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CASE NOTES NURSING

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DAY 1

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CORRECTED LETTER-BELINDA HOYLE

RED Irrelevant GREEN correction PINK suggestion Mr Steven Hummings Community Nurse Community Health Centre 18 Gannon parade Newtown 24 January, 2015 Dear Mr Hummings, Re: Ms Belinda Hoyle, 37 - year- old Better to write age as 37 years If you want to write like this, better to write when you have some other information also to add like a 37-year- old widow. I am writing to introduce Ms Hoyle , no comma who is recovering from type one fracture above the left elbow. She requires assistance for lifestyle and child care. Ms Hoyle is being recovered from type one fracture above the left elbow following an accident. She requires rehabilitative care and lifestyle assistance from you service In your introduction purpose is not clear Ms Hoyle was admitted to our hospital on 21 January, 2015 with the above-mentioned diagnoses. fractured arm with little displacement of humerus following a scooter accident . On arrival, she was noticed...

CORRECTED LETTER

Dr Jan walker Epstein Clinic 393 Victoria Road Richmond , Melbourne 2/9/17 Dear Dr Walker, Re: Susan Forest, D.O.B 19/05/97 I am writing to refer Ms. Forrest, a 24-year-old female, whose clinical features are suggestive of asthma, for further assessment and management. Repeated information about age. Ms. Forest is unmarried and works as a graphic designer, was diagnosed with asthma at the age of 4¹, Adding to this, In 2015 she was admitted to hospital because of two asthmatic attacks and hence, commenced on Ventolin, Symbicort and Zyrtec. She also had a history of eczema, anxiety disorder and allergic rhinitis. She had a strong family history of asthma. Please note she is a chronic smoker and a social drinker. Social information medical information all mixed together. Initially, on 12/3/17, Ms. Forrest presented with a complaint of diarrhea which was improved after the encouragement of electrolytes. Subsequently, Ms forest reported complaints of...

ALEX MEYDEW LETTER 1

Date Todays date The Director , Julia Farr Rehabilitation Centre 229 Fullarton Road 509 Dear Sir/Madam, Re: Mr . Alex Maydew, aged 23. I am writing in regards to Mr . Maydew who had a neurological injury . He requires follow-up care and assessment. This letter is being written to request further care and assistance for Mr X who has been treated here with respect to his neurological injuris. Mr. Maydew had a car accident 10 months ago. He has been normal brain function since 2 months ago . but he loses his speech facility . He is improving mobility with the help of physiotherapy and he is confined to a wheelchair. Background information is lacking He was in coma state for 4 months in the hospital and 4 months in our care facility and eventually woke up from coma 2 months ago. He regained his normal brain function, however, his speaking ability is affected.Currently,.... Though he is confined to the wheelchair, hia mobility is being imp...

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