TASK 80: Name: Phillip Satchell    

Age: 73

Marital status: Wife deceased (2007)                                  

Family: Two sons in their 40’s in Darwin.

First attended community centre: March 2007                 

Last visit to community centre: Feb 2011

Diagnosis: Multiple sclerosis, Type 2 diabetes, chronic L & R leg ulcers

Social/Medical Background: Current: lives alone in public housing in Orange

Future: will move to equivalent housing in Maroubra to Î access for MS treatment.

Income: aged pension

Poor compliance with oral diabetic agents and diabetic diet MS currently stable but frequent relapses

2-3/12 Staphylococcus Aureus infections in leg ulcers; pus ++

Lonely and isolated, but nil mental illness; good relations with sons but rarely see them. They run a pet shop business.

Nursing management and progress: Medications: IV antibiotics twice daily and metformin for

diabetes three times per day. Twice daily dressings to L & R legs

Monitored blood sugar levels, medication compliance and provided education re diabetes.

Constantly monitored for signs of MS relapse

Discharge plan: Switch to oral antibiotics but continue same diabetic medications and dressings. Please refer to Prince of Wales Diabetic Clinic (medication review + Î education). Via your doctors, facilitate referral to neurologist for MS follow up. Support to link with community services to Î coping and social network.

Writing task: Using the information in the case notes, write a referral letter to the Community Nurse, Community Health Centre, Maroubra, outlining relevant information and requesting continued community care.

View sample answer by Lifestyle Training Centre

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