TASK – 67: Maggie Goldstein is a 60-year-old female Alzheimer’s disease sufferer currently admitted to North Caulfield Private Hospital for a dislocated elbow after a fall at her aged care home.
Patient details
Name: (Mrs) Margaret (Maggie) Goldstein
Age: 61 years
Marital status: Married
Family: Husband, Solomon (Sol) Goldstein aged 65, no children
Admission date: 8 November 2016
Discharge date: 12 November 2016
Admission diagnosis: Dislocated R elbow Early dementia; progressing rapidly
Social background: Full-time care at Eventide Residential Aged Care, 333
Glen Eira Road, Ripponlea, Vic. 3185. Husband lives nearby in Elwood;
Business Owner/Manager “Computers’R’Us”
Previous career and Hobbies: Computer programmer, championship golf
Medical history: Obesity – Height 157cm/ Weight 90kg, HTN, Alzheimer’s onset detected (11/2014)
– no known Alzheimer’s sufferers in close family
Current condition: Ready for discharge back into full-time care
R elbow in cuff w sling; healing slowly Skin intact
Uses wheelchair, transfers with some assist Continent of bowel/incontinent of bladder (10/11/2016) Reluctant to wear disposable briefs Requires assist with showers and incontinent care
Medications: Oxycodone 5 mg 3/day to be continued as needed
Atacand Plus 32/12.5 25mg/day Remeron 15mg/day
Management and progress: Medically stable
Discharge plan: Spouse will collect patient when discharged to transport back to Eventide. Monitor healing of elbow Monitor incontinence care.
Follow-up w physiotherapist, appt 28/11/2016, 2pm, at Eventide
WRITING TASK: You are Charge Nurse at the hospital where Mrs Goldstein was admitted 3 days ago for treatment of a dislocated elbow. Using the information in the case notes, write a discharge letter to the Supervisor at Eventide Residential Aged Care, 333 Glen Eira Road, Ripponlea, Vic. 3185, for discharge back into permanent full- time care.
OET WRITING TASKSSubmit your OET letters for correction: (for a minimal fee)
https://goltc.in/oet-writing-correction/