Model answer by Lifestyle Training Centre

Sarah MacDonald,
Social worker,
Annerley Community Centre,
1122 Ipswich Rd Annerley, 4121

19/02/2012

Dear MacDonald,
Re: Mr Nasser Ali, 4/02/1964

I am writing to refer Mr Ali, who requires support and management, following his discharge today. He is currently recuperating an angioplasty that he underwent secondary to myocardial infraction.

Mr Ali and family are Afghan refugees, who migrated to Australia in 2010. Mr Ali lives in rental flat with his wife, Fatima Ali, a housewife, and their seven children, aged 6 months to 22 years. Mr Ali works as a taxi driver and possesses only rudimentary English fluency.

Mr. Ali’s post-operative medications include Karvea, 150mg daily, and half an aspirin daily. Please order these medications from the hospital pharmacy, and instruct him regarding the dosage and the importance of medical compliance. Additionally, encourage him to continue his exercise regime, particularly deep breathing exercises with Trifle, as instructed by the hospital physiotherapist.

Based on the information provided, I kindly request that you extend your valuable services to Mr. Ali and his family to assist him in transitioning back to his usual life. To help Mr Ali loose weight, kindly arrange for a dietitian’s service. In addition, discuss with Mr Ali the significance of smoking cessation, and the list of available cessation plans. His follow up appointment with cardiologist, Dr R Lang, is scheduled for 26/2/2012, at 2.pm at the hospital outpatients. Should you have further queries, please do not hesitate to contact me.

Yours sincerely,
Registered Nurse,
Louise Nagatani.

(words used 220)

Writing task: Question

Task 20: Today’s date: 19/02/2012

You are Louise Nagatani, a registered nurse in the Coronary Care Unit at a General Hospital. Nasser Ali is a patient in your care.

Discharge Summary

Name: Nasser Ali

Address: 1052 Moorvale Rd, Moorooka, Phone: 046538762, Date of Birth: 4 February 1964, Date of admission: 09/02/2012

Diagnosis: MI,  Date of discharge: 19/02/2012,  Name of Surgery:Angioplasty

Reason for admission:  Patient arrived at the hospital via ambulance 10 days ago suffering from acute Sub sternal chest pain radiating to left arm.

He complained of severe chest pain, pain in jaws and left arm, diaphoresis, dizziness and shortness of breath.

Patient has been diagnosed with myocardial infarction. Condition has now stabilised, however, he appears restless and worried about his condition. He is overweight and is a smoker.  He has high blood pressure.

Treatment:  Sereptolunanse, anticoagulants and anti-cholinergic drugs.

Continuous ECG monitoring, angioplasty on 10/02/2012

Post-surgery physiotherapy Karvea 150mg daily 1⁄2Aspirin  daily

Social History:  Family are refugees from Afghanistan arrived by boat in Australia in 2010.

Marital Status: Married, seven children. Aged 6 months to 22

Next of kin: Fatima Ali (Wife)

Employment: Nasser works as a Taxi Driver, Fatima: Housewife

Accommodation: Living in rental flat, No family doctor

Language: Dari. Nasser attends TAFE English classes but only has basic English conversational ability.

Discharge Plan: Follow up appointment made with cardiologist, Dr R Lang, Hospital Outpatients 2pm 26/2/2012. Order medications from hospital pharmacy – Explain usage and stress the importance of taking medication regularly as directed.  Arrange for dietician to provide dietary advice

Discuss importance of giving up smoking and provide advice on available quit smoking programs

Advice patient to continue with the exercise program recommended by the hospital physiotherapist, particularly deep breathing exercises with Triflo. Arrange for a community social worker to provide a support service to the family to ensure a smooth transition back to normal life

WRITING TASK: Using the information in the case notes, write a letter to the social worker, Sarah MacDonald, Annerley Community Centre, 1122 Ipswich Rd Annerley, 4121 explaining the patient’s situation and needs.

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