Discharge And Home Healthcare Guidelines

Teach the patient the relationship between vitamin B12 injections and the resolution of signs and symptoms of pernicious anemia. Instruct the patient how to self-administer a B12 injection, and establish a calendar for regular monthly injections. Discuss the need for a well-balanced diet.

724 Pheochromocytoma

Teach the route, dosage, side effects, and indications for use of medications. Instruct the patient to report any recurrent episodes of signs and symptoms of pernicious anemia. Patients with pernicious anemia are at risk for developing gastric carcinoma, so encourage twice-a-year complete physical examinations.

If the patient has experienced permanent neurological disabilities, refer her or him to a physical therapist for an intensive program of rehabilitation.

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