Free Nursing Discharge Care Plan

Patient Information

Patient Name: Tom Walter
Date of Birth: January 15, 1975
Discharge Date: December 15, 2050
Diagnosis: Total Hip Replacement (Right)
Discharge Destination: Home
Primary Care Physician: Dr. Emmy Green
Phone Number: 222 555 7777
Emergency Contact: Berta Flatley
Contact Number: 222 555 7777

1. Medications and Instructions

2. Wound Care Instructions

• Wound Site: Right hip incision

• Care Instructions:

  • Keep the wound clean and dry.

  • Change the dressing every 48 hours or sooner if it becomes wet or dirty.

  • Use sterile gauze pads to cover the wound.

  • Apply a thin layer of antibiotic ointment if instructed by the physician.

• Signs of Infection to Watch For:

  • Increased redness, warmth, or swelling around the incision.

  • Pus or drainage from the wound.

  • Fever above 100°F (38°C).

3. Activity Restrictions and Instructions

• Weight-Bearing Status: No weight-bearing on the right leg for 4 weeks. Use crutches for mobility.

• Movement Restrictions:

  • Avoid bending the hip more than 90 degrees.

  • Do not cross legs while sitting or lying down.

  • Limit walking to short distances, and rest frequently.

• Exercise and Rehabilitation:

  • Start physical therapy on December 17, 2050 (contact the rehab center at [YOUR COMPANY NAME] for scheduling).

  • Follow the prescribed therapy exercises for strengthening and range of motion.

  • Do not lift objects heavier than 5 pounds until cleared by the physical therapist.

4. Follow-Up Appointments

5. Emergency Instructions

• Signs of Complications to Watch For:

  • Sudden or severe pain in the hip or leg.

  • Swelling or tightness in the calf (possible blood clot).

  • Shortness of breath or chest pain.

• When to Call for Help:

  • If you experience any of the symptoms listed above, call [YOUR COMPANY NAME] at [YOUR COMPANY NUMBER] or seek immediate medical attention.

6. Additional Information

• Home Support and Assistance:

  • Family members are encouraged to assist with daily activities like meal preparation and transportation to appointments.

  • A home health nurse will visit on December 20, 2050, to monitor recovery and assist with wound care.

• Patient Education:

  • Avoid sitting or lying down for long periods; change positions frequently to reduce the risk of blood clots.

  • Stay hydrated and eat a balanced diet to aid in the healing process.

Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]

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