https://www.facebook.com/pramesh.gurung.94 Paid by Pramesh Taxsari pramesh.taxsari767@gmail.com Soccer Coach at Allegany College of Maryland

1. Patient/Family
Discharge Teaching
Plan

2. Introduction of the client
─ Gladys lives with her parents and siblings.
─ As the oldest child, she looks after her younger siblings and helps parents
to harvest farm produce.
─ She experienced a traumatic accident involving farm equipment.
─ She was admitted to the neurosurgical trauma unit.
─ She was medicated using enoxaparin, diclofenac, and Percocet.
─ Her discharge orders involved follow-up appointments.

3. ─ Interprofessional follow-up for Gladys involves home health, physician’s
visits, ophthalmology referral, and orthopedic care.
─ Interprofessional follow-up improves patient experience and treatment
outcomes (Busari et al., 2017).
─ The patient requires daily wound cleansing and dressing, 1-2 days physician
check-ups, and orthopedic assessment after 2 weeks.
─ In this client’s interprofessional care, nurses offer patient care, primary care
physicians conduct patient screening, ophthalmologist assesses the client’s
corneal abrasion, and the orthopedists manage the client’s joints and bones.
Collaborative care needs

4. Client’s safety needs
─ A patient requires effective safety needs after discharge.
─ Post discharge surveillance to minimize preventable
infections and injuries after the surgery (Pagamisse et al.,
2020).
─ Nurses to offer transition care for effective home health.
─ Minimize exposure to hazardous materials in the community.
─ Increase physical exercise, rinse eyes with water, and blink
regularly to overcome cornea abrasions (Marsden, 2016).

5. Patient safety needs
─ The effectiveness of patient’s
safety needs relies heavily on
the established nursing
considerations.
Transition care
─ In transition care, nurses focus on
emotional support, surveillance of
patient’s condition, and self-
hygiene (Asmirajanti et al., 2019).
Care coordination
─ Nurses coordinate care and
facilitate timely communication
with relatives in the post
discharge surveillance (Patel &
Bechmann, 2021).
Patient education
─ Nurses enable patients to stay at
home after discharge to
overcome exposure to hazardous
materials.
Nursing considerations

6. Medication teaching
─ Enoxaparin binds and potentiates anti-thrombin III to inactivate factor Xa
(Jupalli & Iqbal, 2022).
─ Its adverse reactions include anemia, bleeding, thrombocytopenia, and
serum aminotransferase elevation.
─ Nurses must assess the possibility of bleeding, hemorrhage, and excessive
anticoagulation.
─ Diclofenac inhibits the synthesis of prostanoids to overcome the binding of
arachidonic acid to COX-1 and COX-2 (Alfaro & Davis, 2021).
─ Its adverse effects including increased blood pressure, sweating, and
constipation.
─ Nursing considerations for diclofenac include skin color and lesions, renal
impairments, and ophthalmologic evaluation.

7. References
─ Alfaro, R. A., & Davis, D. D. (2021). Diclofenac. Treasure Island: StatPearls
Publishing.
─ Asmirajanti, M., Hamid, A. Y. S., Hariyati, R., & Sri, T. (2019). Nursing care
activities based on documentation. BMC Nursing, 18(1), 1-5.
─ Busari, J. O., Moll, F. M., & Duits, A. J. (2017). Understanding the impact of
interprofessional collaboration on the quality of care: A case report from a small-scale
resource limited health care environment. Journal of Multidisciplinary Healthcare,
10(1), 227–234.
─ Jupalli, A., & Iqbal, A. M. (2022). Enoxaparin. Treasure Island: StatPearls Publishing.
─ Marsden, J. (2016). Ophthalmic care. Cumbria: M&K Update Ltd.
─ Pagamisse, A. F., Tanner, J., & Poveda, V. B. (2020). Post-discharge surveillance of
surgical site infections in teaching hospitals in Brazil. Rev Esc Enferm USP, 54(1), 1-7.
─ Patel, P. R., & Bechmann, S. (2021). Discharge planning. Treasure Island: StatPearls
Publishing.