EXERCISE

Type of activity allowed/to be continued:

Deep Breathing Exercises
Light Activities
Procedure or Steps:
1
2
3

Sit up straight as you prepare to do these exercises. Keep your backbone

fully upright with your shoulders pulled back as you get into position.
Inhale slowly and deeply. Slowly fill your lungs with air. Think about how
pure, fresh and cleansing this new air is for your body.
Focus on how your lungs feel as they fill with air. Notice how they expand.
Pay attention to how your diaphragm moves to make room for more air in
your lungs.
Exhale slowly. Release the air from your lungs until they are completely
empty. Feel your lungs contracting as you expel all of the old air from your
body.

Use of Equipment (if any): No equipment necessary

Restrictions: Strenuous Activities

HEALTH TEACHINGS

Instruct the patient to comply religiously with home medications given.

Instruct to inform the physician immediately if there are any side effects
experienced.
Instruct to increase fluid intake: 8-10 glasses per day
Instruct to utilize Deep Breathing Exercises for at least twice a day
Instruct to focus on light activities
Instruct to avoid going on crowded places
Instruct to cover mouth when coughing or sneezing
Instruct to eat healthy meals 3 times a day.

OPD VISITS/REFERRALS

Follow-up laboratory examinations Repeat urinalysis on March 4, 2015

Next check-up schedule at Dr. Montelibanos clinic: March 6, 2015
Referral: Dr. Laurito for focal inflammation on left kidney

DIET

High calorie and high protein diet:

o
o
o
o
o
o

Vegetables with added margarine, butter, cream cheese, and cheese

Avocado
Meats, eggs, dried beans, and lentils
Peanut butter and tofu
Whole milk and whole milk products
Soups made with cream or meat.

DAY 1

DAY 2

Breakfast: 1 egg, 1 cup of

rice and 1 glass of milk

Breakfast: 1 cup of rice

with tortang talong and 1
glass of milk

Breakfast: 1 cup of rice

with corned beef and 1
glass of milk

Lunch: 1 cup of tinolang

isda, 1 cup of rice and a
glass of water.

Lunch: 1 cup of rice with

malunggay soup and a
glass of water.

Dinner: 1 cup of rice and

vegetable soup

Dinner: Lugaw and a

glass of water.

Lunch: 1 cup of rice, 1

cup of vegetable soup.
Dinner: 1 cup of rice,1
cup of pinakbet and 1
slice of mango

DAY 3

SPIRITUAL CARE

Spiritual counselling such as encourage to read the bible, say a prayer to God
to give thanks for the guidance provided throughout the course of his
condition, and to strength faith in God.
Supportive counseling

PROGNOSIS
The patient is resolving from pneumonia, he should not forget to follow the
doctors order for the maintenance of his medication. He doesnt need a change in
therapy, nor does it warrant additional courses of antibiotics or prolonged antibiotic
therapy to make sure pneumonia has fully cleared up. And follow up check up to his
physician for further analysis to his condition.

BIBLIOGRAPHY

Doenges, M. et. al.(2009) Nurses Pocket Guide, 12th edition, Philadelphia,

C&E publishing,

LeMone et.al.(2010) Medical-Surgical Nursing Critical Thinking in Patient Care

5th edition. Pearson,
MIMS 140th edition 2014
Nurses Quick Check, Diagnostic Tests

McFarland, M. Nursing Implications of Laboratory Tests 2nd Edition, Delmar

Publishers Inc.

Nursing 2006 Drug Hand Book, 26th edition, Philadelphia, Lippincott Williams
& Wilkins

Pathophysiology made incredibly visual, Philadelphia, Lippincott Williams &

Wilkins

Schull, P.D.,(2006) Nursing spectrum Drug Hand Book, New York, McGraw-Hill
Companies, Inc.,

Thibodeau, G. 2003. Anatomy and Physiology 5th Edition. Mosby, Inc.,

Smelter, S. et. al.(2005) Medical surgical nursing 11 th edition, Lippincott
Williams and Wilkins.