Patients Initials: C.

Age: 52 y.o

Gender: Female

Birth Place: Manapla City

Ward: OB-Prepartum

Date of Admission: January 31, 2017

Attending Physician: Dr. M

CC: Excessive vaginal bleeding

Medical Diagnosis: Abnormal Uterine Bleeding

Problem Levels Of Care Action Plan

Diet Recurrence of bleeding Promotive and Preventive 1. Instruct to increase intake of vitamin
C riched foods like dalandan, guava,
malunggay at least every week.

2. Instruct to increase intake of

iron-riched food like dark leafy
vegetables:malunggay,margoso,sitaw, &
petchay.

3. Instruct to increase intake of fiber

riched foods like pineapple, dark leafy
vegetable: malunggay, okra, margoso.

4. Instruct to increase carbohydrates,

 protein, and fats like rice, beans, and
meat.

5. Avoid salty foods like salted egg, dried

fish, or junk foods.

6. Drink at least 6-8 glasses of water a

day

7. Advise to drink milk every day.

1. Emphasize the importance of

handwashing before and after using the
bathroom and meals.

2. Routine of hair, nose, ears,and oral

care.

3. Instruct to use mild soap when taking

Hygiene Maintain proper hygiene/ Recurrence of Promotive and Preventive
a bath.
Bleeding
4. Keep nails short and clean

5. Instruct to take a bath daily

6. Instruct to change perineal pads every

time its soaked.

7. Proper food preparation and

sanitation.
 1.Avoid strenuos activities like sexual
intercourse.

2.Continue activities of daily living like

bathing, toileting, and ambulating.

3.Instruct to have at least 8-12 hours of

sleep.

1.Tranexamic Acid (500mg, I cap) every

8 hrs, three times a day, per mouth.
Activity Weakness and fatigue Preventive and Promotive
2.Ferrous sulfate( 325mg, 1 tab) once a
day per mouth

3.Amoxicillin (500mg, 1 cap) three times

a day, per mouth.

1. Instruct to avail all phone numbers

Medication Recurrence of bleeding Curative
that are neccessary like the physician,
relatives, and etc. in case of emergency.

2. Instruct to avail health services of the

barangay such as counseling on
 nutrition, hygiene, and other available
services.

1.Encourage to increase faith in God by

praying and attending the mass.
Community Support Promotive
2. Encourage to meditate and verbalize
feelings

1. Avail the PhilHealth insurance,

medical health insurance, or financial
support through government officials.

1. Follow up check-up with Dr. M on

February 16, 2017 tuesday at room 303,
Spiritual Support Promotive
2nd floor, Vingson Commercial Building,
Manapla city.
Financial Support

Promotive

Appointment

Rehabilatative