Patient’s Initial: B.

C
Age: 49y.o
Sex: Male
Medical Diagnosis: swelling and redness of Right leg cellulitis Right foot
Attending Physician: Dr. C
Date of Admission: January 9, 2018
Date of Discharge:

Plan of Care
Diet:
Avoid or limit the following:
*Carbonated and alcoholic beverages
*Refined foods such as fries, pizza, fried chicken and chips
*Limit the intake of peanuts, cashews, green gram, peas,
lean meat, poultry, fish, eggs, millet, nuts and seeds, lentils,
beans and fermented soy.
*Vegetables such as potato, tomatoes as they are known to
aggravate VATA (Wind) and cause pain and discomfort.
*Milk and other dairy products such as butter, cheese and
ghee are known to worsen symptoms.
*Avoid artificial sweeteners.
* Oily and fried food.
*Caffeinated products and hydrogenated fats are best
avoided as they may further exacerbate the condition.
*Avoid sweets and sugary foods that slow down the natural
process of wound healing.
Promote the following:
*Drink a lot of fresh fruit juices (without adding artificial
sugar) and ensure adequate hydration to flush away those
toxins.
*Take good proteins from soya, sprouts etc.
*Increase the intake of yellow, orange, and green vegetables
which help boost immunity.
* An all-fruit diet for three days.
* Increase essential fatty acids from seeds and nuts like –
almonds, walnuts and flaxseeds.
* Eat plenty of green leafy vegetables and fresh fruits from
organic sources. Vegetables such as beans, carrots, broccoli,
cabbage and cucumber.
*Drink adequate amounts of water through the day.
*Food rich in flavonoids such as onion, garlic, ginger, grape
seeds are also beneficial.
DISCHARGE PLAN
Problem
1. Impaired skin integrity (Wound)
Level of Care Plan of Action
Promotive  Encourage patient to have adequate calorie intake with
balanced protein and carbohydrates.
 Encourage patient to eat foods rich in vitamin C such as
oranges, guavas, lemons, beans and cabbages and also to
include flavonoid rich food in her diet such as onions,
apples, tomatoes and citrus fruits.
 Encourage patient to wear loose clothing
 Instruct patient to avoid rubbing and scratching the wound.
Preventive
 Instruct patient and significant others to monitor site of skin
impairment for color changes, redness, swelling, warmth,
pain, or other signs of infection.
 Instruct the patient and significant others to avoid
massaging around the site of skin impairment.
 Instruct the patient significant others not to position the
client in the site of impairment.
 Instruct patient to use pressure reducing devices, pillows
and foam wedge.
 Instruct client and significant others in proper wound care
Curative
including hand washing, wound dressing and wound.
 Instruct client to continue applying prescribed bactifree
cream to the site of impairment.
 Instruct client to continue prescribe antibiotics such as
ampicillin sulbactam.
Hygiene:
Rehabilitative  Advise Client and significant others to consult her physician
*Teach folk to provide a proper oral hygiene.
for follow-up check up.
*Teach proper disposal of body secretion.
*Emphasize the significance of proper hand washing.
*Instruct client to take daily bath. Promotive
2. Altered physical mobility  Encourage patient to execute passive or active assistive
*Instruct to wear clean clothes.
range of motion exercises to all extremities.
*Encourage to expose the linens under the heat of the sun.  Instruct the patient to facilitate early ambulation when
*Encourage to change beddings every week. possible. Advise the significant other to aid with each initial
*Encourage to wash towels every after 3 uses. change: dangling legs, sitting in chair, ambulation.
*Encourage to trim finger nails and foot care.  Encourage patient to independently perform simple activity
at her own pace such as combing her hair, changing clothes,
*Advice to use lotion or moisturizer to keep the skin moist and eating.
and prevent cracking and splitting
 Advise significant others to provide the patient rest periods
*Advice the folks to keep the surrounding clean. in between activities.
*Check and change the wound site and wound dressing
daily.  Instruct significant other to turn the patient every 2 hours or
*Avoid use of irritating soap as needed.
Activity:
*Encourage not to over perform activities and have frequent Preventive  Advise to avoid strenuous activities such as washing clothes
rest periods, take afternoon naps. and lifting or moving heavy furniture.
*Instruct to avoid strenuous activities like laundering, lifting  Instruct significant others to always raise the side rails and
heavy objects. put important item close.
*Encourage to have adequate sleep at night for at least 6-8
hours
Rehabilitative  Advise client to consult physician for follow-up
*Encourage to perform active or passive range of motion
management.
exercises.
*Encourage to perform activities of daily living as tolerated
and instruct folks to provide assistance when necessary.
Medications:
*vitamin C (ascorbic acid)
Dosage: 100 mg/5mL
Route: PO
Frequency: OD
For protection against immune system deficiency
*zinc sulfate syrup
Dosage: 5ml
Route: P.O
Frequency: OD
For improve growth and fight infection and improve
absorption of nutrients
 *vitamin b complex syrup
Dosage: 10mL
Route: P.O
Frequency: OD HRZE
Dosage: 2 tab
Route: P.O
Frequency: ODAC
To increase energy levels and maintain cardiovascular
health and beneficial in boosting RBC production;
beneficial in heart, health and brain support
*naproxen
Dosage: 15 mg/kg/day
Route: P.O
Frequency: q12
For pain reliever
Community Support:
*Encourage to visit the barangay health centre.
*Keep record of telephone number of the doctors, family
members, neighbours, and health agencies in case of
emergencies.
*Avail the health services offered by the nearest health
centre such as check-up.
Spiritual:
*Encourage client to have faith and trust God at all times.
*Encourage client to continue participating in religious
activities and to contact with spiritual advisers.
*Provide support with her religious beliefs.
*Instruct the family to be with the client during prayer
time.
*Encourage to verbalized feelings about present condition.
*Encourage to seek spiritual counselling if needed.
Financial:
*Instruct client and her family to make use of health
insuranc
*PhilHealth
Appointment:
*Instruct client or significant other to visit the physician
for follow- up check up: Dr. A’s & Dr. R’s – clinic on
February 9, 2018

References:
https://www.emedicinehealth.com/cellulitis/page2_em.htm
https://www.livestrong.com/article/237311-what-are-the-causes-of-recurring-cellulitis