LETTER 14

RED  Irrelevant

GREEN  correction

PINK    suggestion

18/03/2018 18 March,2018

Ms Maria DiCoccio

Receiving Nurse

Prodhurst  Mental Health Home

231 Brightfield Avenue

Proudhurst

Dear Ms DiCoccio, 

Re: Ms Bethany Tailor

Age:35 year's years

I am writing to refer Ms Tailor who requires monitoring for objective signs of 

psychosis and her medication compliance in view of her schizophrenia at your service. She is being discharged today.

• Good introduction

Ms Tailor is an unemployed who has disability allowance for schizophrenia. [1]She has a habit of polysubstance abuse mainly cocaine and alcohol. She experiences hallucination and delusion.[2] She has hypertension secondary to fibromuscular dysplasia and primary hypothyroidism. she takes levothyroxine 88 mcg daily.

• Paragraph is misplaced. NO 1 would be better in suggested place below and NO 2 would be at the end of the letter.

Ms Tailor admitted to hospital on 01/03/2018 with decompensated schizophrenia. She was agitated and aggressive [She had agitation and aggressive behaviour]. She responded to internal stimuli with thought blocking and latency.she was treated with risperidone, which needs to be continued if she has agitation or psychosis. Currently, she has made good progress. She is able to minimise delusions and hallucination as well as focus on activities of daily living.

• Important points not to be avoided

• You should write current data in detail

• All of the Advice should write in detail

• Discharge medicines with dose 

• Risperidone 4g once at night and risperidone 1 mg prn

• Ensure medication compliance should not be avoided

• Insight good and judgement fair

• Organize in a better manner Eg . write admission details in the first para

And current data in the next para like that ..

• 
  

It would be greatly appreciated if you could redirect Ms Tailor from delusions[already done ] Kindly help her maintain behavioural control and provide therapy if possible.

[2]She has hypertension secondary to fibromuscular dysplasia and primary hypothyroidism. She takes levothyroxine 88 mcg daily. (This can be write as an additional information)

Kindly do the needful and do not hesitate to contact me for further queries.

Yours sincerely, 

Charge Nurse

Try to concentrate on task 

Better to write a care based letter

Organise your letter 

Think in a logical manner like the first patient admitted with so and so symptoms then, we provided so and so care from the hospital and the current status of the patient along with the care needed from the receiver.