Patients Initials: C.

S
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,m
argoso,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.
Hygiene Maintain proper hygiene/ Promotive and Preventive 5. Avoid salty foods like
Recurrence of Bleeding 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 a bath.
4. Keep nails short and clean
5. Instruct to take a bath
Activity Weakness and fatigue Preventive and Promotive daily
6. Instruct to change perineal
pads every time its
soaked.
7. Proper food preparation
and sanitation.
Medication Recurrence of bleeding Curative

1.Avoid strenuos activities

like sexual intercourse.
2.Continue activities of daily
Community Support Promotive 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.
2.Ferrous sulfate( 325mg, 1
 tab) once a day per
Spiritual Support Promotive mouth
3.Amoxicillin (500mg, 1 cap)
three times a day, per
mouth.

Financial Support
Promotive 1. Instruct to avail all phone
numbers that are
neccessary like the
Appointment physician, relatives, and
Rehabilatative 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.
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, 2nd floor, Vingson
Commercial Building, Manapla
city.