TASK – 68 Ms Osburn is an elderly patient at the Newport Community Health Centre

You are the attending nurse.

Patient details                       

Name: Monica Osburn                      

Age:    69 years

Marital status:           Divorced        

Family:           One daughter (married)

First attended centre:  September 2003                     

Last attended centre: January 2010

Diagnosis:      Hypertension, depression

Social background:   Present: lives alone, rented house in Newport

Moving to rented one-bedroom unit in Woodville close to daughter (daughter’s request)

Income: aged pension. Long history excessive alcohol intake, ↑ when anxious

Medical history: Hypertension (10 years).             

Depression (2 years)

Periodic problems with self-administration of medication

Medications:  Anti-hypertensives and anti-depressants

Nursing management and progress: Regular monitoring by community nurse in Woodville to ascertain medication compliance and alcohol intake

Discharge plan:         Establish contact with medical practitioner after move Monitor medication compliance, alcohol intake and diet Encourage expansion of family social activities – elderly citizens clubs, voluntary groups, etc.

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

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