TASK 56
Today’s’ Date ; 26/05/2017
Patient Details:
Name : Gemma Brown.
DOB : 19/01/1990
You are the nurse in charge of mental health ward at Robina Private Hospital. Gemma Brown is under your care as she was admitted with severe depression & anxiety due to her recent life circumstances
Medical History Bipolar disorder Depression. 16 weeks pregnant
Medications: Valium 5-15mg PRN Seroquel 25 mg
Social History: Lives in share accommodation house with 3 other friends in Murwillumbah Parents live locally but no contact with them for the last 6 months. They are not aware of her pregnancy situation: She had been involved in a relationship for 10 months that
Current Admission 24/04/2017: Admitted to the young adult mental health ward at Robina Private Hospital with severe depression & anxiety due to unexpected pregnancy. Father of child not willing to recognise child as he already has a family. He ceased all contact after finding out about the pregnancy. She doesn’t want the baby upset she can’t afford abortion. States: “she wants to die”. Refuses to get out of bed, cries continuously and avoids any social contact. Reports weight loss of 10 kg over the last 2 months. Emotionally unstable, anxious about the pregnancy, current situation and the future.
Requires iron transfusion due to severe anemia malnutrition.
Food & fluid 24hr supervision commenced
HOSPITALISATION 25/04/17-26/05/17
Ongoing treatment with psychiatrist & psychologist. Receives Transcranial Magnetic Stimulation (TMS) therapy for depression. Her mood is now stable, accepts the pregnancy and keeping the baby. 5KG weight gain with improved appetite. Still anxious about the near future after discharge. Still refuses to contact her family& inform them about her situation Discussed social worker help & requested referral
Discharge date planned: 30/05/2017
Discharge Plan: Social worker referral. Accommodation arrangements after discharge suitable for a baby. Discuss the importance of family support with pregnancy after labor
Assist her managing her financial situation & applying for financial support Referral to community social services for single mothers & community services GP regular appointments organised to check pregnancy and health status.
Writing Task: You are the nurse looking after Gemma Brown in the young adult mental health ward at Robina Private Hospital. Using the information provided, write a referral letter to the social worker in charge of the mental health ward, in Robina Private Hospital, 375 Stuart Street, Robina, QLD 4221 requesting assessment of Gemma’s situation and help with living arrangements after discharge.
Submit your OET letters for correction: (for a minimal fee)
https://goltc.in/oet-writing-correction/