TASK – 70 : Patient: MAVIS BRAMPTON – 72 years old
Admitted: 10 January 2011 To be discharged: 15 January 2011
Diagnosis: Pleurisy
BACKGROUND: Mrs Brampton has been widowed 25 years. Has been an active member of the community all her life. Is the current President of PROBUS in her area. She with her husband ran the Sydney Road Newsagency until his death at which time she retired. Attends the local Community Centre three times a week to play Bingo. Has been asmoker all her life (since 18 years of age). Current smoking 10 a day.
NURSING NOTES:
- 10 Jan 2011 Overweight: BMI 29 Had CXR; IV Amoxycillin with supplementary O2
- Advised to give up smoking.
- BP 170/90 Pulse 92 Slightly raised temperature: 39oC Breathless 12 Jan 2011 On low-dairy diet Advised about Nicotine patches.
- Productive cough – sputum culture done Pravastatin 20mg/day and Celecoxib 100mg/day
13 Jan 2011
- Deep breathing exercises started. Is keeping to a non-smoking regime.
- Using Nicotine patches and Zyban (150mg b.i.d).
- To be discharged 15 Jan 2011.
DISCHARGE PLAN:
- Support Mrs Brampton – needs monitoring for medication compliance
- Needs help with nutritious meals (Meals on Wheels) and house keeping (Council Home Help) – Assistance with shopping
- Monitor her quit-smoking plans – watch for side effects from Zyban such as dry mouth and difficulty in sleeping. If side effects occur Zyban should be stopped. Zyban to be withdrawn after 2 months. Nicotine patches to continue until smoking addiction is under control.
WRITING TASK: Write a letter of referral to Brunswick Family Care Clinic, 44 Decarle Street, Brunswick, Vic 3056 requesting monitoring and ongoing care be arranged for Mrs Brampton. Community Nurse to make sure Mrs Brampton continues her cessation of smoking – with the help of Nicotine patches and Zyban. Zyban tablets to cease as soon as side effects occur (if any). Both Zyban and Nicotine to cease as soon as craving for cigarettes has stopped.
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