TASK 27 Read the case notes and complete the writing task which follows.
Hospital :North West Hospital Roehampton Unit
Patient Details :Name: Ted Watson,Age 12 yo
Marital status :widowed 10 yrs
Next of kin : daughter-Margaret Alwood ph. 98253899 Admission Dates : 10 May 2007
Discharge Date :12 August 2007
Diagnosis :↓ed mobility-surgical repair (dynamic hip screw) of # R Neck of Femur (1 May 2007 at Newtown Hospital)
Past Medical History: NB: Medical Alert + +
Anaphylactic reaction to amoxicillin/penicillin (antibiotics) 1997
Social History/Supports: Retired store man Ramsay’s Ltd; Lives alone: ground floor flat in public housing
Hobbies: quiet reading/listening to ‘big band’ music/TV sports All home aids installed by O.T.
Vary supportive daughter, visits frequently – ? anxious how father will manage when returns home
Local day centre 2 x wkly. Local council home support visits
Medical Progress: Slow due to:
Febrile episode→ periods of contusion. Caused by urinary tract infection.
Treated w. trimethoprim (antibiotic), Ural urinary alkalizer) and paracetamol (analgesic). Now fully resolved.
Onset of large arterial leg ulcer R ankle. Regular dressings, now ling in size.
Nursing Management: Vital observations: stable, afebrile. Mobility: v. slow – independent ambulation with pick up frame. Hygiene: max assistance with showering/dressing.
Continence: self-care with permanent indwelling catheter.
Skin integrity: DuoDerm (occlusive) dressing wkly to ulcer.Psycho/social: alert, reserved.
Discharge Plan: Continue with all home supports Community nurse referral
-for hygiene: assistance with showering/dressing -wound management -urinary catheter change 6-wkly
-ongoing monitoring and care
WRITING TASK: You are the charge nurse on the hospital ward where Mr Ted Watson has resided during his hospital stay. Using the information given in the case notes, write a letter referral to the Community Nurse Supervisor at the Community Nursing Centre, Newtown, who will be attending to Mr Watson following his discharge.
Submit your OET letters for correction: (for a minimal fee)
https://goltc.in/oet-writing-correction/