TASK 13:
Patient : Mrs. Joy Rafferty
Age: 65.
Occupation : Retired clothing machinist
Patient has attended the Community Health Center since her retirement ten years ago. Recently a new Center has opened much closer to her home.
SOCIAL HISTORY: Widowed since 1984 and has supported the family since her husband’s death
Lives alone in a Housing Commission flat. Has 6 adult children with 3 living nearby in the same suburb
A close family. Social activities are restricted to family occasions. Outside outings are also restricted (Family does her shopping and collects her for outings, etc.). Previously active with the Church and its social circle however this has stopped because the patient can no longer drive.
MEDICAL HISTORY: Benign hypertension over 10 years, now progressing to essential hypertension 180/100 Coversyl 4 mg daily. Rapid weight gain in past year 75 kg to 90 kg
Undifferentiated osteoarthritis type aches and pains, Analgesics required for pain, Mild depression
FAMILY INVOLVEMENT: Several meetings with the family to encourage the patient to make social contacts and therefore become less dependent on the family.
Family concerned and overprotective but in agreement with suggestions
DISCHARGE PLAN: Improve her general health status by Increasing exercise regime and stimulatininer
Continue family meetings. Introduce client to suitable interest and activity groups in the area e.g. Aqua aerobics, local women’s chair, Meals on Wheels, parish visiting groups. Encourage and monitor attendance
WRITING TASK : You are the Community Health Nurse who has been looking after Mrs. Rafferty for the past ten years. You are concerned about her increasing isolation and general health. Write a letter referring her to the new Center. The contact persons is: Ms. Rhonda Johns, RN., Community Health Care, 25 River Street, Clayton, Vic: 31804
Submit your OET letters for correction: (for a minimal fee)
https://goltc.in/oet-writing-correction/
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