Ms Jane Hall
Southern valley community
64 Gladstone Road
Highgate Hill Qid4101
Re:Mr Sydney Loten;DOB:14/08/1946
Dear Ms Hall
I am writing to refer Mrs Loten, who was admitted in the 11/04/2020,with multiple polyps, however,colonpolypectomy was done on the 13th of April 2020.To add on patient developed post operative complications and has been dependent on oxygen support .He requires home nursing care as she requires daily change of dressings and oxygen consumption monitoring.
Write a simple introduction stating what is the present complaint of the patient and whatservice pt requires from the receiver's end.
Patient is female
Mr Luten takes alcohol occasionally and he smokes cigarettes.He was diagnosed with COPD in 2010 and been managed with ipratropium bromide inhaler 1puff.Additionally,he is a known diabetic and hypertensive patient on Metformin 500mg Bid and losartan 40 mg od respectively.
Social information is mixed with medical information
Clarity of the letter is lost
Patient is experiencing difficulties in sitting and mobilising.Pain analgesia is being given per rising need that is paracetamol 1giv and enolone 2,5mgprn for severe pain on laxative and senna of nocte.
Present continuous tense and its passive meaning that means at the time of writing the letter the patient is having the trouble and she is taking paracetamol for pain management.
Given Mr Loren's history, please assist him with the transition care program on wound care and monitoring O2 .Follow up is on the30th of April 2020.
Please contact me with any questions.
Information written are not adequate to convey the message to the reader
Sentence construction has not correctly , some of the information are still in note form
Organization , lay out needs to be improved
Yours sincerely
Precious sibanda .
Nurse practitioner.
Best of luck
TEAM OET4U
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