Discharge And Home Healthcare Guidelines

Prevention involves correcting the initiating events. If the disease is related to alcohol use, reinforce the importance of abstaining and provide appropriate referrals. Teach the patient to recognize early symptoms that may indicate recurrence and when to contact the physician. Emphasize the importance of follow-up care. Teach the rationale, action, dosage, and side effects of all prescribed medications. Instruct the patient to take prescribed pancreatic enzyme replacements with or immediately after meals and to swallow them whole and not with hot liquids that would disrupt the protective coating. If the patient is being discharged with the requirement for continued insulin injections, the patient and family should demonstrate the injection technique and the procedure for blood glucose self-monitoring. Provide a log and show them how to keep a record of glucose levels and insulin dosages. The patient with a loss of pancreatic endocrine function requires extensive ongoing diabetic teaching after discharge; refer for additional counseling if necessary. Encourage the patient to seek nutritional follow-up with clinic or physician visits, especially for hyperglycemic management.

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