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CORRECTED LETTER - JAKE PATTERSON

 Mrs Monica Kullan

Senior Nurse Practitioner

University of Marchbank Health Centre

Hillsdunne Rd, Marchbank

 

30 August 2019

 

Dear Mrs Kullan

Re: Jake Peterson

DOB: 17 March 2001

Re: Jake Peterson (DOB: 17 March 2001)  better structure

 

I am writing regarding Jake Peterson, a boarding student of 18 years old who is transfering to your university and will need monitoring due to high levels of anxiety and hair loss that are affecting his development at school.

  • an 18-year-old boarding student transferring to your university, who requires monitoring."


The patient suffers from alopecia since he was 13 years old with intermittent cycles. It seems to be exacerbated in periods of stress or depression. He was refered to a trichologist who did no established an aetiology but prescribed a steroid cream for Jake. However, he discontinued the medication because of personality changes and sleep loss.

  • Jake has been suffering from alopecia

  • "was unable to establish a definitive aetiology."


Since December 2018, anxiety has returned along with a pronounced hair loss. In addition, he has lost 6kg over the last 2 months. Although he was recommended to see a doctor, Jake chose to try natural remedies which were not effective and very costly. Also, he has been having problems with forming new peer relationships which is affecting his sports participation and he is increasing alcohol consumption.

  • Bit of unclear

Due to the above mentioned, he presented with extreme anxiety during the exam period and it was needed to arrange a separate exam room. 

Please ensure that the patient anxiety and health condition is monitored as he is specially concerned about his transition to university and indepent living.

  • regular monitoring of Jake’s anxiety levels and overall health would be highly appreciated.

Should you require more information, do not hesitate to contact me.

Kind regards,

Blanca,

Registered Nurse.



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