TASK 41 Brett Davis
This patient has been in your care and is now going home from the Royal Children’s Hospital, Read the case notes below and complete the writing task that follows.
Patient : Brett Davis – 18 months old
Admitted : 10 August 2016
Discharged : 12 August 2016
Brett’s parents instructed to take the child to the Surry Hills
Community Health Clinic – appointment with the Maternal & Childcare Nurse. Diagnosis : Chronic Nasal Congestion / AURTI
SOCIAL BACKGROUND: Brett is the 2nd child in the family- one sister (Emily) aged 5 years
Mother : June Davis – 23 y.o. Working as a waitress; late night shifts
Father: Malcolm Davis – 24 y.o. Construction worker: works during daytime
Lives in rental accommodation, a two-bedroom apartment
NURSING NOTES:
Denver Developmental Screening Test (DDST) administered – normal development
Antibiotics: Amoxicillin 50mg/kg 8 hourly, commenced 12 noon, 12 Aug 2016
Nasal and ear clearing before feeds and as required
A-febrile after 36 hours
Free fluids given which were well tolerated
Congestion restricted his sucking ability
DISCHARGE PLAN:
Support Mrs. Davis in improving parenting skills
Continue antibiotics (complete 14 day course)
Continue free fluids
Continue ear and nasal clearing as required
Observe for signs of elevated temperature
WRITING TASK: Brett’s parents have been instructed to take Brett to the Surry Hills Community Health Clinic. Write a letter of referral to Sr Mary Bouvier, Maternal & Childcare Nurse, Surry Hills Community Health Clinic, Main Road, Surry Hills, New South Wales 2010 requesting she arrange for Brett to be monitored until antibiotics are completed; Community Nurse to make sure both parents are instructed in proper procedure for ear and nasal clearing. Letter should be 180 to 200 words long / only the first 25 lines will be considered.
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