TASK –75: Mr Benjamin is a 63 – year-old patient in Care Well Hospital where you are acting as a Charge Nurse.

Patient Details: Marital Status Widower (8 years)

Admission Date 5 September 2009 (Care Well Hospital)

Discharge Date 9 September 2009               

Diagnosis THR – Total Hip Replacement Higher BP

Social Background Lives in Abrina Nursing Home 19-21 Victoria Street ASHFIELD NSW 2131 Had been there for 2 years before coming to Care Well (2 months ago). Has no children; Worked in a bank as an accountant before quiting at age 60 No Pensioner.

Hobbies: reading, writing, chess Brother, Peterson,pay visits daily; No severe signs of dementia are observed yet

Medical Background 2005 – Osteoarthritis requiring total hip replacement surgery

2003 – Blood Pressure (mangaement ongoing)

Medications Aspirin (100mg) Ramipril 5mg

Nursing Management and Progress: Dressing Daily Recommend stretching exercises Follow up FBE and UEC tests                         Assessment Good Condition – post operation

Walks with aid in the beginning but now walks perfectly with wheelie-walker

Appeared disoriented during post operative recovery – possibly anesthetic

Hb dropped (71) post operatively, transfused three units of packed RBCs.Hb normal on discharge (112)

Discharge plan Pain reliever given Panadeine Forte (6tablets / day) Exercise recommended

Equipment required: wheelie-walker, wedge pillow, toilet raiser. Hospital is providing Wheelie-walker and wedge pillow. With help from local medical supplier, raiser hired for 2 weeks.

Writing Task: Using the information in the case notes, write a letter to Ms Susanna Bates, Senior Nurse at Abrina Nursing Home 19-21 Victoria Street ASHFIELD NSW 2131, who will be responsible for Benjamin’s continued care at the Nursing Home.

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