Discharge And Home Healthcare Guidelines

Provide instruction on the prevention of the spread of hepatitis to others. With hepatitis A, do the following for 1 to 2 weeks after the onset ofjaundice. Use strict hand washing after bowel movements and before meals. Have separate toilet facilities if possible (if not, clean the seat with bleach after each use). Wash linens, towels, and undergarments separately from other items in hot, soapy water. Do not donate blood or work in food services until such work is cleared by a physician.

With hepatitis B, C, or D, do the following, as directed by a physician, until antigen-antibody tests are negative. Maintain strict hand washing after urination and defecation. Do not share personal items (toothbrush, razor, washcloth). Use disposable eating utensils or wash utensils separately in hot, soapy water. Do not share food or eating utensils. Do not share needles, and dispose of them properly after a single use. Avoid intimate sexual contact; when sex can be resumed, use a condom and avoid intercourse during menstruation. Do not donate blood. Instruct the patient to inform household members and sexual partners of the fact that she or he has developed hepatitis and to encourage them to notify a primary healthcare provider immediately to assess the risk of the disease.

To prevent complications, teach the patient to avoid alcohol for 6 months to 1 year, avoid illicit drugs and toxic chemicals, and take acetaminophen only when necessary and not beyond the recommended dosage. Note that in viral hepatitis, the patient has immunity only to the type of hepatitis he or she has had.

Herniated Disk

DRG Category: Mean LOS: Description: DRG Category: Mean LOS: Description:

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