TASK 78: Hospital: The Royal Adelaide Hospital 

Patient Details: Name: Mr Robert DOB: 02/06/52

Marital Status: Married Next to kin: Wife    

Admission Date: 1 October 2011.  Discharge Date: 26 November 2011

Reason for admission: Chronic cough, hoarseness, difficulty breathing upon exertion

Diagnosis: Squamous Cell Carcinoma of left lung confirmed by CT scan

Past Medical History: HT diagnosed June 2008                 

Frequent episodes of bronchitis

Heavy smoker-40 years (1-1 ½ pack/day) Non- drinker       

Social History: Lawyer Supportive wife

2 married daughters in regular contact. One is 6 months pregnant   

Medical Progress: Resection of the lung

Chemotherapy and radiotherapy Ineffective treatment: metastases in liver and spine

Cancer in terminal stages-Mr Jones wishes to return home

Nursing Management: Fluid management                          

Oxygen therapy Patient comfortable

Pain management: Morphine sulfate 40mg 4 hourly / 20mg dose as needed.

Discharge Plan: Monitor pain status Manage symptoms; Check need for assistance with mobility / bathing

Daughters want father to stay in hospital for further treatment; – provide family with emotional support

Writing Task: Using the information given in the case notes, write a letter to Marry Watson, Palliative Care Manager, Royal District Nursing Service (RDNS) about the patient.

Submit your OET letters for correction: (for a minimal fee)
https://goltc.in/oet-writing-correction/