Sample answer by Lifestyle Training Centre

Mrs Edith Penny
Community Nurse
Freemont Community Health Centre Freemont.

30/April/2017

Dear Mrs Penny,
Re: Ms Sheila Cartwright, aged 69 years.

Ms Cartwright requires your ongoing care and management, following her discharge today. She underwent treatment in our hospital since 14/04/2017 for unstable diabetes mellitus and an infected left foot ulcer.

Ms Cartwright has been suffering from non-insulin-dependent diabetes mellitus for the past 9 years. Her medication includes: Metformin/Diabex, 800mg, thrice a day and Amoxycillin/clavulanate/ Augmentin Duo Forte, 125mg orally, twice a day. After the completion of Antibiotic therapy/Augmentin Duo Forte, it has to be reviewed. She has to continue taking medical hypoglycaemic agent/Glibenclamide/Glimel, 5mg daily, which she finds difficult to administer by herself at times.

Ms Cartwright had retired at 67 from her administrative job. She lives by herself, and she has no relatives or close friends. Please arrange a community social service worker in order to help her change her overall life-style plan. She needs to be encouraged in involving social activities and moderate exercise programme since she shows no outside interests. As she lives on a very low pension, please suggest her to start-up something that would generate income.

Ms Cartwright would require saline dressing daily for her ulcer. Please monitor her wound margins, healing progress, and observe for any signs of complications. Kindly monitor her medication compliance, blood sugar levels, dietary quality as well as her alcohol intake, which has been increased after her retirement. If you have further queries, please do not hesitate to contact me.

Yours sincerely,
Registered Nurse.
(word count: 218)

Writing task

Read the case notes below and complete the writing task which follows.
NOTES
You are a registered nurse working at Freemont Community Hospital. Your patient,

Ms Sheila Cartwright, is being discharged today.
Patient: Sheila Cartwright (Ms)
Age: 69 Years
Martial status: Single
Family: Nil
First admitted: 14 April 2017, Freemont Community Hospital
Discharge: 30 April 2017
Diagnosis: Unstable diabetes mellitus.
Small infected (left) foot ulcer.
Medical history: Non-insulin-dependent diabetes mellitus 9 years.
Medications: Glibenclamide (Glimel) 5mg daily.
Metformin (Diabex) 800mg t.d.s.
Amoxycillin/clavulanate (Augmentin Duo Forte, 125mg orally, b.d.)
Family background: Retired at 67 from administrative position.
Lives alone in own three-bedroom home.
Income: small pension much lower than pre-retirement income.
Reports no relatives or close friends.
Reports no outside interests.
Since retirement alcohol intake and dietary quality
Periodic problems with self-administration of hypoglycaemic
medication.
Nursing management and progress:
Medical hypoglycaemic agent (glibenclamide) to continue.
Antibiotic therapy (Augmentin Duo Forte) for review at completion of
current course.
Ulcer daily saline dressing, monitor wound margins, observe for signs
of complications, review healing progress etc.

Discharge plan:
Monitor medication compliance, blood sugar levels, alcohol intake,
diet.
Encourage moderate exercise programme.
Suggest establishment of income-producing activity.
Encourage establishment of social activities.
Prepare a letter to the community nurse, emphasising the needs for
an overall life-style plan, and suggesting involvement of community
social service worker.
WRITING TASK
Using the information given in the case notes, write a letter of discharge to Mrs Edith Penny, the community nurse at Freemont Community Health Centre, informing her about the patient’s conditions and her medical and social needs. Address your letter to Mrs Edith
Penny, Community Nurse, Freemont Community Health Centre, Freemont.
In your answer:

Expand the relevant notes into complete sentences.
Do not use note form.
Use letter format.
The body of the letter should be approximately 180-200 words.

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