Discharge And Home Healthcare Guidelines

The primary goal of discharge teaching is to educate the patient and family about reducing the risk of transmitting the organisms that cause gastroenteritis. Demonstrate hand-washing techniques. Instruct the patient and family to use an antibacterial soap, such as liquid Dial, for hand washing after toileting. Stress the importance of daily bathing and meticulous personal hygiene with a focus on perianal cleansing. Frequent cleansing of the commode with an antibacterial cleanser is necessary to avoid exposure of stools to others. The patient should not handle food that will be eaten by others. Discuss the need for the patient to have her or his own toothpaste, towel, and washcloth and not to share dishes, utensils, or drinking glasses. Provide these instructions in written form; explain that they are to be carried out for at least 7 weeks—or for several months if the patient is diagnosed with shigellosis.

368 Gastroesophageal Reflux Disease (GERD)

The patient may be discharged with a prescription for antibiotics or antiinfective agents. Teach the patient to continue the medications for the full length of therapy. Tell him or her to space the medication evenly around the clock; take with a full glass of water; and report symptoms of rash, fever, bleeding, bruising, or other new symptoms. Instruct the patient to report recurring symptoms of diarrhea, fever, vomiting, or any change in frequency and appearance of stool.

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