Sample answer by Lifestyle Training Centre

Dr Joan Meagher,
General Practitioner,
Bannockburn Community Health Centre,
2 Pope Street Bannockburn Victoria 3331.

1/10/2009

Dear Dr Meagher,
Re: Mr John McIntyre, aged 68 years.

I am writing to refer Mr McIntyre, who needs sympathetic care and monitoring following his relocation to Lake Retirement Village at Bannockburn in a week. He suffers from Hypertension, Congestive cardiac failure,  and Chronic obstructive airways disease.

Since September 2001, Mr. McIntyre is consistently monitored by our Community Nurse to ensure medication compliance. His prescribed medications include diuretics, antihypertensives, vasodilators, and bronchodilators. A detailed description of his medical history can be found in his casebook, which is currently in his possession.

Mr. McIntyre has been engaging in excessive alcohol consumption and has been smoking 40 cigarettes per day for the past 30 and 35 years, respectively. He believes that he will be able to curtail these habits following the relocation.

Mr. McIntyre is married and resides in his own home with his wife. He has three children and a grandchild, managing expenses from a small savings account and aged pension. Despite advice from his wife and children to modify his lifestyle, Mr. McIntyre does not yield.

Considering the provided information, I kindly request that you assume responsibility for Mr. McIntyre’s care. Please ensure that he receives sympathetic care and continuous monitoring. Kindly encourage him to cease smoking and drinking. Additionally, please monitor his medication compliance and diet closely, and motivate him to engage in regular exercise. If you have further queries, please do not hesitate to contact me.

Your sincerely,
Registered nurse.

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Case notes:

MR JOHN McINTYRE – 68 year old Born: 1941
This 68 year old married man has been getting monitored at the Community Health Centre, Richmond. He and his wife are moving to The Lake Retirement Village Bannockburn
11/2001 – First attended Community Health Centre, Richmond
10/2009 – Last attended the Centre
DIAGNOSIS: Hypertension, Congestive cardiac failure, Chronic obstructive airways disease (COAD)
SOCIAL HISTORY: Married, Three children; one grandchild, Lives in own home with his wife
Wife has no control over his lifestyle or medication. He resents his children’s advice about the need to change his lifestyle. Now moving to a self-contained Unit at The Lake Retirement Village (Anticipate this will happen in one week’s time). Apart from a small amount of savings, Mr. and Mrs. McIntyre plan to live on the Aged Pension. Has been excessively drinking alcohol for past 30 years. Has been excessively smoking (40/day) for the past 35 years. Claims he will stop smoking once he moves to the new Unit. He will try and cut down on the drinking
NURSING MANAGEMENT AND PROGRESS
Medications include diuretics, antihypertensive, vasodilators and bronthodilators
Has received regular monitoring by Community Nurse to achieve medication compliance
Further details in patient’s personal casebook (with the patient)

DISCHARGE PLAN: Establish contact with a sympathetic medical practitioner
Monitor medication compliance and diet, Encourage patient to stop smoking
Encourage patient to stop drinking, Encourage patient to take moderate regular exercise
WRITING TASK: Mr. McIntyre needs to be monitored by a sympathetic GP so that his present regime continues in his new home. Using the information in the above case notes, write a letter referring the patient into the care of Dr Joan Meagher, General Practitioner, Bannockburn Community Health Centre, 2 Pope Street Bannockburn Victoria 3331. You must use full sentences in your letter – not notes / bullet points. Write no more than 25 lines about 180 to 200 words.

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