Discharge plan with three goals listed in order of priority

          Discharge Plan for Gabriel Introduction Gabriel, a 5-year-old boy, has been diagnosed with an ear infection, an acute febrile seizure, and a fracture of the right ulna. Given his condition and recent injury, the discharge plan must prioritize safety, pain management, and education to ensure a smooth recovery at home. Goals of Discharge Plan Goal 1: Ensure Safe Management of Seizures at Home Rationale: Gabriel experienced a seizure, which can be alarming for both him and his mother. Ensuring that she understands how to recognize and respond to seizures is crucial for his safety and the family's peace of mind. Goal 2: Manage Pain Effectively Rationale: Gabriel has a fracture that will likely cause pain and discomfort. Effective pain management is essential for his comfort and mobility during recovery. Goal 3: Promote Adherence to Medication Regimen Rationale: Gabriel has been prescribed medications that are vital for treating his ear infection and managing pain. Ensuring that his mother understands the correct dosages and the importance of adherence is essential for recovery. Nursing Interventions Goal 1: Ensure Safe Management of Seizures at Home 1. Educate Mother on Seizure Types: Provide information about febrile seizures, their characteristics, and when to seek medical help. 2. Develop a Seizure Action Plan: Create a written plan for the mother outlining steps to take during and after a seizure. 3. Provide Resources: Supply pamphlets or resources detailing support groups or further educational materials on seizure management. Goal 2: Manage Pain Effectively 1. Assess Pain Levels: Instruct the mother on how to use a pain scale appropriate for children to monitor Gabriel’s pain levels. 2. Administer Medications: Teach the mother about administering acetaminophen and ibuprofen, including when to alternate doses for maximum effectiveness. 3. Teach Comfort Measures: Suggest non-pharmacological methods for pain relief, such as ice packs or elevation of the injured arm. Goal 3: Promote Adherence to Medication Regimen 1. Dosage Education: Clearly explain the prescribed dosages for acetaminophen (15 mg/kg every 4-6 hours), ibuprofen (10 mg/kg every 6-8 hours), and cefuroxime (250 mg twice daily) based on Gabriel's weight. 2. Create a Medication Schedule: Provide a chart for the mother to track medication times and dosages. 3. Discuss Possible Side Effects: Inform the mother about potential side effects of medications, emphasizing the importance of reporting any adverse reactions immediately. Medication Dosages for Gabriel - Acetaminophen: 15 mg/kg x 48 lbs / 2.2 = 327 mg (around 6-7 mL of liquid formulation depending on concentration) - Ibuprofen: 10 mg/kg x 48 lbs / 2.2 = 218 mg (around 5-6 mL of liquid formulation depending on concentration) - Cefuroxime: 250 mg twice daily as prescribed. Importance of Correct Dosage Administering the precise dosage is crucial for several reasons: - Effectiveness: Incorrect dosages can lead to suboptimal treatment outcomes or insufficient pain control. - Safety: Overdosing can lead to toxicity and adverse effects, while underdosing can prevent effective treatment of infections or pain. - Consistency: Following a consistent regimen fosters adherence and improves recovery times. Conclusion This discharge plan prioritizes Gabriel's safety concerning seizure management, effective pain control, and adherence to medication. By following this structured approach, we aim to provide his mother with the necessary tools and knowledge to care for her son effectively at home.      

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