Mavis Brampton  [5 mins reading / 40 mins writing] This patient has been in your care and is now going home from the Northern Community Hospital,  Moreland, 3051.

Patient: MAVIS BRAMPTON – 72 years old

Admitted: 10 January 2011        To be discharged: 15 January 2011

Diagnosis: Pleurisy

BACKGROUND:

D 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 a smoker 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 Zyban to be withdrawn after 2 months.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. Letter should be 180 to 200 words long / only the first 25 lines will be considered.

Sample letter by Lifestyle Training Centre

Brunswick Family Care Clinic 44
Decarle Street
Brunswick Vic 3056

15/01/2011

Dear Sir/Madam,

Re: Mavis Brampton, aged 72 years. 

Mrs Brampton, a widow, requires your monitoring and ongoing care, following her discharge today. She underwent treatment for pleurisy in our hospital.

During hospitalization, Mrs Bramptor was administered with Amoxycillin with supplementary O2, Pravastatin 20mg/day, and Celecoxib 100mg/day. She had a slightly elevated temperature, and sputum culture was done on account of productive cough. Deep breathing exercises were started as she suffers from breathlessness. She was commenced on a low-diary diet for overweight, BMI 29.

Her chest X-ray was taken and was advised to give up her long-term smoking habit. At present, she smokes 10 cigarettes a day. She has to continue her cessation of smoking with the help of Nicotine patches and Zyban. Both have to be stopped as soon as the craving for cigarettes come to an end. Zyban tablets, 150mg, twice a day, should be stopped after 2 month or immediately if any side effects occur, such as dry mouth or difficulty in sleeping.

In view of the above, please assist Mrs Brampton by monitoring her medical compliance and quit- smoking plans. Please also arrange for Mrs Brampton, through Council Home help: assistance with shopping and housekeeping. To help her continue a nutritious diet, kindly connect her to Meals on wheels. If you have any further queries, please do not hesitate to contact me.

Yours faithfully,
Registered nurse                                                                                                       

(Words used: 203)

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