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LETTER 13

RED   Irrelevant

GREEN  correction

PINK    suggestion



Ms Maria DiCoccio

Receiving Nurse

Proudhurst Mental Health Home

231 Brightfield Avenue

Proudhurst


18 March, 2018


Dear Ms DiCoccio, 


Re: Ms Bethany Tailor, aged 35


Ms Tailor has been diagnosed with schizophrenia. She requires long -term care at your facility, following her discharge today.

  • Good Introduction


(1)Ms Tailor is unemployed, no  comma who is on disability allowance for schizophrenia. [2]She has a history of alcohol and cocaine abuse. She has last used cocaine on 28 February, 2018. Her medical history revealed,[3] she has hypertension secondary to fibromus and primary hypothyroidism for which she is on levothyroxine,88mcg daily.


  • Irrelevant information

  • The whole paragraph is misplaced. 

  • NO 2 would be better in the beginning of para 1. And no 3 would be at the end of the letter as it has not that much relevance.

 Ms Tailor has a history of alcohol and cocaine abuse. She has used cocaine on 28 February, 2018. She was self-admitted to hospital on 01 March, 2018 with decompensated symptoms of schizophrenia. On assessment, she had delusions, auditory and visual hallucinations. Moreover, she was agitated, aggressive and responded to internal stimuli.

  • Good ..



During hospitalizations, Ms Tailor has been recommended with risperidone. In- addition, she was assessed for objective signs of psychosis, redirected her from delusions and ensured her medical compliance. Apart from that she was provided therapy to maintain behavioural control. Currently, she can is able to minimise delusions and focus on daily living activities.   Her insight is good however her judgement is seen as fair are good. Even though, she can be decompensated if not on medications or abusing the substance.

  • Try to minimize minor errors


Upon discharge, Ms Tailor needs to be continued tablet risperidone, 4 grams, every night and was is prescribed 1 milligram, twice daily in case of agitation or psychosis. Please note, she requires follow-up at Proudhurst Mental Health Clinic.


Please do not hesitate to contact me for further queries.


Yours sincerely,


Registered Nurse 

Psychiatric Ward

St Mary's Public Hospital

32 Fredrick Street

Proudhurst


 MISSED POINTS


Thought block and latency 

Improvement of disorganised thinking

Provide Behavioural therapy 


Try to organize in a better manner.

MInimize errors.

 

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