TASK 9.  Patient History: Victoria Flangan is a patient in your care, who is ready for discharge and will be transferred to a nursing home

Name   :           Mrs. Victoria Flangan            

Age      :           88 Years (D.O.B. 21/10/20)

Admitted         :           16/02/08

Diagnosis        :           dementia and side effects of medication for Parkinson disease (Levodopa with carbidopa 100/25 qid)

Reason for admission  :           confusion, aggression and paranoid behaviour

Treatment: Observed 4 hourly, Medication changed to Bromoryptpine mesylate 1.25 mg nightly for one week, 1 to 2.5 mg nightly 2nd week, Now 1.9 mg.bd.

Assessed for dementia. Assessed for nursing home care

Promotion of physical movement. Exercises to strengthen muscles involved in speaking and swallowing

Nutritional therapy, plenty of roughage.

Social Background

Previously living independently with 89 year old husband (Tom). He is finding it increasingly difficult to cope with aggressive behaviour. Pt. disoriented and waking at night to dress for work or going outside to garden etc. Two children, both living in the UK and visiting once a year.

Nursing Notes:

Confusion, aggression and paranoid behaviour overcome with change of mdx. Dementia symptoms continue memory loss, disorientation etc. Wears glasses Wears hearing aids

Walks with stick/walking frame

Discharge plain         Transfer to nursing home       

Diet: foods that are appetising, easily chewed and swallowed

Physiotherapy, improve muscle tone + Strength of muscles for speaking and swallowing

Elevated toilet seat                 

Upright chair with arms: back elevated Slip-on shoes           

Avoid rugs on floor

Social work visits

Using the information in the case notes, writes a letter of referral to The Admissions Officer, Torquay Nursing Home, 77 Jan Juc. St. Torquary 3763

Submit your OET letters for correction: (for a minimal fee)
https://goltc.in/oet-writing-correction/