse; to manage CHF and
12 hours for 7–10 days). prevent fluid overload.
- Take diuretics such as
Furosemide to reduce fluid
buildup.
- Continue CHF meds (ACE
inhibitors, beta-blockers,
digoxin as prescribed).
- Do not skip doses; family
to keep a medication
schedule.
Activity & Safety - Encourage rest with To promote lung expansion,
gradual light activity like prevent fatigue, and ensure
walking short distances. patient safety.
- Use assistive devices (cane
or walker) to prevent falls.
- Place patient in semi-
Fowler’s position when
sleeping.
Diet & Fluids - Follow a low-sodium diet Low-salt diet prevents fluid
(avoid processed foods and retention; weight
salty snacks). monitoring helps detect
- Provide soft, nutritious worsening CHF.
meals.
- If fluid restriction is
prescribed, measure and
record all intake.
- Monitor daily weight at
the same time each day.
Home Monitoring - Watch for fever, Early detection of
worsening cough, or complications to prevent
shortness of breath. rehospitalization.
- Report swelling in legs,
sudden weight gain, or
chest pain.
- Go to the ER if symptoms
worsen.
Follow-up - Return for a follow-up To evaluate treatment
appointment in 1 week. effectiveness and adjust
- Possible chest X-ray, ECG, medications as needed.
and blood tests as ordered.
Respiratory Care - Use nebulizers or oxygen To improve oxygenation,
therapy at home if clear lung secretions, and
prescribed. prevent reinfection.
- Practice deep breathing
and coughing exercises
every 2–3 hours.
- Avoid exposure to smoke,
dust, or people with
infections.
Education for - Teach medication Family involvement is vital
Family/Caregivers administration and timing. for adherence and
- Reinforce the importance prevention of further
of completing antibiotics. complications.
- Encourage regular
vaccinations (flu and
pneumococcal).
Psychosocial Support - Provide emotional support Enhances quality of life and
to reduce anxiety. supports mental health.
- Encourage daily
interaction and engagement
in light activities.
- Consider referral to home
care or palliative care if
needed.
Referrals - Cardiology for CHF Ensures comprehensive
management. care and recovery.
- Pulmonology for lung
health.
- Nutritionist for diet
planning.
- Home Health Nurse for
continued monitoring.

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